Alcohol/subs interv 15-30mn at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$28.13
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.
$129.00
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.
$31.99 with Hill Physicians vs $7,150.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $31.99 | ↑ +14% |
| BCBS - Anthem | Medicare|All Other Plans | $36.92 | ↑ +31% |
| Hill Physicians | Medicare|All Plans | $37.34 | ↑ +33% |
| Humana | Commercial|All Plans | $39.15 | ↑ +39% |
| Aetna | Medicare|All Plans | $39.15 | ↑ +39% |
| Molina | Medicare|All Plans | $39.15 | ↑ +39% |
| United | Medicare|All Plans | $39.15 | ↑ +39% |
| Kaiser | Medicare|All Plans | $39.15 | ↑ +39% |
| Blue Shield CA | Medicare|HMO | $39.15 | ↑ +39% |
| Blue Shield CA | Medicare|PPO | $39.15 | ↑ +39% |
| BCBS - Anthem | Medicare|Imperial | $40.32 | ↑ +43% |
| BrightHealth | Commercial|All Plans | $43.06 | ↑ +53% |
| Western Health Advantage | Commercial|All Plans | $45.15 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $52.89 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $58.73 | ↑ +109% |
| BCBS - Anthem | Medicaid|All Plans | $59.36 | ↑ +111% |
| Cigna | Commercial|LocalPlus | $85.14 | ↑ +203% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $86.43 | ↑ +207% |
| Healthsmart | Commercial|All Plans | $92.88 | ↑ +230% |
| First Health | Commercial|All Plans | $96.75 | ↑ +244% |
| Blue Shield CA | Commercial|Exchange | $98.04 | ↑ +249% |
| Kaiser | Commercial|All Plans | $101.91 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $103.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $103.20 | ↑ +267% |
| Aetna | Commercial|All Other Plans | $110.94 | ↑ +294% |
| Aetna | Commercial|HMO | $110.94 | ↑ +294% |
| Aetna | Commercial|PPO | $110.94 | ↑ +294% |
| Cigna | Commercial|All Other Plans | $113.52 | ↑ +304% |
| Blue Shield CA | Commercial|All Other Plans | $116.10 | ↑ +313% |
| Blue Shield CA | Commercial|HMO | $116.10 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $117.39 | ↑ +317% |
| Health Net | Medicaid|All Plans | $336.00 | ↑ +1094% |
| California Health & Wellness | Medicaid|All Plans | $336.00 | ↑ +1094% |
| United | Commercial|HMO | $2,842.00 | ↑ +10003% |
| United | Commercial|Non-Options PPO | $5,916.00 | ↑ +20931% |
| United | Commercial|All Other Plans | $7,150.00 | ↑ +25318% |
Visitor-reported prices
Comments
Alcohol/subs interv 15-30mn at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $37.16 | $31.99 – $107.07 |
| Arroyo Grande Hospital | Santa Maria | $38.95 | $37.85 – $89.18 |
| Mark Twain Medical Center | San Andreas | $47.96 | $18.63 – $70.56 |
| French Hospital | San Luis Obispo | $35.68 | $24.57 – $89.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $34.14 | $24.84 – $75.44 |
| Bakersfield Memorial Hospital | Bakersfield | $33.77 | $24.84 – $75.44 |
| St. Joseph's Medical Center Stockton | Stockton | $29.70 | $21.21 – $82.82 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $80.92 | $24.96 – $101.92 |