Warde lipoprotein-associated phospholipase a2 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$9.91
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.
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What you pay up front if you don't use insurance.
$45.45
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.
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The hospital's undiscounted list price — almost no one pays this.
$13.28 with Western Health Advantage vs $136.74 with Cigna — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 | $13.28 | ↑ +34% |
| Kaiser | Medicaid|All Plans | $15.56 | ↑ +57% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $17.84 | ↑ +80% |
| Blue Shield CA | Commercial|Exchange | $18.97 | ↑ +91% |
| Blue Shield CA | Commercial|HMO | $25.80 | ↑ +160% |
| Healthsmart | Commercial|All Plans | $27.32 | ↑ +176% |
| Blue Shield CA | Commercial|CalPers | $27.70 | ↑ +180% |
| Blue Shield CA | Commercial|All Other Plans | $27.70 | ↑ +180% |
| First Health | Commercial|All Plans | $28.46 | ↑ +187% |
| Kaiser | Commercial|All Plans | $29.98 | ↑ +203% |
| BCBS - Anthem | Commercial|Connection EPO | $30.36 | ↑ +206% |
| MultiPlan | Commercial|All Plans | $30.36 | ↑ +206% |
| Sutter Health | Commercial|All Plans | $30.36 | ↑ +206% |
| BCBS - Anthem | Medicare|All Other Plans | $35.78 | ↑ +261% |
| Partnership Health Plan | Medicaid|All Plans | $36.95 | ↑ +273% |
| United | Medicaid|> 21 | $36.95 | ↑ +273% |
| United | Medicaid|< 21 | $36.95 | ↑ +273% |
| Blue Shield CA | Medicare|PPO | $37.94 | ↑ +283% |
| United | Commercial|All Other Plans | $37.94 | ↑ +283% |
| Aetna | Commercial|All Other Plans | $37.94 | ↑ +283% |
| Aetna | Commercial|PPO | $37.94 | ↑ +283% |
| Aetna | Medicare|All Plans | $37.94 | ↑ +283% |
| Aetna | Commercial|HMO | $37.94 | ↑ +283% |
| Molina | Medicaid|All Plans | $37.94 | ↑ +283% |
| Molina | Medicare|All Plans | $37.94 | ↑ +283% |
| Humana | Commercial|All Plans | $37.94 | ↑ +283% |
| United | Medicare|All Plans | $37.94 | ↑ +283% |
| United | Commercial|HMO | $37.94 | ↑ +283% |
| United | Commercial|Non-Options PPO | $37.94 | ↑ +283% |
| Health Net | Medicaid|All Plans | $37.94 | ↑ +283% |
| Kaiser | Medicare|All Plans | $37.94 | ↑ +283% |
| BCBS - Anthem | Commercial|All Other Plans | $37.94 | ↑ +283% |
| BCBS - Anthem | Medicaid|All Plans | $37.94 | ↑ +283% |
| BCBS - Anthem | Commercial|MCS | $37.94 | ↑ +283% |
| Blue Shield CA | Medicare|HMO | $37.94 | ↑ +283% |
| California Health & Wellness | Medicaid|All Plans | $37.94 | ↑ +283% |
| Hill Physicians | Commercial|All Plans | $37.94 | ↑ +283% |
| Hill Physicians | Medicaid|All Plans | $37.94 | ↑ +283% |
| Hill Physicians | Medicare|All Plans | $37.94 | ↑ +283% |
| BCBS - Anthem | Medicare|Imperial | $39.08 | ↑ +294% |
| BrightHealth | Commercial|All Plans | $41.74 | ↑ +321% |
| Prison Healthcare | Medicaid|All Plans | $56.91 | ↑ +474% |
| Cigna | Commercial|LocalPlus | $102.55 | ↑ +935% |
| Cigna | Commercial|All Other Plans | $136.74 | ↑ +1280% |
Visitor-reported prices
Comments
Warde lipoprotein-associated phospholipase a2 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $80.08 | $43.00 – $43.00 |
| South Sacramento Medical Center | SACRAMENTO | $80.08 | $43.00 – $43.00 |
| Methodist Hospital of Sacramento | Sacramento | $13.09 | $13.28 – $102.55 |
| Fresno Medical Center | FRESNO | $80.08 | $43.00 – $43.00 |
| Antioch Medical Center | ANTIOCH | $80.08 | $43.00 – $43.00 |
| Redwood City Medical Center | Redwood City | $80.08 | $43.00 – $43.00 |
| Santa Clara Medical Center | SANTA CLARA | $80.08 | $43.00 – $43.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $273.00 | $32.00 – $32.00 |