Application of paste boot 29580 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$113.15
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.
$519.00
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.
$25.84 with Hill Physicians vs $6,582.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $25.84 | ↓ -77% |
| United | Medicaid|> 21 | $31.19 | ↓ -72% |
| United | Medicaid|< 21 | $31.19 | ↓ -72% |
| Molina | Medicaid|All Plans | $51.10 | ↓ -55% |
| Hill Physicians | Medicaid|All Plans | $54.08 | ↓ -52% |
| Hill Physicians | Medicare|All Plans | $68.57 | ↓ -39% |
| BCBS - Anthem | Medicaid|All Plans | $74.08 | ↓ -35% |
| California Health & Wellness | Medicaid|All Plans | $114.05 | ↑ +1% |
| Health Net | Medicaid|All Plans | $114.05 | ↑ +1% |
| Western Health Advantage | Commercial|All Plans | $144.55 | ↑ +28% |
| Partnership Health Plan | Medicaid|All Plans | $167.64 | ↑ +48% |
| Kaiser | Medicaid|All Plans | $169.33 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $195.53 | ↑ +73% |
| Humana | Commercial|All Plans | $207.35 | ↑ +83% |
| Aetna | Medicare|All Plans | $207.35 | ↑ +83% |
| Molina | Medicare|All Plans | $207.35 | ↑ +83% |
| United | Medicare|All Plans | $207.35 | ↑ +83% |
| Kaiser | Medicare|All Plans | $207.35 | ↑ +83% |
| Blue Shield CA | Medicare|HMO | $207.35 | ↑ +83% |
| Blue Shield CA | Medicare|PPO | $207.35 | ↑ +83% |
| BCBS - Anthem | Medicare|Imperial | $213.57 | ↑ +89% |
| BrightHealth | Commercial|All Plans | $228.09 | ↑ +102% |
| Healthsmart | Commercial|All Plans | $297.36 | ↑ +163% |
| First Health | Commercial|All Plans | $309.75 | ↑ +174% |
| Prison Healthcare | Medicaid|All Plans | $311.02 | ↑ +175% |
| Kaiser | Commercial|All Plans | $326.27 | ↑ +188% |
| Sutter Health | Commercial|All Plans | $330.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $330.40 | ↑ +192% |
| United | Commercial|Non-Options PPO | $413.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +2384% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +3109% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +3911% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +4481% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +5717% |
Visitor-reported prices
Comments
Application of paste boot 29580 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $149.48 | $25.84 – $342.79 |
| St. John's Camarillo Hospital | Camarillo | $146.91 | $38.36 – $365.86 |
| Banner Lassen Medical Center | Susanville | $220.51 | $44.85 – $196.91 |
| Petaluma Valley Hospital | Petaluma | $376.38 | $218.99 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $213.15 | $31.19 – $699.00 |
| Mark Twain Medical Center | San Andreas | $70.60 | $27.43 – $103.88 |
| French Hospital | San Luis Obispo | $195.22 | $31.19 – $1,149.00 |
| Bakersfield Memorial Hospital | Bakersfield | $196.72 | $31.19 – $423.44 |