2d tte w or without fol w/con,co at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$823.83
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.
$3,779.00
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.
$979.04 with BCBS - Anthem vs $22,221.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $979.04 | ↑ +19% |
| Humana | Commercial|All Plans | $1,038.22 | ↑ +26% |
| Aetna | Medicare|All Plans | $1,038.22 | ↑ +26% |
| Molina | Medicare|All Plans | $1,038.22 | ↑ +26% |
| United | Medicare|All Plans | $1,038.22 | ↑ +26% |
| Kaiser | Medicare|All Plans | $1,038.22 | ↑ +26% |
| Blue Shield CA | Medicare|HMO | $1,038.22 | ↑ +26% |
| Blue Shield CA | Medicare|PPO | $1,038.22 | ↑ +26% |
| BCBS - Anthem | Medicare|Imperial | $1,069.37 | ↑ +30% |
| BrightHealth | Commercial|All Plans | $1,142.04 | ↑ +39% |
| Western Health Advantage | Commercial|All Plans | $1,322.65 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,549.39 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $1,557.33 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $2,720.88 | ↑ +230% |
| BCBS - Anthem | Commercial|Connection EPO | $2,765.36 | ↑ +236% |
| First Health | Commercial|All Plans | $2,834.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $2,985.41 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $3,023.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $3,023.20 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $3,455.25 | ↑ +319% |
| United | Commercial|Non-Options PPO | $3,779.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $3,779.00 | ↑ +359% |
| United | Commercial|HMO | $10,710.00 | ↑ +1200% |
| United | Commercial|All Other Plans | $22,221.00 | ↑ +2597% |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,088.36 | $979.04 – $3,136.57 |
| Arroyo Grande Hospital | Santa Maria | $906.51 | $1,003.85 – $2,075.64 |
| French Hospital | San Luis Obispo | $830.26 | $571.86 – $2,075.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | $908.95 | $1,003.85 – $1,960.00 |
| Bakersfield Memorial Hospital | Bakersfield | $899.15 | $875.00 – $1,382.50 |
| Providence St Joseph Hospital Eureka | Eureka | $1,131.69 | $1,008.25 – $2,282.99 |
| Redwood Memorial Hospital | Fortuna | $900.15 | $2,288.32 – $2,288.32 |
| St. Joseph's Medical Center Stockton | Stockton | $526.85 | $376.32 – $1,469.44 |