Diab manage trn ind/group at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$35.54
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.
$163.00
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.
$12.26 with United 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $12.26 | ↓ -66% |
| United | Medicaid|< 21 | $12.26 | ↓ -66% |
| Hill Physicians | Medicaid|All Plans | $13.49 | ↓ -62% |
| BCBS - Anthem | Medicare|All Other Plans | $15.47 | ↓ -56% |
| Molina | Medicare|All Plans | $16.40 | ↓ -54% |
| United | Medicare|All Plans | $16.40 | ↓ -54% |
| Hill Physicians | Commercial|All Plans | $16.40 | ↓ -54% |
| Blue Shield CA | Medicare|PPO | $16.40 | ↓ -54% |
| Humana | Commercial|All Plans | $16.40 | ↓ -54% |
| Aetna | Medicare|All Plans | $16.40 | ↓ -54% |
| Hill Physicians | Medicare|All Plans | $16.40 | ↓ -54% |
| Kaiser | Medicare|All Plans | $16.40 | ↓ -54% |
| Blue Shield CA | Medicare|HMO | $16.40 | ↓ -54% |
| BCBS - Anthem | Medicare|Imperial | $16.89 | ↓ -52% |
| BrightHealth | Commercial|All Plans | $18.04 | ↓ -49% |
| Molina | Medicaid|All Plans | $23.05 | ↓ -35% |
| BCBS - Anthem | Medicaid|All Plans | $23.29 | ↓ -34% |
| Prison Healthcare | Medicaid|All Plans | $24.60 | ↓ -31% |
| Health Net | Medicaid|All Plans | $28.44 | ↓ -20% |
| California Health & Wellness | Medicaid|All Plans | $28.44 | ↓ -20% |
| Partnership Health Plan | Medicaid|All Plans | $52.72 | ↑ +48% |
| Western Health Advantage | Commercial|All Plans | $57.05 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $66.83 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $117.36 | ↑ +230% |
| First Health | Commercial|All Plans | $122.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $128.77 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $130.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $130.40 | ↑ +267% |
| United | Commercial|Non-Options PPO | $163.00 | ↑ +359% |
| United | Commercial|HMO | $11,514.00 | ↑ +32297% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +65117% |
Visitor-reported prices
Comments
Diab manage trn ind/group at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $46.95 | $12.26 – $135.29 |
| Bakersfield Memorial Hospital | Bakersfield | $22.02 | $12.26 – $47.40 |
| Queen of The Valley Medical Center | Napa | $35.19 | $17.30 – $17.30 |
| St. Joseph's Medical Center Stockton | Stockton | $18.53 | $12.26 – $51.66 |
| Dominican Hospital | Santa Cruz | $40.05 | $12.26 – $75.65 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $59.15 | not published |
| St. Mary Medical Center | Long Beach | $44.29 | $11.03 – $103.00 |
| Providence Saint Joseph Medical Center | Burbank | $134.40 | $17.48 – $32.34 |