Critical care each additional 30 minutes at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,204.67
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.
$5,526.00
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.
$104.93 with United vs $7,150.00 with United — 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 | Medicaid|> 21 | $104.93 | ↓ -91% |
| United | Medicaid|< 21 | $104.93 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $105.98 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $115.42 | ↓ -90% |
| Hill Physicians | Medicare|All Plans | $126.75 | ↓ -89% |
| Molina | Medicaid|All Plans | $137.52 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $160.53 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $243.44 | ↓ -80% |
| Health Net | Medicaid|All Plans | $243.44 | ↓ -80% |
| Partnership Health Plan | Medicaid|All Plans | $451.20 | ↓ -63% |
| Western Health Advantage | Commercial|All Plans | $1,517.60 | ↑ +26% |
| Kaiser | Medicaid|All Plans | $1,777.76 | ↑ +48% |
| United | Commercial|HMO | $2,842.00 | ↑ +136% |
| Cigna | Commercial|LocalPlus | $2,861.76 | ↑ +138% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2,905.12 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $3,121.92 | ↑ +159% |
| First Health | Commercial|All Plans | $3,252.00 | ↑ +170% |
| Blue Shield CA | Commercial|Exchange | $3,295.36 | ↑ +174% |
| Kaiser | Commercial|All Plans | $3,425.44 | ↑ +184% |
| MultiPlan | Commercial|All Plans | $3,468.80 | ↑ +188% |
| Sutter Health | Commercial|All Plans | $3,468.80 | ↑ +188% |
| Aetna | Commercial|HMO | $3,728.96 | ↑ +210% |
| Aetna | Commercial|PPO | $3,728.96 | ↑ +210% |
| Aetna | Commercial|All Other Plans | $3,728.96 | ↑ +210% |
| Cigna | Commercial|All Other Plans | $3,815.68 | ↑ +217% |
| Blue Shield CA | Commercial|HMO | $3,902.40 | ↑ +224% |
| Blue Shield CA | Commercial|All Other Plans | $3,902.40 | ↑ +224% |
| Blue Shield CA | Commercial|CalPers | $3,945.76 | ↑ +228% |
| United | Commercial|Non-Options PPO | $5,916.00 | ↑ +391% |
| United | Commercial|All Other Plans | $7,150.00 | ↑ +494% |
Visitor-reported prices
Comments
Critical care each additional 30 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,591.49 | $104.93 – $3,989.12 |
| St. John's Camarillo Hospital | Camarillo | $540.50 | $145.32 – $1,011.88 |
| Banner Lassen Medical Center | Susanville | $832.03 | $97.19 – $1,660.64 |
| Petaluma Valley Hospital | Petaluma | $1,227.57 | not published |
| Arroyo Grande Hospital | Santa Maria | $1,218.52 | $92.17 – $2,474.50 |
| Mark Twain Medical Center | San Andreas | $1,193.48 | $104.93 – $1,756.16 |
| French Hospital | San Luis Obispo | $1,007.05 | $92.17 – $1,701.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,518.88 | $104.93 – $3,357.08 |