Dch pulmonary stress test at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$449.08
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.
$2,060.00
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.
$98.89 with Hill Physicians vs $2,060.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $98.89 | ↓ -78% |
| United | Medicaid|< 21 | $114.30 | ↓ -75% |
| United | Medicaid|> 21 | $114.30 | ↓ -75% |
| Hill Physicians | Medicare|All Plans | $169.00 | ↓ -62% |
| Molina | Medicaid|All Plans | $187.27 | ↓ -58% |
| Hill Physicians | Medicaid|All Plans | $199.34 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $271.47 | ↓ -40% |
| BCBS - Anthem | Medicare|All Other Plans | $385.89 | ↓ -14% |
| Humana | Commercial|All Plans | $409.21 | ↓ -9% |
| Aetna | Medicare|All Plans | $409.21 | ↓ -9% |
| Molina | Medicare|All Plans | $409.21 | ↓ -9% |
| United | Medicare|All Plans | $409.21 | ↓ -9% |
| Kaiser | Medicare|All Plans | $409.21 | ↓ -9% |
| Blue Shield CA | Medicare|HMO | $409.21 | ↓ -9% |
| Blue Shield CA | Medicare|PPO | $409.21 | ↓ -9% |
| Health Net | Medicaid|All Plans | $420.43 | ↓ -6% |
| California Health & Wellness | Medicaid|All Plans | $420.43 | ↓ -6% |
| BCBS - Anthem | Medicare|Imperial | $421.49 | ↓ -6% |
| BrightHealth | Commercial|All Plans | $450.13 | ↑ +0% |
| Prison Healthcare | Medicaid|All Plans | $613.82 | ↑ +37% |
| Partnership Health Plan | Medicaid|All Plans | $614.39 | ↑ +37% |
| BCBS - Anthem | Commercial|Connection EPO | $654.44 | ↑ +46% |
| Western Health Advantage | Commercial|All Plans | $721.00 | ↑ +61% |
| BCBS - Anthem | Commercial|All Other Plans | $817.71 | ↑ +82% |
| Kaiser | Medicaid|All Plans | $844.60 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $1,185.41 | ↑ +164% |
| Healthsmart | Commercial|All Plans | $1,483.20 | ↑ +230% |
| First Health | Commercial|All Plans | $1,545.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,627.40 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $1,648.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $1,648.00 | ↑ +267% |
| United | Commercial|Non-Options PPO | $2,060.00 | ↑ +359% |
Visitor-reported prices
Comments
Dch pulmonary stress test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $593.28 | $98.89 – $1,709.80 |
| Arroyo Grande Hospital | Santa Maria | $888.53 | $114.30 – $2,034.48 |
| French Hospital | San Luis Obispo | $813.80 | $114.30 – $2,034.48 |
| St. Joseph's Medical Center Stockton | Stockton | $216.68 | $114.30 – $619.08 |
| Mercy Medical Center Merced | Merced | $331.66 | $114.30 – $637.56 |
| St. Mary Medical Center | Long Beach | $421.40 | $114.30 – $980.00 |
| Providence Saint Joseph Medical Center | Burbank | $1,110.55 | $279.65 – $887.89 |
| Mercy San Juan Medical Center | Carmichael | $564.44 | $98.89 – $1,709.80 |