Allograft dermis 20x25x1mm decell w/matracell arthroflex at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,000.92
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.
$22,940.00
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.
$224.25 with Kaiser vs $926.25 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 |
|---|---|---|---|
| Kaiser | Commercial|All Plans | $224.25 | ↓ -96% |
| Kaiser | Medicare|All Plans | $224.25 | ↓ -96% |
| Kaiser | Medicaid|All Plans | $224.25 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $234.00 | ↓ -95% |
| Partnership Health Plan | Medicaid|All Plans | $243.75 | ↓ -95% |
| Molina | Medicaid|All Plans | $253.50 | ↓ -95% |
| Health Net | Medicaid|All Plans | $273.00 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $273.00 | ↓ -95% |
| Cigna | Commercial|LocalPlus | $312.00 | ↓ -94% |
| Health Net | Commercial|EPPO | $351.00 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $419.25 | ↓ -92% |
| United | Commercial|HMO | $526.50 | ↓ -89% |
| United | Commercial|Non-Options PPO | $624.00 | ↓ -88% |
| Western Health Advantage | Commercial|All Plans | $633.75 | ↓ -87% |
| Health Net | Commercial|FFS | $643.50 | ↓ -87% |
| United | Commercial|All Other Plans | $672.75 | ↓ -87% |
| Healthsmart | Commercial|All Plans | $702.00 | ↓ -86% |
| First Health | Commercial|All Plans | $731.25 | ↓ -85% |
| BCBS - Anthem | Commercial|Connection EPO | $741.00 | ↓ -85% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $770.25 | ↓ -85% |
| Sutter Health | Commercial|All Plans | $780.00 | ↓ -84% |
| MultiPlan | Commercial|All Plans | $780.00 | ↓ -84% |
| Blue Shield CA | Commercial|Exchange | $789.75 | ↓ -84% |
| Aetna | Commercial|HMO | $867.75 | ↓ -83% |
| Aetna | Commercial|PPO | $867.75 | ↓ -83% |
| Aetna | Commercial|All Other Plans | $867.75 | ↓ -83% |
| Blue Shield CA | Commercial|All Other Plans | $877.50 | ↓ -82% |
| Blue Shield CA | Commercial|HMO | $877.50 | ↓ -82% |
| Blue Shield CA | Commercial|CalPers | $887.25 | ↓ -82% |
| BCBS - Anthem | Commercial|All Other Plans | $926.25 | ↓ -81% |
| BCBS - Anthem | Commercial|MCS | $926.25 | ↓ -81% |
Visitor-reported prices
Comments
Allograft dermis 20x25x1mm decell w/matracell arthroflex at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $6,606.72 | $224.25 – $877.50 |
| St. John's Camarillo Hospital | Camarillo | $7,999.20 | $535.68 – $1,740.96 |
| Petaluma Valley Hospital | Petaluma | $17,726.96 | not published |
| Arroyo Grande Hospital | Santa Maria | $7,817.85 | $513.36 – $2,187.36 |
| Mark Twain Medical Center | San Andreas | $9,461.87 | $1,671.47 – $6,331.78 |
| French Hospital | San Luis Obispo | $7,160.28 | $424.08 – $2,187.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7,529.45 | $2,059.00 – $6,390.00 |
| Bakersfield Memorial Hospital | Bakersfield | $7,448.27 | $1,775.00 – $6,887.00 |