Brach/thor cath 2nd at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$636.13
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.
$2,918.00
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.
$251.20 with United vs $17,715.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $251.20 | ↓ -61% |
| United | Medicaid|< 21 | $251.20 | ↓ -61% |
| Hill Physicians | Commercial|All Plans | $258.27 | ↓ -59% |
| Molina | Medicaid|All Plans | $411.55 | ↓ -35% |
| Hill Physicians | Medicaid|All Plans | $435.59 | ↓ -32% |
| BCBS - Anthem | Medicaid|All Plans | $596.60 | ↓ -6% |
| California Health & Wellness | Medicaid|All Plans | $918.70 | ↑ +44% |
| Health Net | Medicaid|All Plans | $918.70 | ↑ +44% |
| Western Health Advantage | Commercial|All Plans | $970.55 | ↑ +53% |
| Kaiser | Medicaid|All Plans | $1,136.93 | ↑ +79% |
| Hill Physicians | Medicare|All Plans | $1,263.36 | ↑ +99% |
| Partnership Health Plan | Medicaid|All Plans | $1,350.22 | ↑ +112% |
| Healthsmart | Commercial|All Plans | $1,996.56 | ↑ +214% |
| First Health | Commercial|All Plans | $2,079.75 | ↑ +227% |
| Kaiser | Commercial|All Plans | $2,190.67 | ↑ +244% |
| MultiPlan | Commercial|All Plans | $2,218.40 | ↑ +249% |
| Sutter Health | Commercial|All Plans | $2,218.40 | ↑ +249% |
| United | Commercial|Non-Options PPO | $2,773.00 | ↑ +336% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +1001% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +1001% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +1001% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +1436% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +1821% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +2685% |
Visitor-reported prices
Comments
Brach/thor cath 2nd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $840.39 | $251.20 – $2,301.59 |
| St. John's Camarillo Hospital | Camarillo | $872.94 | $308.98 – $1,554.54 |
| Arroyo Grande Hospital | Santa Maria | $847.44 | $251.20 – $996.66 |
| French Hospital | San Luis Obispo | $813.80 | $251.20 – $996.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,073.31 | $251.20 – $2,458.18 |
| Bakersfield Memorial Hospital | Bakersfield | $1,061.74 | $251.20 – $2,864.07 |
| Queen of The Valley Medical Center | Napa | $1,016.43 | $2,100.79 – $7,745.00 |
| Providence St Joseph Hospital Eureka | Eureka | $397.29 | $2,699.00 – $26,648.00 |