Bx bone trocar/ndl deep at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,179.82
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.
$5,412.00
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.
$129.47 with Hill Physicians vs $14,393.00 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 | $129.47 | ↓ -89% |
| United | Medicaid|> 21 | $170.89 | ↓ -86% |
| United | Medicaid|< 21 | $170.89 | ↓ -86% |
| Molina | Medicaid|All Plans | $279.97 | ↓ -76% |
| Hill Physicians | Medicaid|All Plans | $296.32 | ↓ -75% |
| BCBS - Anthem | Medicaid|All Plans | $405.86 | ↓ -66% |
| Hill Physicians | Medicare|All Plans | $450.44 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $624.96 | ↓ -47% |
| Health Net | Medicaid|All Plans | $624.96 | ↓ -47% |
| Partnership Health Plan | Medicaid|All Plans | $918.53 | ↓ -22% |
| Western Health Advantage | Commercial|All Plans | $1,818.60 | ↑ +54% |
| BCBS - Anthem | Medicare|All Other Plans | $2,007.80 | ↑ +70% |
| Humana | Commercial|All Plans | $2,129.16 | ↑ +80% |
| Aetna | Medicare|All Plans | $2,129.16 | ↑ +80% |
| Molina | Medicare|All Plans | $2,129.16 | ↑ +80% |
| United | Medicare|All Plans | $2,129.16 | ↑ +80% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +80% |
| Blue Shield CA | Medicare|HMO | $2,129.16 | ↑ +80% |
| Blue Shield CA | Medicare|PPO | $2,129.16 | ↑ +80% |
| Kaiser | Medicaid|All Plans | $2,130.36 | ↑ +81% |
| BCBS - Anthem | Medicare|Imperial | $2,193.03 | ↑ +86% |
| BrightHealth | Commercial|All Plans | $2,342.08 | ↑ +99% |
| Prison Healthcare | Medicaid|All Plans | $3,193.74 | ↑ +171% |
| Healthsmart | Commercial|All Plans | $3,741.12 | ↑ +217% |
| First Health | Commercial|All Plans | $3,897.00 | ↑ +230% |
| Kaiser | Commercial|All Plans | $4,104.84 | ↑ +248% |
| Sutter Health | Commercial|All Plans | $4,156.80 | ↑ +252% |
| MultiPlan | Commercial|All Plans | $4,156.80 | ↑ +252% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +290% |
| United | Commercial|Non-Options PPO | $5,196.00 | ↑ +340% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +494% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +494% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +494% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +573% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +619% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +741% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +1120% |
Visitor-reported prices
Comments
Bx bone trocar/ndl deep at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,558.66 | $129.47 – $4,312.68 |
| St. John's Camarillo Hospital | Camarillo | $2,779.55 | $210.19 – $3,763.88 |
| Arroyo Grande Hospital | Santa Maria | $2,756.32 | $170.89 – $6,121.08 |
| Mark Twain Medical Center | San Andreas | $2,587.41 | $170.89 – $1,665.02 |
| French Hospital | San Luis Obispo | $2,347.69 | $170.89 – $4,480.56 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,047.55 | $170.89 – $4,415.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,025.48 | $170.89 – $4,360.01 |
| Queen of The Valley Medical Center | Napa | $1,972.17 | $2,345.04 – $9,858.00 |