Cholecystostomy complete w/supervision & interpretation at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,275.92
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.
$10,440.00
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.
$340.83 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $340.83 | ↓ -85% |
| Hill Physicians | Medicare|All Plans | $352.13 | ↓ -85% |
| United | Medicaid|> 21 | $499.42 | ↓ -78% |
| United | Medicaid|< 21 | $499.42 | ↓ -78% |
| Molina | Medicaid|All Plans | $818.21 | ↓ -64% |
| Hill Physicians | Medicaid|All Plans | $866.00 | ↓ -62% |
| BCBS - Anthem | Medicaid|All Plans | $1,186.13 | ↓ -48% |
| California Health & Wellness | Medicaid|All Plans | $1,826.47 | ↓ -20% |
| Health Net | Medicaid|All Plans | $1,826.47 | ↓ -20% |
| Partnership Health Plan | Medicaid|All Plans | $2,684.40 | ↑ +18% |
| Western Health Advantage | Commercial|All Plans | $3,507.70 | ↑ +54% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $4,109.02 | ↑ +81% |
| BCBS - Anthem | Medicare|All Other Plans | $4,373.20 | ↑ +92% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +99% |
| Kaiser | Medicare|All Plans | $4,637.54 | ↑ +104% |
| Aetna | Medicare|All Plans | $4,637.54 | ↑ +104% |
| Molina | Medicare|All Plans | $4,637.54 | ↑ +104% |
| United | Medicare|All Plans | $4,637.54 | ↑ +104% |
| Humana | Commercial|All Plans | $4,637.54 | ↑ +104% |
| Blue Shield CA | Medicare|HMO | $4,637.54 | ↑ +104% |
| Blue Shield CA | Medicare|PPO | $4,637.54 | ↑ +104% |
| BCBS - Anthem | Medicare|Imperial | $4,776.67 | ↑ +110% |
| BrightHealth | Commercial|All Plans | $5,101.29 | ↑ +124% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +189% |
| Prison Healthcare | Medicaid|All Plans | $6,956.31 | ↑ +206% |
| Healthsmart | Commercial|All Plans | $7,215.84 | ↑ +217% |
| First Health | Commercial|All Plans | $7,516.50 | ↑ +230% |
| Kaiser | Commercial|All Plans | $7,917.38 | ↑ +248% |
| Sutter Health | Commercial|All Plans | $8,017.60 | ↑ +252% |
| MultiPlan | Commercial|All Plans | $8,017.60 | ↑ +252% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +339% |
| United | Commercial|Non-Options PPO | $10,022.00 | ↑ +340% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +648% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +648% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +648% |
Visitor-reported prices
Comments
Cholecystostomy complete w/supervision & interpretation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,006.72 | $340.83 – $8,318.26 |
| St. John's Camarillo Hospital | Camarillo | $2,333.23 | $614.29 – $8,890.24 |
| Petaluma Valley Hospital | Petaluma | $6,526.98 | $1,921.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $4,439.22 | $499.42 – $9,554.02 |
| French Hospital | San Luis Obispo | $4,121.88 | $499.42 – $9,249.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,433.24 | $499.42 – $7,107.20 |
| Bakersfield Memorial Hospital | Bakersfield | $3,396.22 | $499.42 – $7,018.36 |
| Queen of The Valley Medical Center | Napa | $6,751.38 | $5,083.67 – $17,909.00 |