Delivery of placenta 59414 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,237.59
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.
$5,677.00
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.
$86.09 with Hill Physicians vs $23,178.00 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 | $86.09 | ↓ -93% |
| Hill Physicians | Medicare|All Plans | $90.92 | ↓ -93% |
| United | Medicaid|< 21 | $127.53 | ↓ -90% |
| United | Medicaid|> 21 | $127.53 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $140.28 | ↓ -89% |
| Molina | Medicaid|All Plans | $167.15 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $242.31 | ↓ -80% |
| Health Net | Medicaid|All Plans | $295.87 | ↓ -76% |
| California Health & Wellness | Medicaid|All Plans | $295.87 | ↓ -76% |
| Partnership Health Plan | Medicaid|All Plans | $548.39 | ↓ -56% |
| Western Health Advantage | Commercial|All Plans | $1,986.95 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $2,327.57 | ↑ +88% |
| Cigna | Commercial|LocalPlus | $3,690.05 | ↑ +198% |
| BCBS - Anthem | Medicare|All Other Plans | $3,940.06 | ↑ +218% |
| Healthsmart | Commercial|All Plans | $4,087.44 | ↑ +230% |
| Blue Shield CA | Medicare|PPO | $4,178.22 | ↑ +238% |
| Humana | Commercial|All Plans | $4,178.22 | ↑ +238% |
| Kaiser | Medicare|All Plans | $4,178.22 | ↑ +238% |
| United | Medicare|All Plans | $4,178.22 | ↑ +238% |
| Blue Shield CA | Medicare|HMO | $4,178.22 | ↑ +238% |
| Aetna | Medicare|All Plans | $4,178.22 | ↑ +238% |
| Molina | Medicare|All Plans | $4,178.22 | ↑ +238% |
| First Health | Commercial|All Plans | $4,257.75 | ↑ +244% |
| BCBS - Anthem | Medicare|Imperial | $4,303.57 | ↑ +248% |
| Kaiser | Commercial|All Plans | $4,484.83 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $4,541.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $4,541.60 | ↑ +267% |
| BrightHealth | Commercial|All Plans | $4,596.04 | ↑ +271% |
| Cigna | Commercial|All Other Plans | $4,938.99 | ↑ +299% |
| Health Net | Commercial|EPPO | $5,418.00 | ↑ +338% |
| United | Commercial|Non-Options PPO | $5,677.00 | ↑ +359% |
| Prison Healthcare | Medicaid|All Plans | $6,267.33 | ↑ +406% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +542% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +702% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +707% |
| United | Commercial|HMO | $11,514.00 | ↑ +830% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +1063% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +1773% |
Visitor-reported prices
Comments
Delivery of placenta 59414 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,634.98 | $86.09 – $4,711.91 |
| St. John's Camarillo Hospital | Camarillo | $1,720.47 | $192.94 – $7,096.88 |
| Banner Lassen Medical Center | Susanville | $2,192.20 | $146.70 – $1,881.80 |
| Petaluma Valley Hospital | Petaluma | $5,724.24 | $2,570.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | $3,393.19 | $127.53 – $7,769.44 |
| French Hospital | San Luis Obispo | $2,623.66 | $127.53 – $6,559.14 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,451.57 | $127.53 – $5,484.64 |
| Bakersfield Memorial Hospital | Bakersfield | $2,619.28 | $127.53 – $5,923.71 |