Brach/thor cath addl at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$793.52
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.
$3,640.00
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.
$49.56 with United vs $7,003.00 with Aetna — 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 | $49.56 | ↓ -94% |
| United | Medicaid|> 21 | $49.56 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $49.92 | ↓ -94% |
| Molina | Medicaid|All Plans | $81.20 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $85.93 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $117.71 | ↓ -85% |
| Health Net | Medicaid|All Plans | $181.24 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $181.24 | ↓ -77% |
| Hill Physicians | Medicare|All Plans | $241.06 | ↓ -70% |
| Partnership Health Plan | Medicaid|All Plans | $266.39 | ↓ -66% |
| Western Health Advantage | Commercial|All Plans | $1,213.45 | ↑ +53% |
| Kaiser | Medicaid|All Plans | $1,421.47 | ↑ +79% |
| Healthsmart | Commercial|All Plans | $2,496.24 | ↑ +215% |
| First Health | Commercial|All Plans | $2,600.25 | ↑ +228% |
| Kaiser | Commercial|All Plans | $2,738.93 | ↑ +245% |
| MultiPlan | Commercial|All Plans | $2,773.60 | ↑ +250% |
| Sutter Health | Commercial|All Plans | $2,773.60 | ↑ +250% |
| United | Commercial|Non-Options PPO | $3,467.00 | ↑ +337% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +358% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +472% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +729% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +783% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +783% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +783% |
Visitor-reported prices
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Brach/thor cath addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,048.32 | $49.56 – $2,877.61 |
| St. John's Camarillo Hospital | Camarillo | $166.01 | $60.96 – $295.62 |
| Arroyo Grande Hospital | Santa Maria | $1,304.98 | $49.56 – $1,166.20 |
| French Hospital | San Luis Obispo | $1,216.38 | $49.56 – $1,166.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $197.38 | $49.56 – $473.48 |
| Bakersfield Memorial Hospital | Bakersfield | $204.79 | $49.56 – $552.42 |
| Queen of The Valley Medical Center | Napa | $584.97 | $398.74 – $6,200.00 |
| St. Joseph's Medical Center Stockton | Stockton | $568.89 | $49.56 – $406.56 |