Consultation/report referred slides prepared elsewhere at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$62.35
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.
$286.00
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.
$40.61 with United vs $286.00 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 |
|---|---|---|---|
| United | Commercial|HMO | $40.61 | ↓ -35% |
| United | Commercial|All Other Plans | $40.61 | ↓ -35% |
| United | Commercial|Non-Options PPO | $40.61 | ↓ -35% |
| BCBS - Anthem | Medicare|All Other Plans | $48.64 | ↓ -22% |
| Molina | Medicare|All Plans | $51.58 | ↓ -17% |
| Humana | Commercial|All Plans | $51.58 | ↓ -17% |
| Aetna | Medicare|All Plans | $51.58 | ↓ -17% |
| Blue Shield CA | Medicare|PPO | $51.58 | ↓ -17% |
| Kaiser | Medicare|All Plans | $51.58 | ↓ -17% |
| United | Medicare|All Plans | $51.58 | ↓ -17% |
| Blue Shield CA | Medicare|HMO | $51.58 | ↓ -17% |
| BCBS - Anthem | Medicare|Imperial | $53.13 | ↓ -15% |
| BrightHealth | Commercial|All Plans | $56.74 | ↓ -9% |
| Partnership Health Plan | Medicaid|All Plans | $60.98 | ↓ -2% |
| Prison Healthcare | Medicaid|All Plans | $77.37 | ↑ +24% |
| Hill Physicians | Commercial|All Plans | $83.83 | ↑ +34% |
| United | Medicaid|< 21 | $87.47 | ↑ +40% |
| United | Medicaid|> 21 | $87.47 | ↑ +40% |
| Hill Physicians | Medicaid|All Plans | $96.22 | ↑ +54% |
| Western Health Advantage | Commercial|All Plans | $100.10 | ↑ +61% |
| Hill Physicians | Medicare|All Plans | $102.97 | ↑ +65% |
| Molina | Medicaid|All Plans | $114.64 | ↑ +84% |
| Kaiser | Medicaid|All Plans | $117.26 | ↑ +88% |
| BCBS - Anthem | Medicaid|All Plans | $166.88 | ↑ +168% |
| Cigna | Commercial|LocalPlus | $186.23 | ↑ +199% |
| Health Net | Medicaid|All Plans | $202.93 | ↑ +225% |
| California Health & Wellness | Medicaid|All Plans | $202.93 | ↑ +225% |
| Healthsmart | Commercial|All Plans | $205.92 | ↑ +230% |
| Aetna | Commercial|PPO | $213.67 | ↑ +243% |
| Aetna | Commercial|All Other Plans | $213.67 | ↑ +243% |
| Aetna | Commercial|HMO | $213.67 | ↑ +243% |
| First Health | Commercial|All Plans | $214.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $225.94 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $228.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $228.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $228.80 | ↑ +267% |
| Cigna | Commercial|All Other Plans | $248.32 | ↑ +298% |
| BCBS - Anthem | Commercial|All Other Plans | $286.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $286.00 | ↑ +359% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $82.37 | $40.61 – $237.38 |
| St. John's Camarillo Hospital | Camarillo | $63.08 | $38.88 – $223.12 |
| Petaluma Valley Hospital | Petaluma | $240.72 | $50.33 – $319.03 |
| Arroyo Grande Hospital | Santa Maria | $256.33 | $40.61 – $216.67 |
| Mark Twain Medical Center | San Andreas | $83.92 | $32.60 – $123.48 |
| French Hospital | San Luis Obispo | $234.77 | $32.62 – $254.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $55.65 | $40.61 – $241.65 |
| Bakersfield Memorial Hospital | Bakersfield | $55.05 | $40.61 – $241.65 |