Bx/exc lymph node/open/deep cervic 38510 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,582.87
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.
$11,848.00
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.
$165.76 with United 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $165.76 | ↓ -94% |
| United | Medicaid|< 21 | $165.76 | ↓ -94% |
| Molina | Medicaid|All Plans | $271.57 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $287.43 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $393.68 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $421.74 | ↓ -84% |
| Hill Physicians | Medicare|All Plans | $556.95 | ↓ -78% |
| Health Net | Medicaid|All Plans | $606.22 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $606.22 | ↓ -77% |
| Partnership Health Plan | Medicaid|All Plans | $890.96 | ↓ -66% |
| Western Health Advantage | Commercial|All Plans | $4,146.80 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $4,745.23 | ↑ +84% |
| Kaiser | Medicaid|All Plans | $4,857.68 | ↑ +88% |
| Kaiser | Medicare|All Plans | $5,032.06 | ↑ +95% |
| Aetna | Medicare|All Plans | $5,032.06 | ↑ +95% |
| Molina | Medicare|All Plans | $5,032.06 | ↑ +95% |
| United | Medicare|All Plans | $5,032.06 | ↑ +95% |
| Humana | Commercial|All Plans | $5,032.06 | ↑ +95% |
| Blue Shield CA | Medicare|HMO | $5,032.06 | ↑ +95% |
| Blue Shield CA | Medicare|PPO | $5,032.06 | ↑ +95% |
| BCBS - Anthem | Medicare|Imperial | $5,183.02 | ↑ +101% |
| BrightHealth | Commercial|All Plans | $5,535.27 | ↑ +114% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +171% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +171% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +171% |
| Prison Healthcare | Medicaid|All Plans | $7,548.09 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +207% |
| Healthsmart | Commercial|All Plans | $8,530.56 | ↑ +230% |
| First Health | Commercial|All Plans | $8,886.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $9,359.92 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $9,478.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $9,478.40 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +284% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +287% |
| United | Commercial|Non-Options PPO | $11,848.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +457% |
Visitor-reported prices
Comments
Bx/exc lymph node/open/deep cervic 38510 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,412.23 | $165.76 – $9,833.84 |
| Sierra Nevada Memorial Hospital | Grass Valley | $6,740.56 | $165.76 – $12,120.64 |
| Mercy San Juan Medical Center | Carmichael | $3,246.36 | $165.76 – $9,833.84 |
| Mercy Hospital of Folsom | Folsom | $4,608.88 | $165.76 – $9,715.36 |
| Woodland Memorial Hospital | Woodland | $3,246.36 | $165.76 – $11,848.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $203.88 – $8,628.88 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $165.76 – $4,865.48 |