Binder abdominal lg 12 x 62-74 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$25.07
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.
$115.00
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.
$10.35 with Kaiser vs $42.75 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 |
|---|---|---|---|
| Kaiser | Commercial|All Plans | $10.35 | ↓ -59% |
| Kaiser | Medicare|All Plans | $10.35 | ↓ -59% |
| Kaiser | Medicaid|All Plans | $10.35 | ↓ -59% |
| BCBS - Anthem | Medicaid|All Plans | $10.80 | ↓ -57% |
| Partnership Health Plan | Medicaid|All Plans | $11.25 | ↓ -55% |
| Molina | Medicaid|All Plans | $11.70 | ↓ -53% |
| Health Net | Medicaid|All Plans | $12.60 | ↓ -50% |
| California Health & Wellness | Medicaid|All Plans | $12.60 | ↓ -50% |
| Health Net | Commercial|EPPO | $16.20 | ↓ -35% |
| Cigna | Commercial|LocalPlus | $18.00 | ↓ -28% |
| Cigna | Commercial|All Other Plans | $23.85 | ↓ -5% |
| United | Commercial|HMO | $24.30 | ↓ -3% |
| United | Commercial|Non-Options PPO | $28.80 | ↑ +15% |
| Western Health Advantage | Commercial|All Plans | $29.25 | ↑ +17% |
| Health Net | Commercial|FFS | $29.70 | ↑ +18% |
| United | Commercial|All Other Plans | $31.05 | ↑ +24% |
| Healthsmart | Commercial|All Plans | $32.40 | ↑ +29% |
| First Health | Commercial|All Plans | $33.75 | ↑ +35% |
| BCBS - Anthem | Commercial|Connection EPO | $34.20 | ↑ +36% |
| United | Medicaid|< 21 | $34.62 | ↑ +38% |
| United | Medicaid|> 21 | $34.62 | ↑ +38% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $35.55 | ↑ +42% |
| MultiPlan | Commercial|All Plans | $36.00 | ↑ +44% |
| Sutter Health | Commercial|All Plans | $36.00 | ↑ +44% |
| Blue Shield CA | Commercial|Exchange | $36.45 | ↑ +45% |
| Hill Physicians | Medicaid|All Plans | $38.08 | ↑ +52% |
| Aetna | Commercial|PPO | $40.05 | ↑ +60% |
| Aetna | Commercial|HMO | $40.05 | ↑ +60% |
| Aetna | Commercial|All Other Plans | $40.05 | ↑ +60% |
| Blue Shield CA | Commercial|HMO | $40.50 | ↑ +62% |
| Blue Shield CA | Commercial|All Other Plans | $40.50 | ↑ +62% |
| Blue Shield CA | Commercial|CalPers | $40.95 | ↑ +63% |
| BCBS - Anthem | Commercial|All Other Plans | $42.75 | ↑ +71% |
| BCBS - Anthem | Commercial|MCS | $42.75 | ↑ +71% |
Visitor-reported prices
Comments
Binder abdominal lg 12 x 62-74 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $33.12 | $10.35 – $40.50 |
| St. John's Camarillo Hospital | Camarillo | $88.92 | $5.52 – $59.55 |
| Petaluma Valley Hospital | Petaluma | $29.02 | not published |
| Arroyo Grande Hospital | Santa Maria | $38.52 | $11.50 – $23.00 |
| Mark Twain Medical Center | San Andreas | $59.94 | $9.32 – $35.28 |
| French Hospital | San Luis Obispo | $35.28 | $4.37 – $23.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $37.10 | $6.25 – $25.00 |
| Bakersfield Memorial Hospital | Bakersfield | $36.70 | $6.25 – $25.00 |