Athrectomy fem/pop/unilateral 37225 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$7,855.20
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.
$36,033.00
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.
$523.83 with United vs $35,395.39 with Prison Healthcare — 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $523.83 | ↓ -93% |
| United | Medicaid|> 21 | $523.83 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $556.08 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $576.21 | ↓ -93% |
| Molina | Medicaid|All Plans | $984.80 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $995.60 | ↓ -87% |
| Health Net | Medicaid|All Plans | $1,215.29 | ↓ -85% |
| California Health & Wellness | Medicaid|All Plans | $1,215.29 | ↓ -85% |
| Partnership Health Plan | Medicaid|All Plans | $2,252.47 | ↓ -71% |
| Western Health Advantage | Commercial|All Plans | $4,134.90 | ↓ -47% |
| Kaiser | Medicaid|All Plans | $4,843.74 | ↓ -38% |
| Healthsmart | Commercial|All Plans | $8,506.08 | ↑ +8% |
| First Health | Commercial|All Plans | $8,860.50 | ↑ +13% |
| Kaiser | Commercial|All Plans | $9,333.06 | ↑ +19% |
| Sutter Health | Commercial|All Plans | $9,451.20 | ↑ +20% |
| MultiPlan | Commercial|All Plans | $9,451.20 | ↑ +20% |
| Aetna | Commercial|HMO | $10,007.00 | ↑ +27% |
| Aetna | Commercial|PPO | $10,007.00 | ↑ +27% |
| Aetna | Commercial|All Other Plans | $10,007.00 | ↑ +27% |
| Health Net | Commercial|EPPO | $10,446.00 | ↑ +33% |
| BCBS - Anthem | Medicare|All Other Plans | $11,140.61 | ↑ +42% |
| Hill Physicians | Medicare|All Plans | $11,762.56 | ↑ +50% |
| United | Commercial|Non-Options PPO | $11,814.00 | ↑ +50% |
| Molina | Medicare|All Plans | $11,814.00 | ↑ +50% |
| Humana | Commercial|All Plans | $11,814.00 | ↑ +50% |
| Blue Shield CA | Medicare|PPO | $11,814.00 | ↑ +50% |
| Aetna | Medicare|All Plans | $11,814.00 | ↑ +50% |
| BCBS - Anthem | Commercial|Connection EPO | $12,142.00 | ↑ +55% |
| BCBS - Anthem | Medicare|Imperial | $12,168.42 | ↑ +55% |
| BrightHealth | Commercial|All Plans | $12,995.40 | ↑ +65% |
| BCBS - Anthem | Commercial|All Other Plans | $15,178.00 | ↑ +93% |
| Health Net | Commercial|FFS | $19,264.00 | ↑ +145% |
| BCBS - Anthem | Commercial|MCS | $22,008.00 | ↑ +180% |
| Blue Shield CA | Medicare|HMO | $23,596.93 | ↑ +200% |
| United | Medicare|All Plans | $23,596.93 | ↑ +200% |
| Kaiser | Medicare|All Plans | $23,596.93 | ↑ +200% |
| Prison Healthcare | Medicaid|All Plans | $35,395.39 | ↑ +351% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $10,377.51 | $523.83 – $11,814.00 |
| St. John's Camarillo Hospital | Camarillo | $18,189.27 | $792.50 – $32,391.84 |
| Arroyo Grande Hospital | Santa Maria | $15,342.09 | $523.83 – $34,105.96 |
| French Hospital | San Luis Obispo | $13,642.39 | $523.83 – $34,105.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $32,415.02 | $523.83 – $69,897.60 |
| Bakersfield Memorial Hospital | Bakersfield | $32,065.53 | $523.83 – $69,023.88 |
| Queen of The Valley Medical Center | Napa | $18,036.15 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |