Cath ptca pcltxl agent 3x20mm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$8,452.95
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.
$38,775.00
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.
$6,859.75 with Kaiser vs $28,333.75 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 | $6,859.75 | ↓ -19% |
| Kaiser | Medicare|All Plans | $6,859.75 | ↓ -19% |
| Kaiser | Medicaid|All Plans | $6,859.75 | ↓ -19% |
| BCBS - Anthem | Medicaid|All Plans | $7,158.00 | ↓ -15% |
| Partnership Health Plan | Medicaid|All Plans | $7,456.25 | ↓ -12% |
| Molina | Medicaid|All Plans | $7,754.50 | ↓ -8% |
| Health Net | Medicaid|All Plans | $8,351.00 | ↓ -1% |
| California Health & Wellness | Medicaid|All Plans | $8,351.00 | ↓ -1% |
| Health Net | Commercial|EPPO | $10,737.00 | ↑ +27% |
| Cigna | Commercial|LocalPlus | $11,930.00 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $15,807.25 | ↑ +87% |
| United | Commercial|HMO | $16,105.50 | ↑ +91% |
| United | Commercial|Non-Options PPO | $19,088.00 | ↑ +126% |
| Western Health Advantage | Commercial|All Plans | $19,386.25 | ↑ +129% |
| Health Net | Commercial|FFS | $19,684.50 | ↑ +133% |
| United | Commercial|All Other Plans | $20,579.25 | ↑ +143% |
| Healthsmart | Commercial|All Plans | $21,474.00 | ↑ +154% |
| First Health | Commercial|All Plans | $22,368.75 | ↑ +165% |
| BCBS - Anthem | Commercial|Connection EPO | $22,667.00 | ↑ +168% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $23,561.75 | ↑ +179% |
| Sutter Health | Commercial|All Plans | $23,860.00 | ↑ +182% |
| MultiPlan | Commercial|All Plans | $23,860.00 | ↑ +182% |
| Blue Shield CA | Commercial|Exchange | $24,158.25 | ↑ +186% |
| Aetna | Commercial|HMO | $26,544.25 | ↑ +214% |
| Aetna | Commercial|PPO | $26,544.25 | ↑ +214% |
| Aetna | Commercial|All Other Plans | $26,544.25 | ↑ +214% |
| Blue Shield CA | Commercial|All Other Plans | $26,842.50 | ↑ +218% |
| Blue Shield CA | Commercial|HMO | $26,842.50 | ↑ +218% |
| Blue Shield CA | Commercial|CalPers | $27,140.75 | ↑ +221% |
| BCBS - Anthem | Commercial|All Other Plans | $28,333.75 | ↑ +235% |
| BCBS - Anthem | Commercial|MCS | $28,333.75 | ↑ +235% |
Visitor-reported prices
Comments
Cath ptca pcltxl agent 3x20mm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $11,167.20 | $6,859.75 – $26,842.50 |
| Petaluma Valley Hospital | Petaluma | $17,519.52 | not published |
| Queen of The Valley Medical Center | Napa | $17,519.52 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $7,002.05 | not published |
| Healdsburg Hospital | Healdsburg | $8,356.35 | not published |
| Redwood Memorial Hospital | Fortuna | $7,002.05 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $17,519.52 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $13,424.40 | not published |