Whole blood for transfusion at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$123.17
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.
$565.00
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.
$197.75 with Western Health Advantage vs $23,178.00 with United — 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 | $197.75 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $231.65 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $254.85 | ↑ +107% |
| United | Medicaid|< 21 | $254.85 | ↑ +107% |
| United | Medicaid|> 21 | $254.85 | ↑ +107% |
| BCBS - Anthem | Medicare|All Other Plans | $278.97 | ↑ +126% |
| Hill Physicians | Medicaid|All Plans | $280.34 | ↑ +128% |
| Kaiser | Medicare|All Plans | $295.83 | ↑ +140% |
| Aetna | Medicare|All Plans | $295.83 | ↑ +140% |
| Molina | Medicare|All Plans | $295.83 | ↑ +140% |
| United | Medicare|All Plans | $295.83 | ↑ +140% |
| Humana | Commercial|All Plans | $295.83 | ↑ +140% |
| Blue Shield CA | Medicare|HMO | $295.83 | ↑ +140% |
| Blue Shield CA | Medicare|PPO | $295.83 | ↑ +140% |
| BCBS - Anthem | Medicare|Imperial | $304.70 | ↑ +147% |
| BrightHealth | Commercial|All Plans | $325.41 | ↑ +164% |
| BCBS - Anthem | Commercial|Connection EPO | $355.95 | ↑ +189% |
| Healthsmart | Commercial|All Plans | $406.80 | ↑ +230% |
| First Health | Commercial|All Plans | $423.75 | ↑ +244% |
| Prison Healthcare | Medicaid|All Plans | $443.75 | ↑ +260% |
| Kaiser | Commercial|All Plans | $446.35 | ↑ +262% |
| BCBS - Anthem | Commercial|All Other Plans | $446.35 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $452.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $452.00 | ↑ +267% |
| Molina | Medicaid|All Plans | $479.12 | ↑ +289% |
| BCBS - Anthem | Medicaid|All Plans | $484.22 | ↑ +293% |
| Health Net | Medicaid|All Plans | $565.00 | ↑ +359% |
| California Health & Wellness | Medicaid|All Plans | $565.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $565.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $565.00 | ↑ +359% |
| United | Commercial|HMO | $11,514.00 | ↑ +9248% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +18718% |
Visitor-reported prices
Comments
Whole blood for transfusion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $162.72 | $197.75 – $565.00 |
| St. John's Camarillo Hospital | Camarillo | $146.73 | $90.45 – $571.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $873.71 | $254.85 – $1,639.20 |
| Bakersfield Memorial Hospital | Bakersfield | $864.29 | $254.85 – $1,618.71 |
| Healdsburg Hospital | Healdsburg | $306.00 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $511.27 | $254.85 – $1,232.46 |
| Santa Rosa Memorial Hospital | Santa Rosa | $229.50 | not published |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $640.30 | $183.12 – $747.74 |