CT thorax low dose for lung screening 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.
$99.45 with Hill Physicians vs $5,233.00 with Cigna — 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 | $99.45 | ↓ -82% |
| BCBS - Anthem | Medicare|All Other Plans | $131.77 | ↓ -76% |
| United | Medicaid|> 21 | $131.79 | ↓ -76% |
| United | Medicaid|< 21 | $131.79 | ↓ -76% |
| United | Medicare|All Plans | $139.74 | ↓ -74% |
| Kaiser | Medicare|All Plans | $139.74 | ↓ -74% |
| Molina | Medicare|All Plans | $139.74 | ↓ -74% |
| Aetna | Medicare|All Plans | $139.74 | ↓ -74% |
| Humana | Commercial|All Plans | $139.74 | ↓ -74% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↓ -74% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↓ -74% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↓ -73% |
| Hill Physicians | Medicaid|All Plans | $144.97 | ↓ -73% |
| BrightHealth | Commercial|All Plans | $153.71 | ↓ -72% |
| Hill Physicians | Medicare|All Plans | $160.02 | ↓ -70% |
| United | Commercial|Non-Options PPO | $182.03 | ↓ -66% |
| United | Commercial|All Other Plans | $182.03 | ↓ -66% |
| United | Commercial|HMO | $182.03 | ↓ -66% |
| Prison Healthcare | Medicaid|All Plans | $209.61 | ↓ -61% |
| Molina | Medicaid|All Plans | $247.77 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $250.40 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $305.75 | ↓ -44% |
| Health Net | Medicaid|All Plans | $305.75 | ↓ -44% |
| Aetna | Commercial|HMO | $331.39 | ↓ -39% |
| Aetna | Commercial|PPO | $331.39 | ↓ -39% |
| Aetna | Commercial|All Other Plans | $331.39 | ↓ -39% |
| Partnership Health Plan | Medicaid|All Plans | $566.70 | ↑ +5% |
| 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% |
| MultiPlan | Commercial|All Plans | $1,988.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $1,988.00 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $2,740.00 | ↑ +406% |
| BCBS - Anthem | Commercial|All Other Plans | $3,425.00 | ↑ +532% |
| Cigna | Commercial|LocalPlus | $3,925.00 | ↑ +625% |
| BCBS - Anthem | Commercial|MCS | $4,966.00 | ↑ +817% |
| Cigna | Commercial|All Other Plans | $5,233.00 | ↑ +866% |
Visitor-reported prices
Comments
CT thorax low dose for lung screening without contrast at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $715.68 | $99.45 – $3,925.00 |
| St. John's Camarillo Hospital | Camarillo | $1,445.84 | $135.12 – $2,574.78 |
| Banner Lassen Medical Center | Susanville | $361.31 | $21.27 – $615.95 |
| Petaluma Valley Hospital | Petaluma | $685.95 | $129.44 – $570.56 |
| Arroyo Grande Hospital | Santa Maria | $91.60 | $107.00 – $1,756.00 |
| Mark Twain Medical Center | San Andreas | $561.44 | $131.79 – $826.14 |
| French Hospital | San Luis Obispo | $307.33 | $131.79 – $1,768.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $284.19 | $131.79 – $1,130.00 |