Biliary endoscopy thru skin at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,634.97
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.
$12,087.00
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.
$361.27 with Hill Physicians vs $20,522.07 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $361.27 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $378.53 | ↓ -86% |
| United | Medicaid|< 21 | $394.76 | ↓ -85% |
| United | Medicaid|> 21 | $394.76 | ↓ -85% |
| Molina | Medicaid|All Plans | $646.74 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $684.50 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $937.56 | ↓ -64% |
| Health Net | Medicaid|All Plans | $1,443.67 | ↓ -45% |
| California Health & Wellness | Medicaid|All Plans | $1,443.67 | ↓ -45% |
| Partnership Health Plan | Medicaid|All Plans | $2,121.83 | ↓ -19% |
| Western Health Advantage | Commercial|All Plans | $4,230.45 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $4,955.67 | ↑ +88% |
| Health Net | Commercial|EPPO | $6,384.00 | ↑ +142% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +204% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +204% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +204% |
| Healthsmart | Commercial|All Plans | $8,702.64 | ↑ +230% |
| First Health | Commercial|All Plans | $9,065.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $9,548.73 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $9,669.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $9,669.60 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +271% |
| BCBS - Anthem | Medicare|All Other Plans | $11,398.05 | ↑ +333% |
| Health Net | Commercial|FFS | $11,775.00 | ↑ +347% |
| United | Commercial|Non-Options PPO | $12,087.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $12,087.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $12,087.00 | ↑ +359% |
| Molina | Medicare|All Plans | $12,087.00 | ↑ +359% |
| Humana | Commercial|All Plans | $12,087.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +364% |
| BCBS - Anthem | Medicare|Imperial | $12,449.61 | ↑ +372% |
| BrightHealth | Commercial|All Plans | $13,295.70 | ↑ +405% |
| Kaiser | Medicare|All Plans | $13,681.38 | ↑ +419% |
| Blue Shield CA | Medicare|HMO | $13,681.38 | ↑ +419% |
| United | Medicare|All Plans | $13,681.38 | ↑ +419% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +572% |
| Prison Healthcare | Medicaid|All Plans | $20,522.07 | ↑ +679% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,481.06 | $361.27 – $12,087.00 |
| St. John's Camarillo Hospital | Camarillo | $2,776.92 | $485.55 – $12,680.00 |
| Arroyo Grande Hospital | Santa Maria | $2,499.10 | $394.76 – $5,839.00 |
| French Hospital | San Luis Obispo | $2,288.89 | $394.76 – $5,839.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7,389.95 | $394.76 – $15,935.20 |
| Bakersfield Memorial Hospital | Bakersfield | $7,310.28 | $394.76 – $15,736.01 |
| St. Joseph's Medical Center Stockton | Stockton | $6,438.90 | $394.76 – $15,917.16 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,858.40 | $8,912.00 – $20,774.00 |