Debridement subcutaneous tissue <= 20 sq cm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$345.32
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.
$1,584.00
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.
$61.56 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 | $61.56 | ↓ -82% |
| United | Medicaid|< 21 | $119.19 | ↓ -65% |
| United | Medicaid|> 21 | $119.19 | ↓ -65% |
| Hill Physicians | Medicare|All Plans | $140.12 | ↓ -59% |
| Molina | Medicaid|All Plans | $195.28 | ↓ -43% |
| BCBS - Anthem | Medicaid|All Plans | $197.35 | ↓ -43% |
| Hill Physicians | Medicaid|All Plans | $206.68 | ↓ -40% |
| California Health & Wellness | Medicaid|All Plans | $435.90 | ↑ +26% |
| Health Net | Medicaid|All Plans | $435.90 | ↑ +26% |
| BCBS - Anthem | Medicare|All Other Plans | $495.09 | ↑ +43% |
| Western Health Advantage | Commercial|All Plans | $517.65 | ↑ +50% |
| Humana | Commercial|All Plans | $525.02 | ↑ +52% |
| Aetna | Medicare|All Plans | $525.02 | ↑ +52% |
| Molina | Medicare|All Plans | $525.02 | ↑ +52% |
| United | Medicare|All Plans | $525.02 | ↑ +52% |
| Kaiser | Medicare|All Plans | $525.02 | ↑ +52% |
| Blue Shield CA | Medicare|HMO | $525.02 | ↑ +52% |
| Blue Shield CA | Medicare|PPO | $525.02 | ↑ +52% |
| BCBS - Anthem | Medicare|Imperial | $540.77 | ↑ +57% |
| BrightHealth | Commercial|All Plans | $577.52 | ↑ +67% |
| Kaiser | Medicaid|All Plans | $606.39 | ↑ +76% |
| Partnership Health Plan | Medicaid|All Plans | $640.66 | ↑ +86% |
| Prison Healthcare | Medicaid|All Plans | $787.53 | ↑ +128% |
| Healthsmart | Commercial|All Plans | $1,064.88 | ↑ +208% |
| First Health | Commercial|All Plans | $1,109.25 | ↑ +221% |
| Kaiser | Commercial|All Plans | $1,168.41 | ↑ +238% |
| Sutter Health | Commercial|All Plans | $1,183.20 | ↑ +243% |
| MultiPlan | Commercial|All Plans | $1,183.20 | ↑ +243% |
| United | Commercial|Non-Options PPO | $1,479.00 | ↑ +328% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +714% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +1401% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +1928% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +1928% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +1928% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +2200% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +2774% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +4068% |
Visitor-reported prices
Comments
Debridement subcutaneous tissue <= 20 sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $456.20 | $61.56 – $1,227.57 |
| St. John's Camarillo Hospital | Camarillo | $598.85 | $146.60 – $936.40 |
| Petaluma Valley Hospital | Petaluma | $595.68 | $547.82 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $613.76 | $119.19 – $1,405.32 |
| Mark Twain Medical Center | San Andreas | $261.74 | $31.83 – $120.54 |
| French Hospital | San Luis Obispo | $562.13 | $119.19 – $1,405.32 |
| Mercy Hospitals – Bakersfield | Bakersfield | $451.14 | $119.19 – $972.80 |
| Bakersfield Memorial Hospital | Bakersfield | $446.28 | $119.19 – $960.64 |