Brachy source i-125 injection at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$40.12
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.
$184.00
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.
$23.00 with Kaiser vs $95.00 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 |
|---|---|---|---|
| Kaiser | Commercial|All Plans | $23.00 | ↓ -43% |
| Kaiser | Medicare|All Plans | $23.00 | ↓ -43% |
| Kaiser | Medicaid|All Plans | $23.00 | ↓ -43% |
| BCBS - Anthem | Medicaid|All Plans | $24.00 | ↓ -40% |
| Partnership Health Plan | Medicaid|All Plans | $25.00 | ↓ -38% |
| Molina | Medicaid|All Plans | $26.00 | ↓ -35% |
| Health Net | Medicaid|All Plans | $28.00 | ↓ -30% |
| California Health & Wellness | Medicaid|All Plans | $28.00 | ↓ -30% |
| Health Net | Commercial|EPPO | $36.00 | ↓ -10% |
| Cigna | Commercial|LocalPlus | $40.00 | ↓ -0% |
| BCBS - Anthem | Medicare|All Other Plans | $45.90 | ↑ +14% |
| Humana | Commercial|All Plans | $48.67 | ↑ +21% |
| Aetna | Medicare|All Plans | $48.67 | ↑ +21% |
| Blue Shield CA | Medicare|PPO | $48.67 | ↑ +21% |
| Blue Shield CA | Medicare|HMO | $48.67 | ↑ +21% |
| Molina | Medicare|All Plans | $48.67 | ↑ +21% |
| United | Medicare|All Plans | $48.67 | ↑ +21% |
| BCBS - Anthem | Medicare|Imperial | $50.13 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $53.00 | ↑ +32% |
| BrightHealth | Commercial|All Plans | $53.54 | ↑ +33% |
| United | Commercial|HMO | $54.00 | ↑ +35% |
| United | Commercial|Non-Options PPO | $64.00 | ↑ +60% |
| Western Health Advantage | Commercial|All Plans | $65.00 | ↑ +62% |
| Health Net | Commercial|FFS | $66.00 | ↑ +65% |
| United | Commercial|All Other Plans | $69.00 | ↑ +72% |
| Healthsmart | Commercial|All Plans | $72.00 | ↑ +79% |
| Prison Healthcare | Medicaid|All Plans | $73.00 | ↑ +82% |
| First Health | Commercial|All Plans | $75.00 | ↑ +87% |
| BCBS - Anthem | Commercial|Connection EPO | $76.00 | ↑ +89% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $79.00 | ↑ +97% |
| Sutter Health | Commercial|All Plans | $80.00 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $80.00 | ↑ +99% |
| Blue Shield CA | Commercial|Exchange | $81.00 | ↑ +102% |
| Aetna | Commercial|All Other Plans | $89.00 | ↑ +122% |
| Aetna | Commercial|HMO | $89.00 | ↑ +122% |
| Aetna | Commercial|PPO | $89.00 | ↑ +122% |
| Blue Shield CA | Commercial|HMO | $90.00 | ↑ +124% |
| Blue Shield CA | Commercial|All Other Plans | $90.00 | ↑ +124% |
| Blue Shield CA | Commercial|CalPers | $91.00 | ↑ +127% |
| BCBS - Anthem | Commercial|All Other Plans | $95.00 | ↑ +137% |
| BCBS - Anthem | Commercial|MCS | $95.00 | ↑ +137% |
Visitor-reported prices
Comments
Brachy source i-125 injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $53.00 | $23.00 – $83.00 |
| Arroyo Grande Hospital | Santa Maria | $134.82 | $47.06 – $308.70 |
| French Hospital | San Luis Obispo | $123.48 | $47.06 – $308.70 |
| Providence St Joseph Hospital Eureka | Eureka | $84.15 | not published |
| Northridge Hospital Medical Center | Northridge | $29.02 | $20.80 – $104.00 |
| St. Mary Medical Center | Long Beach | $39.99 | $18.60 – $93.00 |
| Providence Saint Joseph Medical Center | Burbank | $58.10 | not published |
| Mercy San Juan Medical Center | Carmichael | $50.42 | $11.00 – $83.00 |