Change g-tube to g-j perc at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,049.24
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.
$4,813.00
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.
$142.35 with Hill Physicians vs $14,393.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $142.35 | ↓ -86% |
| United | Medicaid|< 21 | $912.51 | ↓ -13% |
| United | Medicaid|> 21 | $912.51 | ↓ -13% |
| Hill Physicians | Medicare|All Plans | $977.08 | ↓ -7% |
| Hill Physicians | Medicaid|All Plans | $1,003.76 | ↓ -4% |
| Western Health Advantage | Commercial|All Plans | $1,613.15 | ↑ +54% |
| Molina | Medicaid|All Plans | $1,715.52 | ↑ +64% |
| BCBS - Anthem | Medicaid|All Plans | $1,733.77 | ↑ +65% |
| Kaiser | Medicaid|All Plans | $1,889.69 | ↑ +80% |
| Health Net | Medicaid|All Plans | $2,117.02 | ↑ +102% |
| California Health & Wellness | Medicaid|All Plans | $2,117.02 | ↑ +102% |
| BCBS - Anthem | Medicare|All Other Plans | $2,350.74 | ↑ +124% |
| Aetna | Medicare|All Plans | $2,492.83 | ↑ +138% |
| Blue Shield CA | Medicare|HMO | $2,492.83 | ↑ +138% |
| Blue Shield CA | Medicare|PPO | $2,492.83 | ↑ +138% |
| United | Medicare|All Plans | $2,492.83 | ↑ +138% |
| Molina | Medicare|All Plans | $2,492.83 | ↑ +138% |
| Humana | Commercial|All Plans | $2,492.83 | ↑ +138% |
| Kaiser | Medicare|All Plans | $2,492.83 | ↑ +138% |
| BCBS - Anthem | Medicare|Imperial | $2,567.61 | ↑ +145% |
| BrightHealth | Commercial|All Plans | $2,742.11 | ↑ +161% |
| Healthsmart | Commercial|All Plans | $3,318.48 | ↑ +216% |
| First Health | Commercial|All Plans | $3,456.75 | ↑ +229% |
| Kaiser | Commercial|All Plans | $3,641.11 | ↑ +247% |
| MultiPlan | Commercial|All Plans | $3,687.20 | ↑ +251% |
| Sutter Health | Commercial|All Plans | $3,687.20 | ↑ +251% |
| Prison Healthcare | Medicaid|All Plans | $3,739.24 | ↑ +256% |
| Partnership Health Plan | Medicaid|All Plans | $3,923.79 | ↑ +274% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +338% |
| United | Commercial|Non-Options PPO | $4,609.00 | ↑ +339% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +377% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +377% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +377% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +657% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +708% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +846% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +1272% |
Visitor-reported prices
Comments
Change g-tube to g-j perc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,386.15 | $142.35 – $3,923.79 |
| St. John's Camarillo Hospital | Camarillo | $996.89 | $614.52 – $4,371.40 |
| Arroyo Grande Hospital | Santa Maria | $1,903.32 | $912.51 – $3,656.38 |
| French Hospital | San Luis Obispo | $1,731.08 | $912.51 – $3,656.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,652.07 | $912.51 – $3,562.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,634.26 | $912.51 – $3,517.87 |
| St. Joseph's Medical Center Stockton | Stockton | $1,782.53 | $636.72 – $2,691.45 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,340.10 | $2,670.09 – $4,737.00 |