Brachy source palladium at Mercy General Hospital

4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$41.42

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$190.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$43.70 with Kaiser vs $180.50 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 →

Payer
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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
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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 $43.70 ↑ +6%
Kaiser Medicare|All Plans $43.70 ↑ +6%
Kaiser Medicaid|All Plans $43.70 ↑ +6%
BCBS - Anthem Medicaid|All Plans $45.60 ↑ +10%
Partnership Health Plan Medicaid|All Plans $47.50 ↑ +15%
Molina Medicaid|All Plans $49.40 ↑ +19%
Health Net Medicaid|All Plans $53.20 ↑ +28%
California Health & Wellness Medicaid|All Plans $53.20 ↑ +28%
Health Net Commercial|EPPO $68.40 ↑ +65%
Cigna Commercial|LocalPlus $76.00 ↑ +83%
BCBS - Anthem Medicare|All Other Plans $86.36 ↑ +108%
Humana Commercial|All Plans $91.58 ↑ +121%
Aetna Medicare|All Plans $91.58 ↑ +121%
Blue Shield CA Medicare|PPO $91.58 ↑ +121%
Blue Shield CA Medicare|HMO $91.58 ↑ +121%
Molina Medicare|All Plans $91.58 ↑ +121%
United Medicare|All Plans $91.58 ↑ +121%
BCBS - Anthem Medicare|Imperial $94.33 ↑ +128%
Cigna Commercial|All Other Plans $100.70 ↑ +143%
BrightHealth Commercial|All Plans $100.74 ↑ +143%
United Commercial|HMO $102.60 ↑ +148%
United Commercial|Non-Options PPO $121.60 ↑ +194%
Western Health Advantage Commercial|All Plans $123.50 ↑ +198%
Health Net Commercial|FFS $125.40 ↑ +203%
United Commercial|All Other Plans $131.10 ↑ +217%
Healthsmart Commercial|All Plans $136.80 ↑ +230%
Prison Healthcare Medicaid|All Plans $137.37 ↑ +232%
First Health Commercial|All Plans $142.50 ↑ +244%
BCBS - Anthem Commercial|Connection EPO $144.40 ↑ +249%
Blue Shield CA Commercial|ACO Trio CalPers $150.10 ↑ +262%
Sutter Health Commercial|All Plans $152.00 ↑ +267%
MultiPlan Commercial|All Plans $152.00 ↑ +267%
Blue Shield CA Commercial|Exchange $153.90 ↑ +272%
Aetna Commercial|All Other Plans $169.10 ↑ +308%
Aetna Commercial|HMO $169.10 ↑ +308%
Aetna Commercial|PPO $169.10 ↑ +308%
Blue Shield CA Commercial|HMO $171.00 ↑ +313%
Blue Shield CA Commercial|All Other Plans $171.00 ↑ +313%
Blue Shield CA Commercial|CalPers $172.90 ↑ +317%
BCBS - Anthem Commercial|All Other Plans $180.50 ↑ +336%
BCBS - Anthem Commercial|MCS $180.50 ↑ +336%

Visitor-reported prices

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Brachy source palladium at other California hospitals

Hospital City Cash price Negotiated range
Methodist Hospital of Sacramento Sacramento $54.72 $43.70 – $157.70
Petaluma Valley Hospital Petaluma $273.11 $86.49 – $88.26
Arroyo Grande Hospital Santa Maria $70.62 $37.95 – $161.70
French Hospital San Luis Obispo $64.68 $31.35 – $161.70
Queen of The Valley Medical Center Napa $211.42 $88.26 – $88.26
Providence St Joseph Hospital Eureka Eureka $258.65 not published
Healdsburg Hospital Healdsburg $176.72 not published
Redwood Memorial Hospital Fortuna $258.65 not published

All California hospitals for this procedure →