Cystogram >= 3 views supervision & interpretation at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$263.57
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.
$1,209.00
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.
$29.35 with Hill Physicians vs $1,984.02 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 | $29.35 | ↓ -89% |
| Hill Physicians | Medicare|All Plans | $43.99 | ↓ -83% |
| United | Medicaid|> 21 | $47.56 | ↓ -82% |
| United | Medicaid|< 21 | $47.56 | ↓ -82% |
| Hill Physicians | Medicaid|All Plans | $52.32 | ↓ -80% |
| Molina | Medicaid|All Plans | $62.34 | ↓ -76% |
| BCBS - Anthem | Medicaid|All Plans | $103.82 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $110.34 | ↓ -58% |
| Health Net | Medicaid|All Plans | $110.34 | ↓ -58% |
| Aetna | Commercial|HMO | $155.97 | ↓ -41% |
| Aetna | Commercial|PPO | $155.97 | ↓ -41% |
| Aetna | Commercial|All Other Plans | $155.97 | ↓ -41% |
| Partnership Health Plan | Medicaid|All Plans | $204.53 | ↓ -22% |
| Western Health Advantage | Commercial|All Plans | $406.35 | ↑ +54% |
| BCBS - Anthem | Commercial|Connection EPO | $425.58 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $442.55 | ↑ +68% |
| Humana | Commercial|All Plans | $469.30 | ↑ +78% |
| Aetna | Medicare|All Plans | $469.30 | ↑ +78% |
| Molina | Medicare|All Plans | $469.30 | ↑ +78% |
| United | Medicare|All Plans | $469.30 | ↑ +78% |
| Kaiser | Medicare|All Plans | $469.30 | ↑ +78% |
| Blue Shield CA | Medicare|HMO | $469.30 | ↑ +78% |
| Blue Shield CA | Medicare|PPO | $469.30 | ↑ +78% |
| Kaiser | Medicaid|All Plans | $476.01 | ↑ +81% |
| BCBS - Anthem | Medicare|Imperial | $483.38 | ↑ +83% |
| BrightHealth | Commercial|All Plans | $516.23 | ↑ +96% |
| BCBS - Anthem | Commercial|All Other Plans | $531.75 | ↑ +102% |
| Prison Healthcare | Medicaid|All Plans | $703.95 | ↑ +167% |
| BCBS - Anthem | Commercial|MCS | $770.86 | ↑ +192% |
| United | Commercial|Non-Options PPO | $828.27 | ↑ +214% |
| United | Commercial|HMO | $828.27 | ↑ +214% |
| United | Commercial|All Other Plans | $828.27 | ↑ +214% |
| Healthsmart | Commercial|All Plans | $835.92 | ↑ +217% |
| First Health | Commercial|All Plans | $870.75 | ↑ +230% |
| Kaiser | Commercial|All Plans | $917.19 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $928.80 | ↑ +252% |
| Sutter Health | Commercial|All Plans | $928.80 | ↑ +252% |
| Cigna | Commercial|LocalPlus | $1,487.91 | ↑ +465% |
| Cigna | Commercial|All Other Plans | $1,984.02 | ↑ +653% |
Visitor-reported prices
Comments
Cystogram >= 3 views supervision & interpretation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $348.20 | $29.35 – $1,487.91 |
| St. John's Camarillo Hospital | Camarillo | $453.77 | $71.95 – $1,782.69 |
| Banner Lassen Medical Center | Susanville | $272.24 | $54.71 – $402.55 |
| Petaluma Valley Hospital | Petaluma | $1,339.77 | $245.16 – $610.96 |
| Arroyo Grande Hospital | Santa Maria | $927.05 | $47.56 – $1,943.34 |
| Mark Twain Medical Center | San Andreas | $478.19 | $11.39 – $44.00 |
| French Hospital | San Luis Obispo | $739.71 | $47.56 – $2,035.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $507.53 | $47.56 – $1,930.74 |