Fixation of knee joint at Mercy Medical Center Redding
2175 Roseline Ave, Redding, CA · CommonSpirit Health · · NPI 1477671535
$2,338.80
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.
$4,613.00
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.
$177.46 with BCBS - Anthem vs $5,310.00 with Aetna — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $177.46 | ↓ -92% |
| California Health & Wellness | Medicaid|All Plans | $291.37 | ↓ -88% |
| Partnership Health Plan | Medicaid|All Plans | $479.93 | ↓ -79% |
| Humana | Medicare|All Plans | $2,033.48 | ↓ -13% |
| Aetna | Medicare|All Plans | $2,033.48 | ↓ -13% |
| United | Medicare|All Plans | $2,033.48 | ↓ -13% |
| Health Net | Medicare|All Plans | $2,033.48 | ↓ -13% |
| Kaiser | Medicare|All Plans | $2,033.48 | ↓ -13% |
| BCBS - Anthem | Medicare|All Plans | $2,033.48 | ↓ -13% |
| Blue Shield CA | Medicare|All Plans | $2,033.48 | ↓ -13% |
| BCBS - Anthem | Commercial|Exchange | $3,066.00 | ↑ +31% |
| Cigna | Commercial|All Other Plans | $3,690.40 | ↑ +58% |
| Cigna | Commercial|PPO | $3,690.40 | ↑ +58% |
| BCBS - Anthem | Commercial|All Other Plans | $3,739.00 | ↑ +60% |
| Coventry | Commercial|All Plans | $4,151.70 | ↑ +78% |
| Health Net | Commercial|All Plans | $4,474.61 | ↑ +91% |
| United | Commercial|HMO | $4,520.74 | ↑ +93% |
| MultiPlan | Commercial|All Plans | $4,520.74 | ↑ +93% |
| United | Commercial|All Other Plans | $4,613.00 | ↑ +97% |
| United | Commercial|Options | $4,613.00 | ↑ +97% |
| Aetna | Commercial|HMO | $5,310.00 | ↑ +127% |
| Aetna | Commercial|PPO | $5,310.00 | ↑ +127% |
| Aetna | Commercial|All Other Plans | $5,310.00 | ↑ +127% |
Visitor-reported prices
Comments
Fixation of knee joint at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $2,904.45 | $1,921.00 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $263.07 | $89.29 – $387.10 |
| Queen of The Valley Medical Center | Napa | $3,229.32 | $2,283.13 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,248.19 | $2,068.15 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $1,763.07 | $2,166.52 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,919.13 | $5,981.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,107.43 | $2,237.46 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,171.36 | $1,757.92 – $5,171.00 |