Ablate bone tumor(s) perq at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,330.32
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.
$24,451.00
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.
$359.80 with Hill Physicians vs $25,362.44 with Prison Healthcare — 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 | $359.80 | ↓ -93% |
| Western Health Advantage | Commercial|All Plans | $4,095.35 | ↓ -23% |
| United | Medicaid|< 21 | $4,220.73 | ↓ -21% |
| United | Medicaid|> 21 | $4,220.73 | ↓ -21% |
| Hill Physicians | Medicare|All Plans | $4,311.82 | ↓ -19% |
| Kaiser | Medicaid|All Plans | $4,797.41 | ↓ -10% |
| Aetna | Commercial|PPO | $5,002.00 | ↓ -6% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↓ -6% |
| Aetna | Commercial|HMO | $5,002.00 | ↓ -6% |
| Hill Physicians | Medicaid|All Plans | $5,102.01 | ↓ -4% |
| Molina | Medicaid|All Plans | $6,914.55 | ↑ +30% |
| BCBS - Anthem | Medicaid|All Plans | $6,988.45 | ↑ +31% |
| Health Net | Commercial|EPPO | $7,523.00 | ↑ +41% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +49% |
| Healthsmart | Commercial|All Plans | $8,424.72 | ↑ +58% |
| First Health | Commercial|All Plans | $8,775.75 | ↑ +65% |
| Kaiser | Commercial|All Plans | $9,243.79 | ↑ +73% |
| Sutter Health | Commercial|All Plans | $9,360.80 | ↑ +76% |
| MultiPlan | Commercial|All Plans | $9,360.80 | ↑ +76% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +86% |
| California Health & Wellness | Medicaid|All Plans | $10,760.60 | ↑ +102% |
| Health Net | Medicaid|All Plans | $10,760.60 | ↑ +102% |
| BCBS - Anthem | Medicare|All Other Plans | $11,034.05 | ↑ +107% |
| Aetna | Medicare|All Plans | $11,701.00 | ↑ +120% |
| United | Commercial|Non-Options PPO | $11,701.00 | ↑ +120% |
| Humana | Commercial|All Plans | $11,701.00 | ↑ +120% |
| Blue Shield CA | Medicare|PPO | $11,701.00 | ↑ +120% |
| Partnership Health Plan | Medicaid|All Plans | $11,701.00 | ↑ +120% |
| Molina | Medicare|All Plans | $11,701.00 | ↑ +120% |
| BCBS - Anthem | Medicare|Imperial | $12,052.03 | ↑ +126% |
| BrightHealth | Commercial|All Plans | $12,871.10 | ↑ +141% |
| Health Net | Commercial|FFS | $13,873.00 | ↑ +160% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +170% |
| Blue Shield CA | Medicare|HMO | $16,908.29 | ↑ +217% |
| United | Medicare|All Plans | $16,908.29 | ↑ +217% |
| Kaiser | Medicare|All Plans | $16,908.29 | ↑ +217% |
| Prison Healthcare | Medicaid|All Plans | $25,362.44 | ↑ +376% |
Visitor-reported prices
Comments
Ablate bone tumor(s) perq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,041.89 | $359.80 – $11,701.00 |
| St. John's Camarillo Hospital | Camarillo | $16,477.13 | $5,191.50 – $29,342.82 |
| Arroyo Grande Hospital | Santa Maria | $13,978.48 | $4,220.73 – $20,419.28 |
| Mark Twain Medical Center | San Andreas | $8,878.45 | $1,509.00 – $5,716.34 |
| French Hospital | San Luis Obispo | $12,802.72 | $4,220.73 – $20,419.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13,004.30 | $4,220.73 – $21,255.20 |
| Bakersfield Memorial Hospital | Bakersfield | $12,864.09 | $4,220.73 – $20,989.51 |
| St. Joseph's Medical Center Stockton | Stockton | $4,426.76 | $0.80 – $7,529.00 |