Carotid Artery Ultrasound (Duplex) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$608.88
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.
$2,793.00
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.
$167.69 with Hill Physicians vs $22,221.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $167.69 | ↓ -72% |
| United | Medicaid|> 21 | $179.75 | ↓ -70% |
| United | Medicaid|< 21 | $179.75 | ↓ -70% |
| Hill Physicians | Medicare|All Plans | $217.70 | ↓ -64% |
| Molina | Medicaid|All Plans | $294.48 | ↓ -52% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -51% |
| Hill Physicians | Medicaid|All Plans | $313.46 | ↓ -49% |
| Humana | Commercial|All Plans | $317.64 | ↓ -48% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -48% |
| Molina | Medicare|All Plans | $317.64 | ↓ -48% |
| United | Medicare|All Plans | $317.64 | ↓ -48% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -48% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↓ -48% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↓ -48% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -46% |
| BrightHealth | Commercial|All Plans | $349.40 | ↓ -43% |
| BCBS - Anthem | Medicaid|All Plans | $426.89 | ↓ -30% |
| Prison Healthcare | Medicaid|All Plans | $476.46 | ↓ -22% |
| Health Net | Medicaid|All Plans | $661.11 | ↑ +9% |
| California Health & Wellness | Medicaid|All Plans | $661.11 | ↑ +9% |
| Cigna | Commercial|LocalPlus | $929.74 | ↑ +53% |
| Partnership Health Plan | Medicaid|All Plans | $966.14 | ↑ +59% |
| Western Health Advantage | Commercial|All Plans | $977.55 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,145.13 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $1,239.74 | ↑ +104% |
| BCBS - Anthem | Commercial|Connection EPO | $1,899.22 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $2,010.96 | ↑ +230% |
| First Health | Commercial|All Plans | $2,094.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $2,206.47 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $2,234.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,234.40 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $2,373.03 | ↑ +290% |
| United | Commercial|Non-Options PPO | $2,793.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $2,793.00 | ↑ +359% |
| United | Commercial|HMO | $10,710.00 | ↑ +1659% |
| United | Commercial|All Other Plans | $22,221.00 | ↑ +3549% |
Visitor-reported prices
Comments
Carotid Artery Ultrasound (Duplex) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $804.39 | $167.69 – $2,318.19 |
| St. John's Camarillo Hospital | Camarillo | $1,241.30 | $221.09 – $2,210.52 |
| Banner Lassen Medical Center | Susanville | $1,143.52 | $48.34 – $1,830.39 |
| Petaluma Valley Hospital | Petaluma | $1,428.51 | $321.54 – $1,094.08 |
| Arroyo Grande Hospital | Santa Maria | $1,436.80 | $179.75 – $2,597.98 |
| Mark Twain Medical Center | San Andreas | $6,036.63 | $120.30 – $455.70 |
| French Hospital | San Luis Obispo | $2,157.57 | $179.75 – $1,809.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,031.01 | $179.75 – $2,223.20 |