Biopsy needle liver percutaneous at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,243.91
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.
?
What you pay up front if you don't use insurance.
$5,706.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$87.25 with Hill Physicians vs $8,480.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $87.25 | ↓ -93% |
| United | Medicaid|< 21 | $193.10 | ↓ -84% |
| United | Medicaid|> 21 | $193.10 | ↓ -84% |
| Molina | Medicaid|All Plans | $316.37 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $334.83 | ↓ -73% |
| Hill Physicians | Medicare|All Plans | $345.52 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $458.62 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $706.18 | ↓ -43% |
| Health Net | Medicaid|All Plans | $706.18 | ↓ -43% |
| Partnership Health Plan | Medicaid|All Plans | $1,037.94 | ↓ -17% |
| Western Health Advantage | Commercial|All Plans | $1,399.30 | ↑ +12% |
| Kaiser | Medicaid|All Plans | $1,639.18 | ↑ +32% |
| BCBS - Anthem | Medicare|All Other Plans | $2,007.80 | ↑ +61% |
| United | Medicare|All Plans | $2,129.16 | ↑ +71% |
| Molina | Medicare|All Plans | $2,129.16 | ↑ +71% |
| Blue Shield CA | Medicare|PPO | $2,129.16 | ↑ +71% |
| Blue Shield CA | Medicare|HMO | $2,129.16 | ↑ +71% |
| Humana | Commercial|All Plans | $2,129.16 | ↑ +71% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +71% |
| Aetna | Medicare|All Plans | $2,129.16 | ↑ +71% |
| BCBS - Anthem | Medicare|Imperial | $2,193.03 | ↑ +76% |
| BrightHealth | Commercial|All Plans | $2,342.08 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $2,878.56 | ↑ +131% |
| First Health | Commercial|All Plans | $2,998.50 | ↑ +141% |
| Kaiser | Commercial|All Plans | $3,158.42 | ↑ +154% |
| Prison Healthcare | Medicaid|All Plans | $3,193.74 | ↑ +157% |
| MultiPlan | Commercial|All Plans | $3,198.40 | ↑ +157% |
| Sutter Health | Commercial|All Plans | $3,198.40 | ↑ +157% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +192% |
| United | Commercial|Non-Options PPO | $3,998.00 | ↑ +221% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +270% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +302% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +302% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +302% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +429% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +582% |
Visitor-reported prices
Comments
Biopsy needle liver percutaneous at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,643.33 | $87.25 – $3,318.34 |
| St. John's Camarillo Hospital | Camarillo | $841.84 | $237.51 – $3,763.88 |
| Banner Lassen Medical Center | Susanville | $720.36 | $277.66 – $1,338.60 |
| Arroyo Grande Hospital | Santa Maria | $3,265.64 | $193.10 – $6,580.70 |
| Mark Twain Medical Center | San Andreas | $2,267.07 | $71.92 – $272.44 |
| French Hospital | San Luis Obispo | $2,901.20 | $193.10 – $3,215.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,941.45 | $193.10 – $4,186.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,920.52 | $193.10 – $4,134.07 |