Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$441.24
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.
$2,024.00
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.
$72.30 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 | $72.30 | ↓ -84% |
| United | Medicaid|< 21 | $111.69 | ↓ -75% |
| United | Medicaid|> 21 | $111.69 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $122.86 | ↓ -72% |
| Hill Physicians | Medicare|All Plans | $145.51 | ↓ -67% |
| Molina | Medicaid|All Plans | $209.98 | ↓ -52% |
| BCBS - Anthem | Medicaid|All Plans | $212.21 | ↓ -52% |
| California Health & Wellness | Medicaid|All Plans | $259.12 | ↓ -41% |
| Health Net | Medicaid|All Plans | $259.12 | ↓ -41% |
| Partnership Health Plan | Medicaid|All Plans | $480.27 | ↑ +9% |
| Western Health Advantage | Commercial|All Plans | $680.05 | ↑ +54% |
| Kaiser | Medicaid|All Plans | $796.63 | ↑ +81% |
| BCBS - Anthem | Medicare|All Other Plans | $871.89 | ↑ +98% |
| United | Medicare|All Plans | $924.59 | ↑ +110% |
| Molina | Medicare|All Plans | $924.59 | ↑ +110% |
| Blue Shield CA | Medicare|PPO | $924.59 | ↑ +110% |
| Blue Shield CA | Medicare|HMO | $924.59 | ↑ +110% |
| Humana | Commercial|All Plans | $924.59 | ↑ +110% |
| Kaiser | Medicare|All Plans | $924.59 | ↑ +110% |
| Aetna | Medicare|All Plans | $924.59 | ↑ +110% |
| BCBS - Anthem | Medicare|Imperial | $952.33 | ↑ +116% |
| BrightHealth | Commercial|All Plans | $1,017.05 | ↑ +130% |
| Prison Healthcare | Medicaid|All Plans | $1,386.88 | ↑ +214% |
| Healthsmart | Commercial|All Plans | $1,398.96 | ↑ +217% |
| First Health | Commercial|All Plans | $1,457.25 | ↑ +230% |
| Kaiser | Commercial|All Plans | $1,534.97 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $1,554.40 | ↑ +252% |
| Sutter Health | Commercial|All Plans | $1,554.40 | ↑ +252% |
| United | Commercial|Non-Options PPO | $1,943.00 | ↑ +340% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +651% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +723% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +929% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +1034% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +1034% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +1034% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +1284% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +1392% |
Visitor-reported prices
Comments
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $582.92 | $72.30 – $1,612.69 |
| St. John's Camarillo Hospital | Camarillo | $969.30 | $168.98 – $1,726.14 |
| Banner Lassen Medical Center | Susanville | $1,056.53 | $140.72 – $1,963.28 |
| Petaluma Valley Hospital | Petaluma | $1,313.76 | $593.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,768.93 | $111.69 – $2,327.50 |
| Mark Twain Medical Center | San Andreas | $1,619.05 | $111.69 – $1,042.72 |
| French Hospital | San Luis Obispo | $1,620.14 | $111.69 – $2,235.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $924.91 | $111.69 – $1,994.40 |