_afb org id by sequencing rflx ast-sendout at Mercy General Hospital

4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$34.78

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$159.50

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$36.50 with Western Health Advantage vs $340.63 with Cigna — 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 →

Payer
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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
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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
Western Health Advantage Commercial|All Plans $36.50 ↑ +5%
Kaiser Medicaid|All Plans $42.75 ↑ +23%
Blue Shield CA Commercial|ACO Trio CalPers $49.01 ↑ +41%
Blue Shield CA Commercial|Exchange $52.13 ↑ +50%
Blue Shield CA Commercial|HMO $70.90 ↑ +104%
Healthsmart Commercial|All Plans $75.07 ↑ +116%
Blue Shield CA Commercial|CalPers $76.11 ↑ +119%
Blue Shield CA Commercial|All Other Plans $76.11 ↑ +119%
First Health Commercial|All Plans $78.20 ↑ +125%
Kaiser Commercial|All Plans $82.37 ↑ +137%
BCBS - Anthem Commercial|Connection EPO $83.41 ↑ +140%
MultiPlan Commercial|All Plans $83.41 ↑ +140%
Sutter Health Commercial|All Plans $83.41 ↑ +140%
BCBS - Anthem Medicare|All Other Plans $98.32 ↑ +183%
Partnership Health Plan Medicaid|All Plans $102.54 ↑ +195%
United Medicaid|> 21 $102.54 ↑ +195%
United Medicaid|< 21 $102.54 ↑ +195%
Blue Shield CA Medicare|PPO $104.26 ↑ +200%
United Commercial|All Other Plans $104.26 ↑ +200%
Aetna Commercial|All Other Plans $104.26 ↑ +200%
Aetna Commercial|PPO $104.26 ↑ +200%
Aetna Medicare|All Plans $104.26 ↑ +200%
Aetna Commercial|HMO $104.26 ↑ +200%
Molina Medicaid|All Plans $104.26 ↑ +200%
Molina Medicare|All Plans $104.26 ↑ +200%
Humana Commercial|All Plans $104.26 ↑ +200%
United Medicare|All Plans $104.26 ↑ +200%
United Commercial|HMO $104.26 ↑ +200%
United Commercial|Non-Options PPO $104.26 ↑ +200%
Health Net Medicaid|All Plans $104.26 ↑ +200%
Kaiser Medicare|All Plans $104.26 ↑ +200%
BCBS - Anthem Commercial|All Other Plans $104.26 ↑ +200%
BCBS - Anthem Medicaid|All Plans $104.26 ↑ +200%
BCBS - Anthem Commercial|MCS $104.26 ↑ +200%
Blue Shield CA Medicare|HMO $104.26 ↑ +200%
California Health & Wellness Medicaid|All Plans $104.26 ↑ +200%
Hill Physicians Commercial|All Plans $104.26 ↑ +200%
Hill Physicians Medicaid|All Plans $104.26 ↑ +200%
Hill Physicians Medicare|All Plans $104.26 ↑ +200%
BCBS - Anthem Medicare|Imperial $107.39 ↑ +209%
BrightHealth Commercial|All Plans $114.69 ↑ +230%
Prison Healthcare Medicaid|All Plans $156.39 ↑ +350%
Cigna Commercial|LocalPlus $255.46 ↑ +635%
Cigna Commercial|All Other Plans $340.63 ↑ +879%

Visitor-reported prices

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_afb org id by sequencing rflx ast-sendout at other California hospitals

Hospital City Cash price Negotiated range
Methodist Hospital of Sacramento Sacramento $45.94 $36.50 – $255.46
St. John's Camarillo Hospital Camarillo $69.87 $28.16 – $306.07
Banner Lassen Medical Center Susanville $77.00 $14.76 – $169.19
Arroyo Grande Hospital Santa Maria $199.09 $52.13 – $297.22
French Hospital San Luis Obispo $182.34 $28.16 – $349.41
Mercy Hospitals – Bakersfield Bakersfield $59.18 $52.13 – $331.49
Bakersfield Memorial Hospital Bakersfield $58.54 $52.13 – $331.49
St. Joseph's Behavioral Health Center Stockton $91.08 $10.43 – $83.41

All California hospitals for this procedure →