Burr hole implant ventricular cath/other device at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,384.05
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.
$10,936.00
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.
$345.05 with Hill Physicians vs $24,641.00 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 | $345.05 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $360.75 | ↓ -85% |
| United | Medicaid|< 21 | $402.12 | ↓ -83% |
| United | Medicaid|> 21 | $402.12 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $442.33 | ↓ -81% |
| Molina | Medicaid|All Plans | $527.04 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $764.03 | ↓ -68% |
| Health Net | Medicaid|All Plans | $932.92 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $932.92 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $1,729.11 | ↓ -27% |
| Western Health Advantage | Commercial|All Plans | $3,645.25 | ↑ +53% |
| Kaiser | Medicaid|All Plans | $4,270.15 | ↑ +79% |
| Healthsmart | Commercial|All Plans | $7,498.80 | ↑ +215% |
| First Health | Commercial|All Plans | $7,811.25 | ↑ +228% |
| Kaiser | Commercial|All Plans | $8,227.85 | ↑ +245% |
| MultiPlan | Commercial|All Plans | $8,332.00 | ↑ +249% |
| Sutter Health | Commercial|All Plans | $8,332.00 | ↑ +249% |
| United | Commercial|Non-Options PPO | $10,415.00 | ↑ +337% |
| BCBS - Anthem | Commercial|Connection EPO | $13,595.00 | ↑ +470% |
| BCBS - Anthem | Commercial|All Other Plans | $16,994.00 | ↑ +613% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +614% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +614% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +614% |
| BCBS - Anthem | Commercial|MCS | $24,641.00 | ↑ +934% |
Visitor-reported prices
Comments
Burr hole implant ventricular cath/other device at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,149.57 | $345.05 – $8,644.45 |
| Petaluma Valley Hospital | Petaluma | $5,050.02 | $1,921.00 – $6,619.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,987.38 | $402.12 – $8,058.60 |
| Queen of The Valley Medical Center | Napa | $9,207.54 | $5,592.00 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $10,365.75 | $5,835.00 – $11,046.00 |
| Healdsburg Hospital | Healdsburg | $3,478.20 | $2,335.00 – $2,335.00 |
| Redwood Memorial Hospital | Fortuna | $11,413.80 | $5,981.00 – $11,059.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,292.32 | $402.12 – $6,549.48 |