Change of windpipe airway 31502 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$87.64
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.
$402.00
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.
$34.41 with Hill Physicians vs $23,178.00 with United — 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 | $34.41 | ↓ -61% |
| Hill Physicians | Medicare|All Plans | $35.91 | ↓ -59% |
| United | Medicaid|< 21 | $59.57 | ↓ -32% |
| United | Medicaid|> 21 | $59.57 | ↓ -32% |
| Hill Physicians | Medicaid|All Plans | $65.53 | ↓ -25% |
| Molina | Medicaid|All Plans | $111.99 | ↑ +28% |
| BCBS - Anthem | Medicaid|All Plans | $113.18 | ↑ +29% |
| Health Net | Medicaid|All Plans | $138.20 | ↑ +58% |
| California Health & Wellness | Medicaid|All Plans | $138.20 | ↑ +58% |
| Western Health Advantage | Commercial|All Plans | $140.70 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $164.82 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $253.26 | ↑ +189% |
| Partnership Health Plan | Medicaid|All Plans | $256.15 | ↑ +192% |
| Blue Shield CA | Commercial|Exchange | $261.30 | ↑ +198% |
| BCBS - Anthem | Medicare|All Other Plans | $287.77 | ↑ +228% |
| Healthsmart | Commercial|All Plans | $289.44 | ↑ +230% |
| First Health | Commercial|All Plans | $301.50 | ↑ +244% |
| Humana | Commercial|All Plans | $305.16 | ↑ +248% |
| Aetna | Medicare|All Plans | $305.16 | ↑ +248% |
| Molina | Medicare|All Plans | $305.16 | ↑ +248% |
| United | Medicare|All Plans | $305.16 | ↑ +248% |
| Kaiser | Medicare|All Plans | $305.16 | ↑ +248% |
| Blue Shield CA | Medicare|HMO | $305.16 | ↑ +248% |
| Blue Shield CA | Medicare|PPO | $305.16 | ↑ +248% |
| BCBS - Anthem | Medicare|Imperial | $314.31 | ↑ +259% |
| Kaiser | Commercial|All Plans | $317.58 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $321.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $321.60 | ↑ +267% |
| BrightHealth | Commercial|All Plans | $335.68 | ↑ +283% |
| Blue Shield CA | Commercial|HMO | $361.80 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $361.80 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $365.82 | ↑ +317% |
| United | Commercial|Non-Options PPO | $402.00 | ↑ +359% |
| Prison Healthcare | Medicaid|All Plans | $457.74 | ↑ +422% |
| Cigna | Commercial|LocalPlus | $1,867.00 | ↑ +2030% |
| Cigna | Commercial|All Other Plans | $2,488.00 | ↑ +2739% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +3107% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +4043% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +5079% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +5607% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +5607% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +5607% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +5814% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +7410% |
| United | Commercial|HMO | $11,514.00 | ↑ +13038% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +26347% |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $115.78 | $34.41 – $1,867.00 |
| St. John's Camarillo Hospital | Camarillo | $201.92 | $90.12 – $521.66 |
| Petaluma Valley Hospital | Petaluma | $471.24 | $319.18 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $323.14 | $59.57 – $739.90 |
| French Hospital | San Luis Obispo | $245.40 | $59.57 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $520.15 | $59.57 – $1,233.76 |
| Bakersfield Memorial Hospital | Bakersfield | $514.54 | $59.57 – $12,607.00 |
| Queen of The Valley Medical Center | Napa | $1,080.18 | $336.29 – $6,200.00 |