Bypass temp external fem-fem at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$442.98
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.
$2,032.00
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.
$711.20 with Western Health Advantage vs $7,003.00 with Aetna — 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $711.20 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $766.15 | ↑ +73% |
| Humana | Commercial|All Plans | $812.46 | ↑ +83% |
| Aetna | Medicare|All Plans | $812.46 | ↑ +83% |
| Molina | Medicare|All Plans | $812.46 | ↑ +83% |
| United | Medicare|All Plans | $812.46 | ↑ +83% |
| Kaiser | Medicare|All Plans | $812.46 | ↑ +83% |
| Blue Shield CA | Medicare|HMO | $812.46 | ↑ +83% |
| Blue Shield CA | Medicare|PPO | $812.46 | ↑ +83% |
| Kaiser | Medicaid|All Plans | $833.12 | ↑ +88% |
| BCBS - Anthem | Medicare|Imperial | $836.83 | ↑ +89% |
| BrightHealth | Commercial|All Plans | $893.71 | ↑ +102% |
| California Health & Wellness | Medicaid|All Plans | $1,016.00 | ↑ +129% |
| Health Net | Medicaid|All Plans | $1,016.00 | ↑ +129% |
| Prison Healthcare | Medicaid|All Plans | $1,218.69 | ↑ +175% |
| Healthsmart | Commercial|All Plans | $1,463.04 | ↑ +230% |
| First Health | Commercial|All Plans | $1,524.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,605.28 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,625.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,625.60 | ↑ +267% |
| United | Commercial|Non-Options PPO | $2,032.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +648% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +1279% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +1481% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +1481% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +1481% |
Visitor-reported prices
Comments
Bypass temp external fem-fem at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $585.22 | $711.20 – $1,686.56 |
| Petaluma Valley Hospital | Petaluma | $1,322.94 | $845.36 – $2,695.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $563.92 | $410.40 – $1,216.00 |
| Bakersfield Memorial Hospital | Bakersfield | $557.84 | $760.00 – $1,200.80 |
| Queen of The Valley Medical Center | Napa | $1,009.80 | $890.68 – $5,592.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,641.40 | $806.82 – $5,835.00 |
| Healdsburg Hospital | Healdsburg | $602.82 | $845.19 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $981.24 | $3,331.00 – $25,998.00 |