Bx thigh/knee soft tiss supf 27323 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,070.13
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.
$9,496.00
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.
$144.40 with United vs $9,496.00 with United — 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 | $144.40 | ↓ -93% |
| United | Medicaid|> 21 | $144.40 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $183.93 | ↓ -91% |
| Molina | Medicaid|All Plans | $236.58 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $250.38 | ↓ -88% |
| Hill Physicians | Medicare|All Plans | $299.51 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $342.95 | ↓ -83% |
| California Health & Wellness | Medicaid|All Plans | $528.08 | ↓ -74% |
| Health Net | Medicaid|All Plans | $528.08 | ↓ -74% |
| Partnership Health Plan | Medicaid|All Plans | $776.17 | ↓ -63% |
| BCBS - Anthem | Medicare|All Other Plans | $2,007.80 | ↓ -3% |
| Humana | Commercial|All Plans | $2,129.16 | ↑ +3% |
| United | Medicare|All Plans | $2,129.16 | ↑ +3% |
| Molina | Medicare|All Plans | $2,129.16 | ↑ +3% |
| Aetna | Medicare|All Plans | $2,129.16 | ↑ +3% |
| Blue Shield CA | Medicare|PPO | $2,129.16 | ↑ +3% |
| Blue Shield CA | Medicare|HMO | $2,129.16 | ↑ +3% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +3% |
| BCBS - Anthem | Medicare|Imperial | $2,193.03 | ↑ +6% |
| BrightHealth | Commercial|All Plans | $2,342.08 | ↑ +13% |
| Prison Healthcare | Medicaid|All Plans | $3,193.74 | ↑ +54% |
| Western Health Advantage | Commercial|All Plans | $3,323.60 | ↑ +61% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +75% |
| Kaiser | Medicaid|All Plans | $3,893.36 | ↑ +88% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +119% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +122% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +142% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +142% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +142% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +218% |
| Healthsmart | Commercial|All Plans | $6,837.12 | ↑ +230% |
| First Health | Commercial|All Plans | $7,122.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $7,501.84 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $7,596.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $7,596.80 | ↑ +267% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +310% |
| United | Commercial|Non-Options PPO | $9,496.00 | ↑ +359% |
Visitor-reported prices
Comments
Bx thigh/knee soft tiss supf 27323 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,734.85 | $144.40 – $7,881.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $161.39 | $144.40 – $435.00 |
| Bakersfield Memorial Hospital | Bakersfield | $159.65 | $144.40 – $435.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,726.67 | $144.40 – $2,394.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,434.40 | $1,805.60 – $5,171.00 |
| Mercy Medical Center Merced | Merced | $2,263.43 | $144.40 – $1,894.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $4,014.47 | $144.40 – $4,500.16 |
| Mercy San Juan Medical Center | Carmichael | $2,601.91 | $144.40 – $7,881.68 |