Bx breast add lesion Ultrasound imag at Mercy Medical Center Mt. Shasta
914 Pine St, Mt Shasta, CA · CommonSpirit Health · · NPI 1518085430
$1,494.54
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.
$1,921.00
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.
$461.04 with Humana vs $1,921.00 with Partnership Health Plan — 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 | $461.04 | ↓ -69% |
| Aetna | Medicare|All Plans | $461.04 | ↓ -69% |
| United | Medicare|All Plans | $461.04 | ↓ -69% |
| Health Net | Medicare|All Plans | $461.04 | ↓ -69% |
| Kaiser | Medicare|All Plans | $461.04 | ↓ -69% |
| BCBS - Anthem | Medicare|All Plans | $461.04 | ↓ -69% |
| Blue Shield CA | Medicare|All Plans | $461.04 | ↓ -69% |
| BCBS - Anthem | Medicaid|All Plans | $689.11 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $998.92 | ↓ -33% |
| BCBS - Anthem | Commercial|Exchange | $1,229.44 | ↓ -18% |
| BCBS - Anthem | Commercial|All Other Plans | $1,517.59 | ↑ +2% |
| Cigna | Commercial|All Other Plans | $1,575.22 | ↑ +5% |
| Cigna | Commercial|PPO | $1,575.22 | ↑ +5% |
| United | Commercial|HMO | $1,652.06 | ↑ +11% |
| Aetna | Commercial|PPO | $1,671.27 | ↑ +12% |
| Aetna | Commercial|HMO | $1,671.27 | ↑ +12% |
| Aetna | Commercial|All Other Plans | $1,671.27 | ↑ +12% |
| United | Commercial|All Other Plans | $1,690.48 | ↑ +13% |
| Health Net | Commercial|All Plans | $1,786.53 | ↑ +20% |
| MultiPlan | Commercial|All Plans | $1,882.58 | ↑ +26% |
| Coventry | Commercial|All Plans | $1,882.58 | ↑ +26% |
| Partnership Health Plan | Medicaid|All Plans | $1,921.00 | ↑ +29% |
Visitor-reported prices
Comments
Bx breast add lesion Ultrasound imag at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $196.23 | $120.96 – $881.66 |
| Banner Lassen Medical Center | Susanville | $1,132.74 | $836.05 – $2,104.90 |
| Petaluma Valley Hospital | Petaluma | $2,368.95 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $487.07 | $506.70 – $1,014.30 |
| Mark Twain Medical Center | San Andreas | $1,417.92 | $292.85 – $1,109.36 |
| French Hospital | San Luis Obispo | $405.72 | $239.49 – $869.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $554.28 | $506.70 – $1,221.15 |
| Bakersfield Memorial Hospital | Bakersfield | $548.30 | $506.70 – $1,308.78 |