Bronchial challenge at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$273.38
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.
$1,254.00
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.
$40.37 with Hill Physicians vs $1,254.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $40.37 | ↓ -85% |
| Hill Physicians | Medicare|All Plans | $66.74 | ↓ -76% |
| BCBS - Anthem | Medicare|All Other Plans | $385.89 | ↑ +41% |
| United | Medicare|All Plans | $409.21 | ↑ +50% |
| Humana | Commercial|All Plans | $409.21 | ↑ +50% |
| Aetna | Medicare|All Plans | $409.21 | ↑ +50% |
| Molina | Medicare|All Plans | $409.21 | ↑ +50% |
| Kaiser | Medicare|All Plans | $409.21 | ↑ +50% |
| Blue Shield CA | Medicare|HMO | $409.21 | ↑ +50% |
| Blue Shield CA | Medicare|PPO | $409.21 | ↑ +50% |
| BCBS - Anthem | Medicare|Imperial | $421.49 | ↑ +54% |
| Western Health Advantage | Commercial|All Plans | $438.90 | ↑ +61% |
| BrightHealth | Commercial|All Plans | $450.13 | ↑ +65% |
| Kaiser | Medicaid|All Plans | $514.14 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $613.82 | ↑ +125% |
| BCBS - Anthem | Commercial|Connection EPO | $725.90 | ↑ +166% |
| Healthsmart | Commercial|All Plans | $902.88 | ↑ +230% |
| BCBS - Anthem | Commercial|All Other Plans | $906.99 | ↑ +232% |
| First Health | Commercial|All Plans | $940.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $990.66 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,003.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,003.20 | ↑ +267% |
| United | Commercial|Non-Options PPO | $1,254.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $1,254.00 | ↑ +359% |
Visitor-reported prices
Comments
Bronchial challenge at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $361.16 | $40.37 – $1,040.82 |
| Banner Lassen Medical Center | Susanville | $380.26 | $62.28 – $678.03 |
| Arroyo Grande Hospital | Santa Maria | $1,361.90 | $395.66 – $3,118.36 |
| Mark Twain Medical Center | San Andreas | $994.34 | $314.07 – $1,189.72 |
| French Hospital | San Luis Obispo | $1,311.24 | $395.66 – $3,278.10 |
| Providence St Joseph Hospital Eureka | Eureka | $970.02 | $479.94 – $599.28 |
| St. Joseph's Medical Center Stockton | Stockton | $441.59 | $315.42 – $1,261.68 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $697.09 | $215.04 – $878.08 |