Bone tendon board add on at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,000.92
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.
$22,940.00
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.
$243.86 with BCBS - Anthem vs $12,348.70 with Blue Shield CA — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Connection EPO | $243.86 | ↓ -95% |
| Cigna | Commercial|LocalPlus | $260.63 | ↓ -95% |
| BCBS - Anthem | Commercial|All Other Plans | $304.83 | ↓ -94% |
| Cigna | Commercial|All Other Plans | $347.58 | ↓ -93% |
| BCBS - Anthem | Commercial|MCS | $442.26 | ↓ -91% |
| Kaiser | Medicaid|All Plans | $3,121.10 | ↓ -38% |
| Kaiser | Medicare|All Plans | $3,121.10 | ↓ -38% |
| Kaiser | Commercial|All Plans | $3,121.10 | ↓ -38% |
| BCBS - Anthem | Medicaid|All Plans | $3,256.80 | ↓ -35% |
| Partnership Health Plan | Medicaid|All Plans | $3,392.50 | ↓ -32% |
| Molina | Medicaid|All Plans | $3,528.20 | ↓ -29% |
| Health Net | Medicaid|All Plans | $3,799.60 | ↓ -24% |
| California Health & Wellness | Medicaid|All Plans | $3,799.60 | ↓ -24% |
| Health Net | Commercial|EPPO | $4,885.20 | ↓ -2% |
| United | Commercial|HMO | $7,327.80 | ↑ +47% |
| United | Commercial|Non-Options PPO | $8,684.80 | ↑ +74% |
| Western Health Advantage | Commercial|All Plans | $8,820.50 | ↑ +76% |
| Health Net | Commercial|FFS | $8,956.20 | ↑ +79% |
| United | Commercial|All Other Plans | $9,363.30 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $9,770.40 | ↑ +95% |
| First Health | Commercial|All Plans | $10,177.50 | ↑ +104% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10,720.30 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $10,856.00 | ↑ +117% |
| Sutter Health | Commercial|All Plans | $10,856.00 | ↑ +117% |
| Blue Shield CA | Commercial|Exchange | $10,991.70 | ↑ +120% |
| Aetna | Commercial|HMO | $12,077.30 | ↑ +142% |
| Aetna | Commercial|PPO | $12,077.30 | ↑ +142% |
| Aetna | Commercial|All Other Plans | $12,077.30 | ↑ +142% |
| Blue Shield CA | Commercial|All Other Plans | $12,213.00 | ↑ +144% |
| Blue Shield CA | Commercial|HMO | $12,213.00 | ↑ +144% |
| Blue Shield CA | Commercial|CalPers | $12,348.70 | ↑ +147% |
Visitor-reported prices
Comments
Bone tendon board add on at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $6,606.72 | $260.63 – $12,213.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7,529.45 | $408.31 – $18,265.50 |
| Bakersfield Memorial Hospital | Bakersfield | $7,448.27 | $171.28 – $19,686.15 |
| St. Joseph's Medical Center Stockton | Stockton | $4,176.86 | $307.92 – $14,207.00 |
| Mercy Medical Center Merced | Merced | $4,180.77 | $123.17 – $7,793.28 |
| Dominican Hospital | Santa Cruz | $9,096.30 | $157.67 – $9,950.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $6,935.67 | $193.45 – $12,471.48 |
| Sequoia Hospital | Redwood City | $7,830.01 | $27.50 – $11,577.93 |