Angioplasty tib/pero/unilat/ea add 37232 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$4,549.88
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.
$20,871.00
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.
$171.63 with United vs $14,393.00 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 | $171.63 | ↓ -96% |
| United | Medicaid|> 21 | $171.63 | ↓ -96% |
| Hill Physicians | Commercial|All Plans | $185.28 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $188.79 | ↓ -96% |
| Molina | Medicaid|All Plans | $322.66 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $326.36 | ↓ -93% |
| Health Net | Medicaid|All Plans | $398.18 | ↓ -91% |
| California Health & Wellness | Medicaid|All Plans | $398.18 | ↓ -91% |
| Partnership Health Plan | Medicaid|All Plans | $738.01 | ↓ -84% |
| Hill Physicians | Medicare|All Plans | $1,047.70 | ↓ -77% |
| Western Health Advantage | Commercial|All Plans | $1,646.75 | ↓ -64% |
| Kaiser | Medicaid|All Plans | $1,929.05 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $3,387.60 | ↓ -26% |
| First Health | Commercial|All Plans | $3,528.75 | ↓ -22% |
| Kaiser | Commercial|All Plans | $3,716.95 | ↓ -18% |
| MultiPlan | Commercial|All Plans | $3,764.00 | ↓ -17% |
| Sutter Health | Commercial|All Plans | $3,764.00 | ↓ -17% |
| United | Commercial|Non-Options PPO | $4,705.00 | ↑ +3% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +10% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +10% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +10% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +75% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +118% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +216% |
Visitor-reported prices
Comments
Angioplasty tib/pero/unilat/ea add 37232 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $6,010.85 | $171.63 – $3,905.15 |
| St. John's Camarillo Hospital | Camarillo | $15,692.67 | $259.65 – $27,945.84 |
| Arroyo Grande Hospital | Santa Maria | $7,219.94 | $171.63 – $16,050.44 |
| French Hospital | San Luis Obispo | $6,420.18 | $171.63 – $16,050.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,630.61 | $171.63 – $8,709.54 |
| Bakersfield Memorial Hospital | Bakersfield | $4,309.69 | $171.63 – $9,688.14 |
| Queen of The Valley Medical Center | Napa | $8,831.16 | $6,200.00 – $24,453.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,961.28 | $8,018.00 – $24,039.00 |