Brace fx hum ovr shldr sm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$360.79
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.
$1,655.00
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.
$292.10 with Kaiser vs $1,206.50 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 | Medicare|All Plans | $292.10 | ↓ -19% |
| Kaiser | Medicaid|All Plans | $292.10 | ↓ -19% |
| Kaiser | Commercial|All Plans | $292.10 | ↓ -19% |
| BCBS - Anthem | Medicaid|All Plans | $304.80 | ↓ -16% |
| Partnership Health Plan | Medicaid|All Plans | $317.50 | ↓ -12% |
| Molina | Medicaid|All Plans | $330.20 | ↓ -8% |
| United | Medicaid|> 21 | $348.42 | ↓ -3% |
| United | Medicaid|< 21 | $348.42 | ↓ -3% |
| Health Net | Medicaid|All Plans | $355.60 | ↓ -1% |
| California Health & Wellness | Medicaid|All Plans | $355.60 | ↓ -1% |
| Hill Physicians | Medicaid|All Plans | $383.26 | ↑ +6% |
| Health Net | Commercial|EPPO | $457.20 | ↑ +27% |
| Cigna | Commercial|LocalPlus | $508.00 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $673.10 | ↑ +87% |
| United | Commercial|HMO | $685.80 | ↑ +90% |
| United | Commercial|Non-Options PPO | $812.80 | ↑ +125% |
| Western Health Advantage | Commercial|All Plans | $825.50 | ↑ +129% |
| Health Net | Commercial|FFS | $838.20 | ↑ +132% |
| United | Commercial|All Other Plans | $876.30 | ↑ +143% |
| Healthsmart | Commercial|All Plans | $914.40 | ↑ +153% |
| First Health | Commercial|All Plans | $952.50 | ↑ +164% |
| BCBS - Anthem | Commercial|Connection EPO | $965.20 | ↑ +168% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,003.30 | ↑ +178% |
| Sutter Health | Commercial|All Plans | $1,016.00 | ↑ +182% |
| MultiPlan | Commercial|All Plans | $1,016.00 | ↑ +182% |
| Blue Shield CA | Commercial|Exchange | $1,028.70 | ↑ +185% |
| Aetna | Commercial|All Other Plans | $1,130.30 | ↑ +213% |
| Aetna | Commercial|HMO | $1,130.30 | ↑ +213% |
| Aetna | Commercial|PPO | $1,130.30 | ↑ +213% |
| Blue Shield CA | Commercial|All Other Plans | $1,143.00 | ↑ +217% |
| Blue Shield CA | Commercial|HMO | $1,143.00 | ↑ +217% |
| Blue Shield CA | Commercial|CalPers | $1,155.70 | ↑ +220% |
| BCBS - Anthem | Commercial|MCS | $1,206.50 | ↑ +234% |
| BCBS - Anthem | Commercial|All Other Plans | $1,206.50 | ↑ +234% |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $476.64 | $292.10 – $1,143.00 |
| St. John's Camarillo Hospital | Camarillo | $751.17 | $315.84 – $1,026.48 |
| Petaluma Valley Hospital | Petaluma | $1,155.22 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield | $417.38 | $281.25 – $1,012.50 |
| Bakersfield Memorial Hospital | Bakersfield | $412.88 | $281.25 – $1,091.25 |
| Queen of The Valley Medical Center | Napa | $1,029.79 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $1,237.73 | not published |
| Healdsburg Hospital | Healdsburg | $639.64 | not published |