Chemotx admn pertl cav impl at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$212.34
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.
$974.00
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.
$19.06 with Hill Physicians vs $19,089.00 with Cigna — 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 | $19.06 | ↓ -91% |
| Aetna | Commercial|PPO | $85.73 | ↓ -60% |
| Aetna | Commercial|All Other Plans | $85.73 | ↓ -60% |
| Aetna | Commercial|HMO | $85.73 | ↓ -60% |
| United | Medicaid|> 21 | $142.59 | ↓ -33% |
| United | Medicaid|< 21 | $142.59 | ↓ -33% |
| Hill Physicians | Medicaid|All Plans | $173.36 | ↓ -18% |
| Hill Physicians | Medicare|All Plans | $229.43 | ↑ +8% |
| Molina | Medicaid|All Plans | $233.61 | ↑ +10% |
| BCBS - Anthem | Medicaid|All Plans | $236.09 | ↑ +11% |
| Western Health Advantage | Commercial|All Plans | $340.90 | ↑ +61% |
| Health Net | Medicaid|All Plans | $365.63 | ↑ +72% |
| California Health & Wellness | Medicaid|All Plans | $365.63 | ↑ +72% |
| Kaiser | Medicaid|All Plans | $399.34 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $411.03 | ↑ +94% |
| Humana | Commercial|All Plans | $435.87 | ↑ +105% |
| Aetna | Medicare|All Plans | $435.87 | ↑ +105% |
| Molina | Medicare|All Plans | $435.87 | ↑ +105% |
| United | Medicare|All Plans | $435.87 | ↑ +105% |
| Kaiser | Medicare|All Plans | $435.87 | ↑ +105% |
| Blue Shield CA | Medicare|HMO | $435.87 | ↑ +105% |
| Blue Shield CA | Medicare|PPO | $435.87 | ↑ +105% |
| BCBS - Anthem | Medicare|Imperial | $448.95 | ↑ +111% |
| BrightHealth | Commercial|All Plans | $479.46 | ↑ +126% |
| Partnership Health Plan | Medicaid|All Plans | $534.32 | ↑ +152% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $613.62 | ↑ +189% |
| Blue Shield CA | Commercial|Exchange | $633.10 | ↑ +198% |
| Cigna | Commercial|LocalPlus | $642.84 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $653.80 | ↑ +208% |
| Healthsmart | Commercial|All Plans | $701.28 | ↑ +230% |
| First Health | Commercial|All Plans | $730.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $769.46 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $779.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $779.20 | ↑ +267% |
| Blue Shield CA | Commercial|HMO | $876.60 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $876.60 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $886.34 | ↑ +317% |
| BCBS - Anthem | Commercial|MCS | $974.00 | ↑ +359% |
| United | Commercial|All Other Plans | $974.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $974.00 | ↑ +359% |
| United | Commercial|HMO | $974.00 | ↑ +359% |
| BCBS - Anthem | Commercial|Connection EPO | $2,126.00 | ↑ +901% |
| BCBS - Anthem | Commercial|All Other Plans | $2,658.00 | ↑ +1152% |
| Cigna | Commercial|All Other Plans | $19,089.00 | ↑ +8890% |
Visitor-reported prices
Comments
Chemotx admn pertl cav impl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $280.52 | $19.06 – $857.12 |
| St. John's Camarillo Hospital | Camarillo | $270.25 | $35.21 – $842.90 |
| Arroyo Grande Hospital | Santa Maria | $570.10 | $129.48 – $11,311.00 |
| Mark Twain Medical Center | San Andreas | $344.99 | $119.27 – $451.78 |
| French Hospital | San Luis Obispo | $497.45 | $138.68 – $9,050.00 |
| Bakersfield Memorial Hospital | Bakersfield | $319.29 | $107.39 – $520.89 |
| St. Joseph's Medical Center Stockton | Stockton | $218.15 | $124.26 – $1,266.00 |
| Mercy Medical Center Merced | Merced | $475.35 | $142.59 – $1,411.00 |