Consultation pathology during surgery frozen section each additional block at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$43.82
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.
$201.00
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.
$19.39 with Partnership Health Plan vs $201.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $19.39 | ↓ -56% |
| United | Medicaid|< 21 | $27.81 | ↓ -37% |
| United | Medicaid|> 21 | $27.81 | ↓ -37% |
| Hill Physicians | Commercial|All Plans | $27.85 | ↓ -36% |
| United | Commercial|HMO | $28.90 | ↓ -34% |
| United | Commercial|All Other Plans | $28.90 | ↓ -34% |
| United | Commercial|Non-Options PPO | $28.90 | ↓ -34% |
| Hill Physicians | Medicaid|All Plans | $30.59 | ↓ -30% |
| Aetna | Commercial|PPO | $30.90 | ↓ -29% |
| Aetna | Commercial|HMO | $30.90 | ↓ -29% |
| Aetna | Commercial|All Other Plans | $30.90 | ↓ -29% |
| Molina | Medicaid|All Plans | $36.45 | ↓ -17% |
| BCBS - Anthem | Medicaid|All Plans | $52.84 | ↑ +21% |
| Cigna | Commercial|LocalPlus | $54.41 | ↑ +24% |
| Hill Physicians | Medicare|All Plans | $58.26 | ↑ +33% |
| Health Net | Medicaid|All Plans | $64.52 | ↑ +47% |
| California Health & Wellness | Medicaid|All Plans | $64.52 | ↑ +47% |
| Western Health Advantage | Commercial|All Plans | $70.35 | ↑ +61% |
| Cigna | Commercial|All Other Plans | $72.55 | ↑ +66% |
| Kaiser | Medicaid|All Plans | $82.41 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $118.20 | ↑ +170% |
| Healthsmart | Commercial|All Plans | $144.72 | ↑ +230% |
| BCBS - Anthem | Commercial|All Other Plans | $147.69 | ↑ +237% |
| First Health | Commercial|All Plans | $150.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $158.79 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $160.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $160.80 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $201.00 | ↑ +359% |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section each additional block at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $57.89 | $19.39 – $166.83 |
| St. John's Camarillo Hospital | Camarillo | $118.26 | $28.90 – $210.60 |
| Petaluma Valley Hospital | Petaluma | $97.41 | $46.20 – $68.09 |
| Arroyo Grande Hospital | Santa Maria | $7.87 | $9.19 – $63.31 |
| Mark Twain Medical Center | San Andreas | $17.55 | $3.11 – $12.00 |
| French Hospital | San Luis Obispo | $7.21 | $4.96 – $74.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $26.35 | $15.50 – $70.60 |
| Bakersfield Memorial Hospital | Bakersfield | $26.06 | $15.50 – $70.60 |