Abd/low ext cath addl at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$787.20
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.
$3,611.00
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.
$46.61 with Hill Physicians vs $7,003.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $46.61 | ↓ -94% |
| United | Medicaid|< 21 | $52.98 | ↓ -93% |
| United | Medicaid|> 21 | $52.98 | ↓ -93% |
| Molina | Medicaid|All Plans | $86.80 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $91.86 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $125.84 | ↓ -84% |
| Hill Physicians | Medicare|All Plans | $141.25 | ↓ -82% |
| Health Net | Medicaid|All Plans | $193.74 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $193.74 | ↓ -75% |
| Partnership Health Plan | Medicaid|All Plans | $284.77 | ↓ -64% |
| Western Health Advantage | Commercial|All Plans | $1,213.45 | ↑ +54% |
| Kaiser | Medicaid|All Plans | $1,421.47 | ↑ +81% |
| Healthsmart | Commercial|All Plans | $2,496.24 | ↑ +217% |
| First Health | Commercial|All Plans | $2,600.25 | ↑ +230% |
| Kaiser | Commercial|All Plans | $2,738.93 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $2,773.60 | ↑ +252% |
| Sutter Health | Commercial|All Plans | $2,773.60 | ↑ +252% |
| United | Commercial|Non-Options PPO | $3,467.00 | ↑ +340% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +361% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +477% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +736% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +790% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +790% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +790% |
Visitor-reported prices
Comments
Abd/low ext cath addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,039.97 | $46.61 – $2,877.61 |
| St. John's Camarillo Hospital | Camarillo | $273.32 | $65.17 – $486.72 |
| Arroyo Grande Hospital | Santa Maria | $561.11 | $52.98 – $992.74 |
| French Hospital | San Luis Obispo | $513.92 | $52.98 – $992.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,114.86 | $52.98 – $2,674.45 |
| Bakersfield Memorial Hospital | Bakersfield | $1,102.84 | $52.98 – $2,974.95 |
| Queen of The Valley Medical Center | Napa | $584.97 | $392.75 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $68.34 | $2,699.00 – $26,648.00 |