Brace knee hing pat open med at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$163.50
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.
$750.00
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.
$26.45 with Kaiser vs $115.00 with United — 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 | $26.45 | ↓ -84% |
| Kaiser | Medicare|All Plans | $26.45 | ↓ -84% |
| Kaiser | Medicaid|All Plans | $26.45 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $27.60 | ↓ -83% |
| Partnership Health Plan | Medicaid|All Plans | $28.75 | ↓ -82% |
| Molina | Medicaid|All Plans | $29.90 | ↓ -82% |
| Health Net | Medicaid|All Plans | $32.20 | ↓ -80% |
| California Health & Wellness | Medicaid|All Plans | $32.20 | ↓ -80% |
| Health Net | Commercial|EPPO | $41.40 | ↓ -75% |
| Cigna | Commercial|LocalPlus | $46.00 | ↓ -72% |
| Cigna | Commercial|All Other Plans | $60.95 | ↓ -63% |
| United | Commercial|HMO | $62.10 | ↓ -62% |
| United | Commercial|Non-Options PPO | $73.60 | ↓ -55% |
| Western Health Advantage | Commercial|All Plans | $74.75 | ↓ -54% |
| Health Net | Commercial|FFS | $75.90 | ↓ -54% |
| United | Commercial|All Other Plans | $79.35 | ↓ -51% |
| Healthsmart | Commercial|All Plans | $82.80 | ↓ -49% |
| First Health | Commercial|All Plans | $86.25 | ↓ -47% |
| BCBS - Anthem | Commercial|Connection EPO | $87.40 | ↓ -47% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $90.85 | ↓ -44% |
| MultiPlan | Commercial|All Plans | $92.00 | ↓ -44% |
| Sutter Health | Commercial|All Plans | $92.00 | ↓ -44% |
| Blue Shield CA | Commercial|Exchange | $93.15 | ↓ -43% |
| Aetna | Commercial|HMO | $102.35 | ↓ -37% |
| Aetna | Commercial|All Other Plans | $102.35 | ↓ -37% |
| Aetna | Commercial|PPO | $102.35 | ↓ -37% |
| Blue Shield CA | Commercial|HMO | $103.50 | ↓ -37% |
| Blue Shield CA | Commercial|All Other Plans | $103.50 | ↓ -37% |
| Blue Shield CA | Commercial|CalPers | $104.65 | ↓ -36% |
| BCBS - Anthem | Commercial|All Other Plans | $109.25 | ↓ -33% |
| BCBS - Anthem | Commercial|MCS | $109.25 | ↓ -33% |
| United | Medicaid|> 21 | $115.00 | ↓ -30% |
| Hill Physicians | Medicaid|All Plans | $115.00 | ↓ -30% |
| United | Medicaid|< 21 | $115.00 | ↓ -30% |
Visitor-reported prices
Comments
Brace knee hing pat open med at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $216.00 | $26.45 – $115.00 |
| St. John's Camarillo Hospital | Camarillo | $261.05 | $143.04 – $464.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $246.72 | $97.50 – $351.00 |
| Bakersfield Memorial Hospital | Bakersfield | $244.06 | $97.50 – $378.30 |
| St. Joseph's Medical Center Stockton | Stockton | $156.41 | $91.26 – $351.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $743.77 | $103.68 – $423.36 |
| Mercy Medical Center Merced | Merced | $136.99 | $46.92 – $195.84 |
| St. Mary Medical Center | Long Beach | $419.25 | $23.00 – $578.70 |