Aspirate bladder/sprapubic cath 51102 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,452.10
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.
$6,661.00
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.
$141.18 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 | $141.18 | ↓ -90% |
| Hill Physicians | Medicare|All Plans | $261.94 | ↓ -82% |
| United | Medicaid|< 21 | $316.14 | ↓ -78% |
| United | Medicaid|> 21 | $316.14 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $382.17 | ↓ -74% |
| Molina | Medicaid|All Plans | $517.94 | ↓ -64% |
| BCBS - Anthem | Medicaid|All Plans | $523.45 | ↓ -64% |
| Health Net | Medicaid|All Plans | $806.04 | ↓ -44% |
| California Health & Wellness | Medicaid|All Plans | $806.04 | ↓ -44% |
| Partnership Health Plan | Medicaid|All Plans | $1,184.65 | ↓ -18% |
| Western Health Advantage | Commercial|All Plans | $2,028.25 | ↑ +40% |
| Kaiser | Medicaid|All Plans | $2,375.95 | ↑ +64% |
| BCBS - Anthem | Medicare|All Other Plans | $2,538.51 | ↑ +75% |
| United | Medicare|All Plans | $2,691.95 | ↑ +85% |
| Molina | Medicare|All Plans | $2,691.95 | ↑ +85% |
| Aetna | Medicare|All Plans | $2,691.95 | ↑ +85% |
| Blue Shield CA | Medicare|HMO | $2,691.95 | ↑ +85% |
| Humana | Commercial|All Plans | $2,691.95 | ↑ +85% |
| Blue Shield CA | Medicare|PPO | $2,691.95 | ↑ +85% |
| Kaiser | Medicare|All Plans | $2,691.95 | ↑ +85% |
| BCBS - Anthem | Medicare|Imperial | $2,772.71 | ↑ +91% |
| BrightHealth | Commercial|All Plans | $2,961.14 | ↑ +104% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +150% |
| Prison Healthcare | Medicaid|All Plans | $4,037.93 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $4,172.40 | ↑ +187% |
| First Health | Commercial|All Plans | $4,346.25 | ↑ +199% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +213% |
| Kaiser | Commercial|All Plans | $4,578.05 | ↑ +215% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +217% |
| MultiPlan | Commercial|All Plans | $4,636.00 | ↑ +219% |
| Sutter Health | Commercial|All Plans | $4,636.00 | ↑ +219% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +244% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +244% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +244% |
| United | Commercial|Non-Options PPO | $5,795.00 | ↑ +299% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +353% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +484% |
Visitor-reported prices
Comments
Aspirate bladder/sprapubic cath 51102 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,918.37 | $141.18 – $4,809.85 |
| St. John's Camarillo Hospital | Camarillo | $1,536.95 | $388.85 – $4,655.74 |
| Banner Lassen Medical Center | Susanville | $1,638.56 | $409.70 – $3,044.83 |
| Petaluma Valley Hospital | Petaluma | $3,836.22 | $1,921.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | $3,530.58 | $316.14 – $7,539.14 |
| Mark Twain Medical Center | San Andreas | $275.73 | $101.93 – $386.12 |
| French Hospital | San Luis Obispo | $3,016.05 | $316.14 – $5,907.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,360.31 | $316.14 – $3,877.60 |