Critical care 30-74 minutes at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$13,047.52
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.
$59,851.00
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.
$211.58 with Hill Physicians vs $17,741.00 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 | $211.58 | ↓ -98% |
| United | Medicaid|< 21 | $216.64 | ↓ -98% |
| United | Medicaid|> 21 | $216.64 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $238.30 | ↓ -98% |
| Molina | Medicaid|All Plans | $283.94 | ↓ -98% |
| Hill Physicians | Medicare|All Plans | $291.69 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $331.40 | ↓ -97% |
| Health Net | Medicaid|All Plans | $502.60 | ↓ -96% |
| California Health & Wellness | Medicaid|All Plans | $502.60 | ↓ -96% |
| Partnership Health Plan | Medicaid|All Plans | $931.55 | ↓ -93% |
| BCBS - Anthem | Medicare|All Other Plans | $1,044.16 | ↓ -92% |
| Kaiser | Medicare|All Plans | $1,107.27 | ↓ -92% |
| Humana | Commercial|All Plans | $1,107.27 | ↓ -92% |
| Aetna | Medicare|All Plans | $1,107.27 | ↓ -92% |
| Molina | Medicare|All Plans | $1,107.27 | ↓ -92% |
| United | Medicare|All Plans | $1,107.27 | ↓ -92% |
| Blue Shield CA | Medicare|PPO | $1,107.27 | ↓ -92% |
| Blue Shield CA | Medicare|HMO | $1,107.27 | ↓ -92% |
| BCBS - Anthem | Medicare|Imperial | $1,140.49 | ↓ -91% |
| BrightHealth | Commercial|All Plans | $1,218.00 | ↓ -91% |
| Prison Healthcare | Medicaid|All Plans | $1,660.90 | ↓ -87% |
| Western Health Advantage | Commercial|All Plans | $2,975.70 | ↓ -77% |
| Kaiser | Medicaid|All Plans | $3,485.82 | ↓ -73% |
| United | Commercial|HMO | $5,422.00 | ↓ -58% |
| Cigna | Commercial|LocalPlus | $5,611.32 | ↓ -57% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,696.34 | ↓ -56% |
| Healthsmart | Commercial|All Plans | $6,121.44 | ↓ -53% |
| First Health | Commercial|All Plans | $6,376.50 | ↓ -51% |
| Blue Shield CA | Commercial|Exchange | $6,461.52 | ↓ -50% |
| Kaiser | Commercial|All Plans | $6,716.58 | ↓ -49% |
| MultiPlan | Commercial|All Plans | $6,801.60 | ↓ -48% |
| Sutter Health | Commercial|All Plans | $6,801.60 | ↓ -48% |
| Aetna | Commercial|HMO | $7,311.72 | ↓ -44% |
| Aetna | Commercial|All Other Plans | $7,311.72 | ↓ -44% |
| Aetna | Commercial|PPO | $7,311.72 | ↓ -44% |
| Cigna | Commercial|All Other Plans | $7,481.76 | ↓ -43% |
| Blue Shield CA | Commercial|HMO | $7,651.80 | ↓ -41% |
| Blue Shield CA | Commercial|All Other Plans | $7,651.80 | ↓ -41% |
| Blue Shield CA | Commercial|CalPers | $7,736.82 | ↓ -41% |
| BCBS - Anthem | Commercial|Connection EPO | $9,788.00 | ↓ -25% |
| United | Commercial|Non-Options PPO | $12,155.00 | ↓ -7% |
| BCBS - Anthem | Commercial|All Other Plans | $12,235.00 | ↓ -6% |
| United | Commercial|All Other Plans | $14,693.00 | ↑ +13% |
| BCBS - Anthem | Commercial|MCS | $17,741.00 | ↑ +36% |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $17,237.09 | $211.58 – $7,056.66 |
| St. John's Camarillo Hospital | Camarillo | $3,379.17 | $295.99 – $6,326.30 |
| Banner Lassen Medical Center | Susanville | $1,663.58 | $168.52 – $3,320.31 |
| Petaluma Valley Hospital | Petaluma | $11,252.64 | $1,113.16 – $1,135.88 |
| Arroyo Grande Hospital | Santa Maria | $3,180.04 | $190.30 – $6,618.92 |
| Mark Twain Medical Center | San Andreas | $3,850.15 | $216.64 – $5,665.38 |
| French Hospital | San Luis Obispo | $3,130.12 | $190.30 – $6,736.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,037.75 | $216.64 – $6,714.16 |