Angioplasty fem/pop unilat 37224 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$6,052.34
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.
$27,763.00
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.
$389.43 with United vs $17,715.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $389.43 | ↓ -94% |
| United | Medicaid|> 21 | $389.43 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $411.91 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $428.37 | ↓ -93% |
| Molina | Medicaid|All Plans | $732.13 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $740.03 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $903.48 | ↓ -85% |
| Health Net | Medicaid|All Plans | $903.48 | ↓ -85% |
| Partnership Health Plan | Medicaid|All Plans | $1,674.55 | ↓ -72% |
| Hill Physicians | Medicare|All Plans | $3,686.75 | ↓ -39% |
| Western Health Advantage | Commercial|All Plans | $4,134.90 | ↓ -32% |
| Kaiser | Medicaid|All Plans | $4,843.74 | ↓ -20% |
| Health Net | Commercial|EPPO | $6,384.00 | ↑ +5% |
| BCBS - Anthem | Medicare|All Other Plans | $7,065.30 | ↑ +17% |
| Molina | Medicare|All Plans | $7,492.37 | ↑ +24% |
| Blue Shield CA | Medicare|PPO | $7,492.37 | ↑ +24% |
| Blue Shield CA | Medicare|HMO | $7,492.37 | ↑ +24% |
| Humana | Commercial|All Plans | $7,492.37 | ↑ +24% |
| Kaiser | Medicare|All Plans | $7,492.37 | ↑ +24% |
| Aetna | Medicare|All Plans | $7,492.37 | ↑ +24% |
| United | Medicare|All Plans | $7,492.37 | ↑ +24% |
| BCBS - Anthem | Medicare|Imperial | $7,717.14 | ↑ +28% |
| BrightHealth | Commercial|All Plans | $8,241.61 | ↑ +36% |
| Healthsmart | Commercial|All Plans | $8,506.08 | ↑ +41% |
| First Health | Commercial|All Plans | $8,860.50 | ↑ +46% |
| Kaiser | Commercial|All Plans | $9,333.06 | ↑ +54% |
| MultiPlan | Commercial|All Plans | $9,451.20 | ↑ +56% |
| Sutter Health | Commercial|All Plans | $9,451.20 | ↑ +56% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +61% |
| Aetna | Commercial|HMO | $10,007.00 | ↑ +65% |
| Aetna | Commercial|PPO | $10,007.00 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $10,007.00 | ↑ +65% |
| Prison Healthcare | Medicaid|All Plans | $11,238.56 | ↑ +86% |
| Health Net | Commercial|FFS | $11,775.00 | ↑ +95% |
| United | Commercial|Non-Options PPO | $11,814.00 | ↑ +95% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +102% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +193% |
Visitor-reported prices
Comments
Angioplasty fem/pop unilat 37224 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,995.75 | $389.43 – $9,805.62 |
| St. John's Camarillo Hospital | Camarillo | $8,916.37 | $589.17 – $15,878.46 |
| Arroyo Grande Hospital | Santa Maria | $7,150.17 | $389.43 – $16,371.88 |
| French Hospital | San Luis Obispo | $6,411.95 | $389.43 – $16,029.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $24,011.12 | $389.43 – $17,604.00 |
| Bakersfield Memorial Hospital | Bakersfield | $23,752.24 | $389.43 – $17,383.95 |
| Queen of The Valley Medical Center | Napa | $10,106.16 | $7,745.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $9,922.56 | $9,008.00 – $47,967.00 |