Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$240.46
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.
$1,103.00
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.
$36.91 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $36.91 | ↓ -85% |
| United | Medicaid|< 21 | $43.57 | ↓ -82% |
| United | Medicaid|> 21 | $43.57 | ↓ -82% |
| Hill Physicians | Medicare|All Plans | $56.95 | ↓ -76% |
| Molina | Medicaid|All Plans | $71.38 | ↓ -70% |
| Hill Physicians | Medicaid|All Plans | $75.56 | ↓ -69% |
| BCBS - Anthem | Medicaid|All Plans | $103.47 | ↓ -57% |
| California Health & Wellness | Medicaid|All Plans | $159.36 | ↓ -34% |
| Health Net | Medicaid|All Plans | $159.36 | ↓ -34% |
| Partnership Health Plan | Medicaid|All Plans | $234.20 | ↓ -3% |
| BCBS - Anthem | Medicare|All Other Plans | $365.80 | ↑ +52% |
| Western Health Advantage | Commercial|All Plans | $373.80 | ↑ +55% |
| Humana | Commercial|All Plans | $387.91 | ↑ +61% |
| Aetna | Medicare|All Plans | $387.91 | ↑ +61% |
| Molina | Medicare|All Plans | $387.91 | ↑ +61% |
| United | Medicare|All Plans | $387.91 | ↑ +61% |
| Kaiser | Medicare|All Plans | $387.91 | ↑ +61% |
| Blue Shield CA | Medicare|HMO | $387.91 | ↑ +61% |
| Blue Shield CA | Medicare|PPO | $387.91 | ↑ +61% |
| BCBS - Anthem | Medicare|Imperial | $399.55 | ↑ +66% |
| BrightHealth | Commercial|All Plans | $426.70 | ↑ +77% |
| Kaiser | Medicaid|All Plans | $437.88 | ↑ +82% |
| Prison Healthcare | Medicaid|All Plans | $581.87 | ↑ +142% |
| Healthsmart | Commercial|All Plans | $768.96 | ↑ +220% |
| First Health | Commercial|All Plans | $801.00 | ↑ +233% |
| Kaiser | Commercial|All Plans | $843.72 | ↑ +251% |
| MultiPlan | Commercial|All Plans | $854.40 | ↑ +255% |
| Sutter Health | Commercial|All Plans | $854.40 | ↑ +255% |
| United | Commercial|Non-Options PPO | $1,068.00 | ↑ +344% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +1069% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +1980% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +1980% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +1980% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +2055% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +3202% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +4028% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +5886% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $317.67 | $36.91 – $886.44 |
| St. John's Camarillo Hospital | Camarillo | $1,106.83 | $53.59 – $682.44 |
| Banner Lassen Medical Center | Susanville | $302.24 | $82.73 – $374.42 |
| Petaluma Valley Hospital | Petaluma | $1,317.84 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $1,673.06 | $43.57 – $1,034.88 |
| Mark Twain Medical Center | San Andreas | $861.14 | $27.17 – $102.90 |
| French Hospital | San Luis Obispo | $1,532.33 | $43.57 – $876.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $313.50 | $43.57 – $676.00 |