Coronary angio/lv gram/lt heart at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$9,138.35
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.
$41,919.00
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.
$791.38 with Hill Physicians vs $51,698.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $791.38 | ↓ -91% |
| United | Medicaid|< 21 | $1,090.16 | ↓ -88% |
| United | Medicaid|> 21 | $1,090.16 | ↓ -88% |
| Hill Physicians | Medicare|All Plans | $1,199.85 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $1,325.38 | ↓ -85% |
| Molina | Medicaid|All Plans | $1,786.02 | ↓ -80% |
| BCBS - Anthem | Medicaid|All Plans | $1,805.02 | ↓ -80% |
| California Health & Wellness | Medicaid|All Plans | $2,795.34 | ↓ -69% |
| Health Net | Medicaid|All Plans | $2,795.34 | ↓ -69% |
| BCBS - Anthem | Medicare|All Other Plans | $3,985.76 | ↓ -56% |
| Partnership Health Plan | Medicaid|All Plans | $4,085.04 | ↓ -55% |
| Kaiser | Medicare|All Plans | $4,226.68 | ↓ -54% |
| Aetna | Medicare|All Plans | $4,226.68 | ↓ -54% |
| Molina | Medicare|All Plans | $4,226.68 | ↓ -54% |
| United | Medicare|All Plans | $4,226.68 | ↓ -54% |
| Blue Shield CA | Medicare|PPO | $4,226.68 | ↓ -54% |
| Blue Shield CA | Medicare|HMO | $4,226.68 | ↓ -54% |
| Humana | Commercial|All Plans | $4,226.68 | ↓ -54% |
| BCBS - Anthem | Medicare|Imperial | $4,353.48 | ↓ -52% |
| BrightHealth | Commercial|All Plans | $4,649.35 | ↓ -49% |
| Health Net | Commercial|EPPO | $5,418.00 | ↓ -41% |
| Prison Healthcare | Medicaid|All Plans | $6,340.02 | ↓ -31% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +9% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,990.00 | ↑ +53% |
| Blue Shield CA | Commercial|Exchange | $14,319.00 | ↑ +57% |
| Western Health Advantage | Commercial|All Plans | $14,671.65 | ↑ +61% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +86% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +86% |
| Kaiser | Medicaid|All Plans | $17,186.79 | ↑ +88% |
| Blue Shield CA | Commercial|HMO | $20,160.00 | ↑ +121% |
| Blue Shield CA | Commercial|All Other Plans | $21,946.00 | ↑ +140% |
| Blue Shield CA | Commercial|CalPers | $24,716.00 | ↑ +170% |
| BCBS - Anthem | Commercial|Connection EPO | $28,523.00 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $30,181.68 | ↑ +230% |
| First Health | Commercial|All Plans | $31,439.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $33,116.01 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $33,535.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $33,535.20 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $35,654.00 | ↑ +290% |
| United | Commercial|Non-Options PPO | $41,919.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $51,698.00 | ↑ +466% |
Visitor-reported prices
Comments
Coronary angio/lv gram/lt heart at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $12,072.68 | $791.38 – $34,792.77 |
| St. John's Camarillo Hospital | Camarillo | $9,343.86 | $1,340.90 – $16,639.74 |
| Arroyo Grande Hospital | Santa Maria | $9,329.12 | $1,090.16 – $21,361.06 |
| French Hospital | San Luis Obispo | $8,288.06 | $1,090.16 – $20,720.14 |
| Bakersfield Memorial Hospital | Bakersfield | $5,125.16 | $1,090.16 – $11,032.35 |
| Queen of The Valley Medical Center | Napa | $21,702.03 | $4,603.09 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $10,281.09 | $4,169.67 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,340.84 | $950.01 – $38,116.68 |