Cardioversion/elective/internal 92961 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$757.99
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.
$3,477.00
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.
$198.27 with United vs $23,178.00 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 | $198.27 | ↓ -74% |
| United | Medicaid|< 21 | $198.27 | ↓ -74% |
| Hill Physicians | Commercial|All Plans | $232.29 | ↓ -69% |
| Hill Physicians | Medicare|All Plans | $248.59 | ↓ -67% |
| Molina | Medicaid|All Plans | $324.83 | ↓ -57% |
| Hill Physicians | Medicaid|All Plans | $345.76 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $470.90 | ↓ -38% |
| Health Net | Medicaid|All Plans | $729.25 | ↓ -4% |
| California Health & Wellness | Medicaid|All Plans | $729.25 | ↓ -4% |
| BCBS - Anthem | Medicare|All Other Plans | $810.90 | ↑ +7% |
| Kaiser | Medicare|All Plans | $859.92 | ↑ +13% |
| Humana | Commercial|All Plans | $859.92 | ↑ +13% |
| Aetna | Medicare|All Plans | $859.92 | ↑ +13% |
| Molina | Medicare|All Plans | $859.92 | ↑ +13% |
| United | Medicare|All Plans | $859.92 | ↑ +13% |
| Blue Shield CA | Medicare|PPO | $859.92 | ↑ +13% |
| Blue Shield CA | Medicare|HMO | $859.92 | ↑ +13% |
| BCBS - Anthem | Medicare|Imperial | $885.72 | ↑ +17% |
| BrightHealth | Commercial|All Plans | $945.91 | ↑ +25% |
| Partnership Health Plan | Medicaid|All Plans | $1,065.69 | ↑ +41% |
| Western Health Advantage | Commercial|All Plans | $1,162.00 | ↑ +53% |
| Prison Healthcare | Medicaid|All Plans | $1,289.88 | ↑ +70% |
| Kaiser | Medicaid|All Plans | $1,361.20 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $2,390.40 | ↑ +215% |
| First Health | Commercial|All Plans | $2,490.00 | ↑ +229% |
| Kaiser | Commercial|All Plans | $2,622.80 | ↑ +246% |
| MultiPlan | Commercial|All Plans | $2,656.00 | ↑ +250% |
| Sutter Health | Commercial|All Plans | $2,656.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $3,320.00 | ↑ +338% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +379% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +499% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +768% |
| United | Commercial|HMO | $11,514.00 | ↑ +1419% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +2147% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +2147% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +2147% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +2958% |
Visitor-reported prices
Comments
Cardioversion/elective/internal 92961 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,001.38 | $198.27 – $2,755.60 |
| Petaluma Valley Hospital | Petaluma | $9,451.32 | $890.70 – $2,695.00 |
| Bakersfield Memorial Hospital | Bakersfield | $509.40 | $198.27 – $1,096.52 |
| Queen of The Valley Medical Center | Napa | $830.79 | $938.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,171.80 | $850.08 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $408.08 | $198.27 – $1,138.16 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,271.14 | $919.68 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,044.96 | $722.57 – $1,894.00 |