Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$323.73
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.
$1,485.00
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.
$94.01 with Hill Physicians vs $8,480.00 with Health Net — 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 | $94.01 | ↓ -71% |
| United | Medicaid|< 21 | $95.35 | ↓ -71% |
| United | Medicaid|> 21 | $95.35 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $115.17 | ↓ -64% |
| Molina | Medicaid|All Plans | $156.08 | ↓ -52% |
| BCBS - Anthem | Medicaid|All Plans | $157.87 | ↓ -51% |
| Hill Physicians | Medicare|All Plans | $171.01 | ↓ -47% |
| California Health & Wellness | Medicaid|All Plans | $242.90 | ↓ -25% |
| Health Net | Medicaid|All Plans | $242.90 | ↓ -25% |
| Partnership Health Plan | Medicaid|All Plans | $356.99 | ↑ +10% |
| Western Health Advantage | Commercial|All Plans | $519.75 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $608.85 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $1,069.20 | ↑ +230% |
| First Health | Commercial|All Plans | $1,113.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,173.15 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,188.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,188.00 | ↑ +267% |
| BCBS - Anthem | Medicare|All Other Plans | $1,400.36 | ↑ +333% |
| United | Commercial|Non-Options PPO | $1,485.00 | ↑ +359% |
| Molina | Medicare|All Plans | $1,485.00 | ↑ +359% |
| Humana | Commercial|All Plans | $1,485.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $1,485.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $1,485.00 | ↑ +359% |
| BCBS - Anthem | Medicare|Imperial | $1,529.55 | ↑ +372% |
| BrightHealth | Commercial|All Plans | $1,633.50 | ↑ +405% |
| Kaiser | Medicare|All Plans | $2,403.79 | ↑ +643% |
| Blue Shield CA | Medicare|HMO | $2,403.79 | ↑ +643% |
| United | Medicare|All Plans | $2,403.79 | ↑ +643% |
| Prison Healthcare | Medicaid|All Plans | $3,605.68 | ↑ +1014% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +1022% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +1302% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +1321% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +1933% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +2063% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +2063% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +2063% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +2519% |
Visitor-reported prices
Comments
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $427.68 | $94.01 – $1,485.00 |
| St. John's Camarillo Hospital | Camarillo | $1,012.60 | $117.28 – $1,806.00 |
| Mark Twain Medical Center | San Andreas | $183.15 | $71.15 – $269.50 |
| Bakersfield Memorial Hospital | Bakersfield | $918.97 | $95.35 – $1,753.00 |
| Healdsburg Hospital | Healdsburg | $1,760.52 | $995.78 – $5,198.77 |
| Sierra Nevada Memorial Hospital | Grass Valley | $1,641.00 | $95.35 – $2,950.78 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $675.50 | $950.57 – $2,606.00 |
| Providence Saint Joseph Medical Center | Burbank | $1,760.85 | $950.57 – $2,654.00 |