Abd/low ext cath 2nd at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$637.65
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.
$2,925.00
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.
$236.48 with Hill Physicians vs $17,715.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $236.48 | ↓ -63% |
| United | Medicaid|> 21 | $279.40 | ↓ -56% |
| United | Medicaid|< 21 | $279.40 | ↓ -56% |
| Molina | Medicaid|All Plans | $457.74 | ↓ -28% |
| Hill Physicians | Medicaid|All Plans | $484.47 | ↓ -24% |
| BCBS - Anthem | Medicaid|All Plans | $663.58 | ↑ +4% |
| Hill Physicians | Medicare|All Plans | $959.60 | ↑ +50% |
| Western Health Advantage | Commercial|All Plans | $973.35 | ↑ +53% |
| California Health & Wellness | Medicaid|All Plans | $1,021.80 | ↑ +60% |
| Health Net | Medicaid|All Plans | $1,021.80 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $1,140.21 | ↑ +79% |
| Partnership Health Plan | Medicaid|All Plans | $1,501.77 | ↑ +136% |
| Healthsmart | Commercial|All Plans | $2,002.32 | ↑ +214% |
| First Health | Commercial|All Plans | $2,085.75 | ↑ +227% |
| Kaiser | Commercial|All Plans | $2,196.99 | ↑ +245% |
| Sutter Health | Commercial|All Plans | $2,224.80 | ↑ +249% |
| MultiPlan | Commercial|All Plans | $2,224.80 | ↑ +249% |
| United | Commercial|Non-Options PPO | $2,781.00 | ↑ +336% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +998% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +998% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +998% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +1433% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +1816% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +2678% |
Visitor-reported prices
Comments
Abd/low ext cath 2nd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $842.40 | $236.48 – $2,308.23 |
| St. John's Camarillo Hospital | Camarillo | $1,351.23 | $343.66 – $2,406.30 |
| Arroyo Grande Hospital | Santa Maria | $1,709.01 | $279.40 – $2,219.70 |
| French Hospital | San Luis Obispo | $1,518.22 | $279.40 – $2,278.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,286.48 | $279.40 – $3,807.42 |
| Bakersfield Memorial Hospital | Bakersfield | $2,261.83 | $279.40 – $4,235.22 |
| Queen of The Valley Medical Center | Napa | $966.96 | $2,069.90 – $7,745.00 |
| Providence St Joseph Hospital Eureka | Eureka | $355.98 | $2,699.00 – $26,648.00 |