Compatibility test each unit immediate spin technique at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$110.09
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.
$505.00
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.
$65.63 with Aetna vs $505.00 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 |
|---|---|---|---|
| Aetna | Commercial|PPO | $65.63 | ↓ -40% |
| Aetna | Commercial|All Other Plans | $65.63 | ↓ -40% |
| Aetna | Commercial|HMO | $65.63 | ↓ -40% |
| Cigna | Commercial|LocalPlus | $78.16 | ↓ -29% |
| BCBS - Anthem | Medicaid|All Plans | $95.13 | ↓ -14% |
| Cigna | Commercial|All Other Plans | $104.22 | ↓ -5% |
| Western Health Advantage | Commercial|All Plans | $176.75 | ↑ +61% |
| United | Commercial|HMO | $178.99 | ↑ +63% |
| United | Commercial|All Other Plans | $178.99 | ↑ +63% |
| United | Commercial|Non-Options PPO | $178.99 | ↑ +63% |
| Kaiser | Medicaid|All Plans | $207.05 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $212.34 | ↑ +93% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +105% |
| Aetna | Medicare|All Plans | $225.18 | ↑ +105% |
| Molina | Medicare|All Plans | $225.18 | ↑ +105% |
| United | Medicare|All Plans | $225.18 | ↑ +105% |
| Humana | Commercial|All Plans | $225.18 | ↑ +105% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +105% |
| Blue Shield CA | Medicare|PPO | $225.18 | ↑ +105% |
| BCBS - Anthem | Medicare|Imperial | $231.94 | ↑ +111% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $237.35 | ↑ +116% |
| BrightHealth | Commercial|All Plans | $247.70 | ↑ +125% |
| Blue Shield CA | Commercial|Exchange | $252.50 | ↑ +129% |
| California Health & Wellness | Medicaid|All Plans | $252.50 | ↑ +129% |
| Health Net | Medicaid|All Plans | $252.50 | ↑ +129% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +207% |
| Blue Shield CA | Commercial|HMO | $343.40 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $363.60 | ↑ +230% |
| Blue Shield CA | Commercial|All Other Plans | $368.65 | ↑ +235% |
| Blue Shield CA | Commercial|CalPers | $368.65 | ↑ +235% |
| First Health | Commercial|All Plans | $378.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $398.95 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $404.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $404.00 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $404.00 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $505.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $505.00 | ↑ +359% |
Visitor-reported prices
Comments
Compatibility test each unit immediate spin technique at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $145.44 | $78.16 – $419.15 |
| St. John's Camarillo Hospital | Camarillo | $126.59 | $9.45 – $93.64 |
| Banner Lassen Medical Center | Susanville | $252.58 | $34.27 – $354.05 |
| Petaluma Valley Hospital | Petaluma | $446.25 | $125.33 – $293.80 |
| Arroyo Grande Hospital | Santa Maria | $396.33 | $90.93 – $672.28 |
| Mark Twain Medical Center | San Andreas | $341.00 | $132.46 – $501.76 |
| French Hospital | San Luis Obispo | $363.00 | $106.90 – $672.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $89.04 | $96.29 – $217.73 |