CT heart w/evaluation of calcium without contrast at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$541.73
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.
$2,485.00
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.
$81.33 with United vs $1,988.00 with MultiPlan — 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 | $81.33 | ↓ -85% |
| United | Medicaid|> 21 | $81.33 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $83.37 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $89.46 | ↓ -83% |
| BCBS - Anthem | Medicare|All Other Plans | $109.11 | ↓ -80% |
| Hill Physicians | Medicare|All Plans | $114.63 | ↓ -79% |
| Molina | Medicare|All Plans | $115.71 | ↓ -79% |
| United | Medicare|All Plans | $115.71 | ↓ -79% |
| Humana | Commercial|All Plans | $115.71 | ↓ -79% |
| Blue Shield CA | Medicare|HMO | $115.71 | ↓ -79% |
| Aetna | Medicare|All Plans | $115.71 | ↓ -79% |
| Kaiser | Medicare|All Plans | $115.71 | ↓ -79% |
| Blue Shield CA | Medicare|PPO | $115.71 | ↓ -79% |
| BCBS - Anthem | Medicare|Imperial | $119.18 | ↓ -78% |
| BrightHealth | Commercial|All Plans | $127.28 | ↓ -77% |
| Molina | Medicaid|All Plans | $152.90 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $154.53 | ↓ -71% |
| Aetna | Commercial|HMO | $159.50 | ↓ -71% |
| Aetna | Commercial|PPO | $159.50 | ↓ -71% |
| Aetna | Commercial|All Other Plans | $159.50 | ↓ -71% |
| Prison Healthcare | Medicaid|All Plans | $173.56 | ↓ -68% |
| United | Commercial|Non-Options PPO | $182.03 | ↓ -66% |
| United | Commercial|HMO | $182.03 | ↓ -66% |
| United | Commercial|All Other Plans | $182.03 | ↓ -66% |
| Health Net | Medicaid|All Plans | $188.69 | ↓ -65% |
| California Health & Wellness | Medicaid|All Plans | $188.69 | ↓ -65% |
| Partnership Health Plan | Medicaid|All Plans | $349.72 | ↓ -35% |
| BCBS - Anthem | Commercial|Connection EPO | $466.22 | ↓ -14% |
| BCBS - Anthem | Commercial|All Other Plans | $582.53 | ↑ +8% |
| BCBS - Anthem | Commercial|MCS | $844.47 | ↑ +56% |
| Western Health Advantage | Commercial|All Plans | $869.75 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,018.85 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $1,789.20 | ↑ +230% |
| First Health | Commercial|All Plans | $1,863.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,963.15 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,988.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,988.00 | ↑ +267% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $715.68 | $81.33 – $2,062.55 |
| St. John's Camarillo Hospital | Camarillo | $196.67 | $111.88 – $350.22 |
| Arroyo Grande Hospital | Santa Maria | $266.65 | $81.33 – $561.54 |
| French Hospital | San Luis Obispo | $212.47 | $62.10 – $225.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $66.41 | $81.33 – $179.00 |
| Bakersfield Memorial Hospital | Bakersfield | $65.70 | $81.33 – $179.00 |
| Queen of The Valley Medical Center | Napa | $486.03 | $123.56 – $351.98 |
| Providence St Joseph Hospital Eureka | Eureka | $512.04 | $111.93 – $384.90 |