Decalcification at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$23.98
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.
$110.00
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.
$7.90 with Partnership Health Plan vs $88.00 with Sutter Health — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $7.90 | ↓ -67% |
| Hill Physicians | Commercial|All Plans | $9.16 | ↓ -62% |
| United | Commercial|HMO | $10.46 | ↓ -56% |
| United | Commercial|Non-Options PPO | $10.46 | ↓ -56% |
| United | Commercial|All Other Plans | $10.46 | ↓ -56% |
| United | Medicaid|> 21 | $11.33 | ↓ -53% |
| United | Medicaid|< 21 | $11.33 | ↓ -53% |
| Hill Physicians | Medicaid|All Plans | $12.46 | ↓ -48% |
| Molina | Medicaid|All Plans | $14.85 | ↓ -38% |
| Aetna | Commercial|HMO | $18.55 | ↓ -23% |
| Aetna | Commercial|PPO | $18.55 | ↓ -23% |
| Aetna | Commercial|All Other Plans | $18.55 | ↓ -23% |
| Cigna | Commercial|LocalPlus | $19.15 | ↓ -20% |
| BCBS - Anthem | Medicaid|All Plans | $21.53 | ↓ -10% |
| Hill Physicians | Medicare|All Plans | $22.27 | ↓ -7% |
| Cigna | Commercial|All Other Plans | $25.53 | ↑ +6% |
| Health Net | Medicaid|All Plans | $26.29 | ↑ +10% |
| California Health & Wellness | Medicaid|All Plans | $26.29 | ↑ +10% |
| BCBS - Anthem | Commercial|Connection EPO | $35.58 | ↑ +48% |
| Western Health Advantage | Commercial|All Plans | $38.50 | ↑ +61% |
| BCBS - Anthem | Commercial|All Other Plans | $44.46 | ↑ +85% |
| Kaiser | Medicaid|All Plans | $45.10 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $64.45 | ↑ +169% |
| Healthsmart | Commercial|All Plans | $79.20 | ↑ +230% |
| First Health | Commercial|All Plans | $82.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $86.90 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $88.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $88.00 | ↑ +267% |
Visitor-reported prices
Comments
Decalcification at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $31.68 | $7.90 – $91.30 |
| St. John's Camarillo Hospital | Camarillo | $56.07 | $10.46 – $99.84 |
| Banner Lassen Medical Center | Susanville | $3.80 | $3.69 – $13.04 |
| Petaluma Valley Hospital | Petaluma | $51.51 | $18.04 – $35.43 |
| Mark Twain Medical Center | San Andreas | $6.66 | $2.25 – $8.67 |
| Mercy Hospitals – Bakersfield | Bakersfield | $20.78 | $3.50 – $24.85 |
| Bakersfield Memorial Hospital | Bakersfield | $20.56 | $3.50 – $24.85 |
| Queen of The Valley Medical Center | Napa | $81.60 | $18.04 – $49.56 |