Bladder irrigate/lavage/instill 51700 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$169.39
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.
$777.00
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.
$29.56 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 | $29.56 | ↓ -83% |
| Hill Physicians | Medicare|All Plans | $84.93 | ↓ -50% |
| United | Medicaid|< 21 | $90.15 | ↓ -47% |
| United | Medicaid|> 21 | $90.15 | ↓ -47% |
| Molina | Medicaid|All Plans | $147.69 | ↓ -13% |
| Hill Physicians | Medicaid|All Plans | $156.30 | ↓ -8% |
| BCBS - Anthem | Medicaid|All Plans | $214.11 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $259.00 | ↑ +53% |
| BCBS - Anthem | Medicare|All Other Plans | $301.38 | ↑ +78% |
| Kaiser | Medicaid|All Plans | $303.40 | ↑ +79% |
| Humana | Commercial|All Plans | $319.60 | ↑ +89% |
| United | Medicare|All Plans | $319.60 | ↑ +89% |
| Molina | Medicare|All Plans | $319.60 | ↑ +89% |
| Aetna | Medicare|All Plans | $319.60 | ↑ +89% |
| Blue Shield CA | Medicare|HMO | $319.60 | ↑ +89% |
| Blue Shield CA | Medicare|PPO | $319.60 | ↑ +89% |
| Kaiser | Medicare|All Plans | $319.60 | ↑ +89% |
| BCBS - Anthem | Medicare|Imperial | $329.19 | ↑ +94% |
| California Health & Wellness | Medicaid|All Plans | $329.65 | ↑ +95% |
| Health Net | Medicaid|All Plans | $329.65 | ↑ +95% |
| BrightHealth | Commercial|All Plans | $351.56 | ↑ +108% |
| Prison Healthcare | Medicaid|All Plans | $479.40 | ↑ +183% |
| Partnership Health Plan | Medicaid|All Plans | $484.55 | ↑ +186% |
| Healthsmart | Commercial|All Plans | $532.80 | ↑ +215% |
| First Health | Commercial|All Plans | $555.00 | ↑ +228% |
| Kaiser | Commercial|All Plans | $584.60 | ↑ +245% |
| MultiPlan | Commercial|All Plans | $592.00 | ↑ +249% |
| Sutter Health | Commercial|All Plans | $592.00 | ↑ +249% |
| United | Commercial|Non-Options PPO | $740.00 | ↑ +337% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +1559% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +2044% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +2580% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +2853% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +2853% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +2853% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +2960% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +3786% |
Visitor-reported prices
Comments
Bladder irrigate/lavage/instill 51700 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $223.78 | $29.56 – $614.20 |
| St. John's Camarillo Hospital | Camarillo | $219.00 | $110.88 – $539.32 |
| Banner Lassen Medical Center | Susanville | $263.09 | $48.64 – $488.88 |
| Petaluma Valley Hospital | Petaluma | $880.26 | $336.70 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $335.13 | $90.15 – $767.34 |
| Mark Twain Medical Center | San Andreas | $69.27 | $25.62 – $97.02 |
| French Hospital | San Luis Obispo | $306.94 | $90.15 – $731.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $241.15 | $90.15 – $520.00 |