Cath imag ivus pv 8.5fx90 .035 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$6,501.85
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.
$29,825.00
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.
$645.15 with Kaiser vs $2,664.75 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 |
|---|---|---|---|
| Kaiser | Commercial|All Plans | $645.15 | ↓ -90% |
| Kaiser | Medicare|All Plans | $645.15 | ↓ -90% |
| Kaiser | Medicaid|All Plans | $645.15 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $673.20 | ↓ -90% |
| Partnership Health Plan | Medicaid|All Plans | $701.25 | ↓ -89% |
| Molina | Medicaid|All Plans | $729.30 | ↓ -89% |
| Health Net | Medicaid|All Plans | $785.40 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $785.40 | ↓ -88% |
| Health Net | Commercial|EPPO | $1,009.80 | ↓ -84% |
| Cigna | Commercial|LocalPlus | $1,122.00 | ↓ -83% |
| Cigna | Commercial|All Other Plans | $1,486.65 | ↓ -77% |
| United | Commercial|HMO | $1,514.70 | ↓ -77% |
| United | Commercial|Non-Options PPO | $1,795.20 | ↓ -72% |
| Western Health Advantage | Commercial|All Plans | $1,823.25 | ↓ -72% |
| Health Net | Commercial|FFS | $1,851.30 | ↓ -72% |
| United | Commercial|All Other Plans | $1,935.45 | ↓ -70% |
| Healthsmart | Commercial|All Plans | $2,019.60 | ↓ -69% |
| First Health | Commercial|All Plans | $2,103.75 | ↓ -68% |
| BCBS - Anthem | Commercial|Connection EPO | $2,131.80 | ↓ -67% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2,215.95 | ↓ -66% |
| Sutter Health | Commercial|All Plans | $2,244.00 | ↓ -65% |
| MultiPlan | Commercial|All Plans | $2,244.00 | ↓ -65% |
| Blue Shield CA | Commercial|Exchange | $2,272.05 | ↓ -65% |
| Aetna | Commercial|HMO | $2,496.45 | ↓ -62% |
| Aetna | Commercial|PPO | $2,496.45 | ↓ -62% |
| Aetna | Commercial|All Other Plans | $2,496.45 | ↓ -62% |
| Blue Shield CA | Commercial|All Other Plans | $2,524.50 | ↓ -61% |
| Blue Shield CA | Commercial|HMO | $2,524.50 | ↓ -61% |
| Blue Shield CA | Commercial|CalPers | $2,552.55 | ↓ -61% |
| BCBS - Anthem | Commercial|All Other Plans | $2,664.75 | ↓ -59% |
| BCBS - Anthem | Commercial|MCS | $2,664.75 | ↓ -59% |
Visitor-reported prices
Comments
Cath imag ivus pv 8.5fx90 .035 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $8,589.60 | $645.15 – $2,524.50 |
| St. John's Camarillo Hospital | Camarillo | $6,152.59 | $602.64 – $6,321.15 |
| Petaluma Valley Hospital | Petaluma | $8,576.57 | not published |
| Arroyo Grande Hospital | Santa Maria | $6,012.98 | $668.61 – $2,848.86 |
| French Hospital | San Luis Obispo | $5,507.21 | $552.33 – $2,848.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,025.66 | $1,050.00 – $3,780.00 |
| Bakersfield Memorial Hospital | Bakersfield | $3,387.41 | $620.00 – $2,405.60 |
| Queen of The Valley Medical Center | Napa | $8,576.57 | not published |