Bx breast 1st lesion strtctc at Mercy Medical Center Mt. Shasta
914 Pine St, Mt Shasta, CA · CommonSpirit Health · · NPI 1518085430
$2,331.67
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.
$2,997.00
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.
$719.28 with Humana vs $2,937.06 with Coventry — 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 |
|---|---|---|---|
| Humana | Medicare|All Plans | $719.28 | ↓ -69% |
| Aetna | Medicare|All Plans | $719.28 | ↓ -69% |
| United | Medicare|All Plans | $719.28 | ↓ -69% |
| Health Net | Medicare|All Plans | $719.28 | ↓ -69% |
| Kaiser | Medicare|All Plans | $719.28 | ↓ -69% |
| BCBS - Anthem | Medicare|All Plans | $719.28 | ↓ -69% |
| Blue Shield CA | Medicare|All Plans | $719.28 | ↓ -69% |
| BCBS - Anthem | Medicaid|All Plans | $859.75 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $1,403.42 | ↓ -40% |
| BCBS - Anthem | Commercial|Exchange | $1,918.08 | ↓ -18% |
| BCBS - Anthem | Commercial|All Other Plans | $2,367.63 | ↑ +2% |
| Cigna | Commercial|All Other Plans | $2,457.54 | ↑ +5% |
| Cigna | Commercial|PPO | $2,457.54 | ↑ +5% |
| United | Commercial|HMO | $2,577.42 | ↑ +11% |
| Aetna | Commercial|PPO | $2,607.39 | ↑ +12% |
| Aetna | Commercial|HMO | $2,607.39 | ↑ +12% |
| Aetna | Commercial|All Other Plans | $2,607.39 | ↑ +12% |
| United | Commercial|All Other Plans | $2,637.36 | ↑ +13% |
| Partnership Health Plan | Medicaid|All Plans | $2,718.33 | ↑ +17% |
| Health Net | Commercial|All Plans | $2,787.21 | ↑ +20% |
| MultiPlan | Commercial|All Plans | $2,937.06 | ↑ +26% |
| Coventry | Commercial|All Plans | $2,937.06 | ↑ +26% |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,433.05 | $956.41 – $6,113.64 |
| Petaluma Valley Hospital | Petaluma | $6,724.35 | $2,225.71 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $5,185.65 | $632.17 – $11,444.44 |
| French Hospital | San Luis Obispo | $1,907.48 | $632.17 – $4,768.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,997.84 | $632.17 – $3,808.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,976.30 | $632.17 – $3,760.40 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,007.07 | $2,124.23 – $9,858.00 |