Catheter insert artery at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$344.01
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.
$1,578.00
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.
$67.93 with United vs $17,030.00 with Aetna — 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 | $67.93 | ↓ -80% |
| United | Medicaid|> 21 | $67.93 | ↓ -80% |
| Hill Physicians | Commercial|All Plans | $101.81 | ↓ -70% |
| Hill Physicians | Medicare|All Plans | $107.08 | ↓ -69% |
| Molina | Medicaid|All Plans | $111.30 | ↓ -68% |
| Hill Physicians | Medicaid|All Plans | $117.79 | ↓ -66% |
| BCBS - Anthem | Medicaid|All Plans | $161.35 | ↓ -53% |
| Health Net | Medicaid|All Plans | $248.43 | ↓ -28% |
| California Health & Wellness | Medicaid|All Plans | $248.43 | ↓ -28% |
| Partnership Health Plan | Medicaid|All Plans | $365.14 | ↑ +6% |
| Western Health Advantage | Commercial|All Plans | $552.30 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $646.98 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $1,136.16 | ↑ +230% |
| First Health | Commercial|All Plans | $1,183.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,246.62 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $1,262.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $1,262.40 | ↑ +267% |
| United | Commercial|Non-Options PPO | $1,578.00 | ↑ +359% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +955% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +1219% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +1813% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +4850% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +4850% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +4850% |
Visitor-reported prices
Comments
Catheter insert artery at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $454.47 | $67.93 – $1,309.74 |
| Petaluma Valley Hospital | Petaluma | $1,664.64 | $1,687.00 – $1,687.00 |
| French Hospital | San Luis Obispo | $197.18 | $67.93 – $492.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $178.08 | $67.93 – $427.20 |
| Bakersfield Memorial Hospital | Bakersfield | $176.16 | $67.93 – $475.20 |
| Queen of The Valley Medical Center | Napa | $1,513.17 | $2,747.00 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,513.17 | $2,699.00 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $3,675.57 | not published |