Cath left heart transseptal punc at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$4,061.13
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.
$18,629.00
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.
$189.50 with United vs $51,698.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $189.50 | ↓ -95% |
| United | Medicaid|> 21 | $189.50 | ↓ -95% |
| Hill Physicians | Commercial|All Plans | $195.88 | ↓ -95% |
| Hill Physicians | Medicare|All Plans | $212.16 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $230.39 | ↓ -94% |
| Molina | Medicaid|All Plans | $310.46 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $313.77 | ↓ -92% |
| Health Net | Medicaid|All Plans | $485.92 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $485.92 | ↓ -88% |
| Partnership Health Plan | Medicaid|All Plans | $710.10 | ↓ -83% |
| Western Health Advantage | Commercial|All Plans | $6,520.15 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $7,637.89 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $13,412.88 | ↑ +230% |
| First Health | Commercial|All Plans | $13,971.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $14,716.91 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $14,903.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $14,903.20 | ↑ +267% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +319% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +319% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +319% |
| United | Commercial|Non-Options PPO | $18,629.00 | ↑ +359% |
| BCBS - Anthem | Commercial|Connection EPO | $28,523.00 | ↑ +602% |
| BCBS - Anthem | Commercial|All Other Plans | $35,654.00 | ↑ +778% |
| BCBS - Anthem | Commercial|MCS | $51,698.00 | ↑ +1173% |
Visitor-reported prices
Comments
Cath left heart transseptal punc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $5,365.16 | $189.50 – $15,462.07 |
| St. John's Camarillo Hospital | Camarillo | $4,725.15 | $233.09 – $8,414.64 |
| Arroyo Grande Hospital | Santa Maria | $853.01 | $189.50 – $1,953.14 |
| French Hospital | San Luis Obispo | $827.91 | $189.50 – $2,069.76 |
| Bakersfield Memorial Hospital | Bakersfield | $3,531.28 | $189.50 – $9,525.78 |
| Queen of The Valley Medical Center | Napa | $9,107.07 | $2,747.00 – $12,563.00 |
| St. Joseph's Medical Center Stockton | Stockton | $5,157.94 | $165.14 – $14,736.96 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,803.51 | $1,716.00 – $12,908.00 |