Convert nephrostomy catheter at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,272.00
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.
$10,422.00
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.
$187.46 with Hill Physicians vs $8,480.00 with Health Net — 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 | $187.46 | ↓ -92% |
| United | Medicaid|< 21 | $826.13 | ↓ -64% |
| United | Medicaid|> 21 | $826.13 | ↓ -64% |
| Hill Physicians | Medicaid|All Plans | $908.74 | ↓ -60% |
| Hill Physicians | Medicare|All Plans | $1,050.54 | ↓ -54% |
| Molina | Medicaid|All Plans | $1,553.12 | ↓ -32% |
| BCBS - Anthem | Medicaid|All Plans | $1,569.65 | ↓ -31% |
| Health Net | Medicaid|All Plans | $1,916.62 | ↓ -16% |
| California Health & Wellness | Medicaid|All Plans | $1,916.62 | ↓ -16% |
| BCBS - Anthem | Medicare|All Other Plans | $2,538.51 | ↑ +12% |
| Molina | Medicare|All Plans | $2,691.95 | ↑ +18% |
| Humana | Commercial|All Plans | $2,691.95 | ↑ +18% |
| Aetna | Medicare|All Plans | $2,691.95 | ↑ +18% |
| Blue Shield CA | Medicare|PPO | $2,691.95 | ↑ +18% |
| Kaiser | Medicare|All Plans | $2,691.95 | ↑ +18% |
| United | Medicare|All Plans | $2,691.95 | ↑ +18% |
| Blue Shield CA | Medicare|HMO | $2,691.95 | ↑ +18% |
| BCBS - Anthem | Medicare|Imperial | $2,772.71 | ↑ +22% |
| Western Health Advantage | Commercial|All Plans | $2,911.65 | ↑ +28% |
| BrightHealth | Commercial|All Plans | $2,961.14 | ↑ +30% |
| Kaiser | Medicaid|All Plans | $3,410.79 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $3,552.36 | ↑ +56% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +60% |
| Prison Healthcare | Medicaid|All Plans | $4,037.93 | ↑ +78% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +100% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +102% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +120% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +120% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +120% |
| Healthsmart | Commercial|All Plans | $5,989.68 | ↑ +164% |
| First Health | Commercial|All Plans | $6,239.25 | ↑ +175% |
| Kaiser | Commercial|All Plans | $6,572.01 | ↑ +189% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +190% |
| MultiPlan | Commercial|All Plans | $6,655.20 | ↑ +193% |
| Sutter Health | Commercial|All Plans | $6,655.20 | ↑ +193% |
| United | Commercial|Non-Options PPO | $8,319.00 | ↑ +266% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +273% |
Visitor-reported prices
Comments
Convert nephrostomy catheter at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,001.54 | $187.46 – $6,904.77 |
| St. John's Camarillo Hospital | Camarillo | $1,049.45 | $646.92 – $4,655.74 |
| Arroyo Grande Hospital | Santa Maria | $1,616.99 | $826.13 – $1,773.00 |
| French Hospital | San Luis Obispo | $1,540.96 | $478.71 – $1,773.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,187.42 | $826.13 – $1,845.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,114.29 | $826.13 – $4,302.34 |
| St. Joseph's Medical Center Stockton | Stockton | $2,025.66 | $826.13 – $3,858.12 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,572.95 | $2,238.00 – $4,042.00 |