Debr musc/fascia 20sq cm/< 11043 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$458.24
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.
$2,102.00
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.
$154.00 with Hill Physicians vs $14,393.00 with BCBS - Anthem — 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 | $154.00 | ↓ -66% |
| United | Medicaid|< 21 | $179.86 | ↓ -61% |
| United | Medicaid|> 21 | $179.86 | ↓ -61% |
| Hill Physicians | Medicare|All Plans | $248.67 | ↓ -46% |
| Molina | Medicaid|All Plans | $294.67 | ↓ -36% |
| Hill Physicians | Medicaid|All Plans | $311.87 | ↓ -32% |
| Western Health Advantage | Commercial|All Plans | $373.45 | ↓ -19% |
| BCBS - Anthem | Medicaid|All Plans | $427.18 | ↓ -7% |
| Kaiser | Medicaid|All Plans | $437.47 | ↓ -5% |
| Health Net | Medicaid|All Plans | $657.77 | ↑ +44% |
| California Health & Wellness | Medicaid|All Plans | $657.77 | ↑ +44% |
| BCBS - Anthem | Medicare|All Other Plans | $758.55 | ↑ +66% |
| Healthsmart | Commercial|All Plans | $768.24 | ↑ +68% |
| First Health | Commercial|All Plans | $800.25 | ↑ +75% |
| Molina | Medicare|All Plans | $804.40 | ↑ +76% |
| United | Medicare|All Plans | $804.40 | ↑ +76% |
| Humana | Commercial|All Plans | $804.40 | ↑ +76% |
| Kaiser | Medicare|All Plans | $804.40 | ↑ +76% |
| Aetna | Medicare|All Plans | $804.40 | ↑ +76% |
| Blue Shield CA | Medicare|HMO | $804.40 | ↑ +76% |
| Blue Shield CA | Medicare|PPO | $804.40 | ↑ +76% |
| BCBS - Anthem | Medicare|Imperial | $828.53 | ↑ +81% |
| Kaiser | Commercial|All Plans | $842.93 | ↑ +84% |
| MultiPlan | Commercial|All Plans | $853.60 | ↑ +86% |
| Sutter Health | Commercial|All Plans | $853.60 | ↑ +86% |
| BrightHealth | Commercial|All Plans | $884.84 | ↑ +93% |
| Partnership Health Plan | Medicaid|All Plans | $966.76 | ↑ +111% |
| United | Commercial|Non-Options PPO | $1,067.00 | ↑ +133% |
| Prison Healthcare | Medicaid|All Plans | $1,206.60 | ↑ +163% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +623% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +1233% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +1428% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +1428% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +1428% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +1633% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +2066% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +3041% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $605.38 | $154.00 – $966.76 |
| St. John's Camarillo Hospital | Camarillo | $995.17 | $221.23 – $1,458.18 |
| Petaluma Valley Hospital | Petaluma | $1,176.57 | $995.98 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $870.98 | $179.86 – $1,994.30 |
| Mark Twain Medical Center | San Andreas | $277.06 | $107.62 – $407.68 |
| French Hospital | San Luis Obispo | $797.72 | $179.86 – $1,994.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $622.54 | $179.86 – $1,342.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,133.67 | $179.86 – $1,325.62 |