Warde hemoglobin fractionation/quantitation electrophoresis at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$6.16
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$28.23
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$9.89 with Western Health Advantage vs $38.02 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $9.89 | ↑ +61% |
| Partnership Health Plan | Medicaid|All Plans | $10.93 | ↑ +77% |
| Kaiser | Medicaid|All Plans | $11.58 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $12.14 | ↑ +97% |
| Humana | Commercial|All Plans | $12.87 | ↑ +109% |
| Aetna | Medicare|All Plans | $12.87 | ↑ +109% |
| Molina | Medicare|All Plans | $12.87 | ↑ +109% |
| United | Medicare|All Plans | $12.87 | ↑ +109% |
| Kaiser | Medicare|All Plans | $12.87 | ↑ +109% |
| Blue Shield CA | Medicare|HMO | $12.87 | ↑ +109% |
| Blue Shield CA | Medicare|PPO | $12.87 | ↑ +109% |
| Hill Physicians | Commercial|All Plans | $12.87 | ↑ +109% |
| Hill Physicians | Medicare|All Plans | $12.87 | ↑ +109% |
| BCBS - Anthem | Medicare|Imperial | $13.26 | ↑ +115% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13.27 | ↑ +115% |
| Blue Shield CA | Commercial|Exchange | $14.12 | ↑ +129% |
| BrightHealth | Commercial|All Plans | $14.16 | ↑ +130% |
| United | Commercial|Non-Options PPO | $15.44 | ↑ +151% |
| United | Commercial|All Other Plans | $15.44 | ↑ +151% |
| United | Commercial|HMO | $15.44 | ↑ +151% |
| United | Medicaid|< 21 | $15.68 | ↑ +155% |
| United | Medicaid|> 21 | $15.68 | ↑ +155% |
| Hill Physicians | Medicaid|All Plans | $17.25 | ↑ +180% |
| Blue Shield CA | Commercial|HMO | $19.20 | ↑ +212% |
| Prison Healthcare | Medicaid|All Plans | $19.30 | ↑ +213% |
| Healthsmart | Commercial|All Plans | $20.33 | ↑ +230% |
| Molina | Medicaid|All Plans | $20.55 | ↑ +234% |
| Blue Shield CA | Commercial|CalPers | $20.61 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $20.61 | ↑ +235% |
| First Health | Commercial|All Plans | $21.18 | ↑ +244% |
| Kaiser | Commercial|All Plans | $22.31 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $22.59 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $22.59 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $22.59 | ↑ +267% |
| Aetna | Commercial|PPO | $28.23 | ↑ +358% |
| BCBS - Anthem | Commercial|All Other Plans | $28.23 | ↑ +358% |
| Health Net | Medicaid|All Plans | $28.23 | ↑ +358% |
| BCBS - Anthem | Commercial|MCS | $28.23 | ↑ +358% |
| Aetna | Commercial|HMO | $28.23 | ↑ +358% |
| Aetna | Commercial|All Other Plans | $28.23 | ↑ +358% |
| BCBS - Anthem | Medicaid|All Plans | $28.23 | ↑ +358% |
| California Health & Wellness | Medicaid|All Plans | $28.23 | ↑ +358% |
| Cigna | Commercial|LocalPlus | $28.52 | ↑ +363% |
| Cigna | Commercial|All Other Plans | $38.02 | ↑ +517% |
Visitor-reported prices
Comments
Warde hemoglobin fractionation/quantitation electrophoresis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $8.14 | $9.89 – $28.52 |
| St. John's Camarillo Hospital | Camarillo | $12.37 | $7.63 – $34.17 |
| Banner Lassen Medical Center | Susanville | $13.15 | $2.57 – $20.37 |
| Petaluma Valley Hospital | Petaluma | $9.51 | $12.61 – $89.25 |
| Arroyo Grande Hospital | Santa Maria | $12.09 | $12.87 – $33.18 |
| Mark Twain Medical Center | San Andreas | $21.44 | $7.31 – $27.67 |
| French Hospital | San Luis Obispo | $11.07 | $7.63 – $39.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $10.48 | $8.50 – $37.00 |