Dialysis one evaluation at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$532.14
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.
$2,441.00
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.
$82.81 with United vs $2,221.00 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 | $82.81 | ↓ -84% |
| United | Medicaid|< 21 | $82.81 | ↓ -84% |
| Hill Physicians | Commercial|All Plans | $88.01 | ↓ -83% |
| Hill Physicians | Medicare|All Plans | $89.73 | ↓ -83% |
| Molina | Medicaid|All Plans | $135.66 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $144.41 | ↓ -73% |
| BCBS - Anthem | Medicaid|All Plans | $196.67 | ↓ -63% |
| Health Net | Medicaid|All Plans | $304.57 | ↓ -43% |
| California Health & Wellness | Medicaid|All Plans | $304.57 | ↓ -43% |
| Partnership Health Plan | Medicaid|All Plans | $445.08 | ↓ -16% |
| BCBS - Anthem | Medicare|All Other Plans | $527.67 | ↓ -1% |
| Humana | Commercial|All Plans | $559.57 | ↑ +5% |
| Aetna | Medicare|All Plans | $559.57 | ↑ +5% |
| Molina | Medicare|All Plans | $559.57 | ↑ +5% |
| United | Medicare|All Plans | $559.57 | ↑ +5% |
| Kaiser | Medicare|All Plans | $559.57 | ↑ +5% |
| Blue Shield CA | Medicare|HMO | $559.57 | ↑ +5% |
| Blue Shield CA | Medicare|PPO | $559.57 | ↑ +5% |
| BCBS - Anthem | Medicare|Imperial | $576.36 | ↑ +8% |
| BrightHealth | Commercial|All Plans | $615.53 | ↑ +16% |
| Western Health Advantage | Commercial|All Plans | $777.35 | ↑ +46% |
| Prison Healthcare | Medicaid|All Plans | $839.36 | ↑ +58% |
| Kaiser | Medicaid|All Plans | $910.61 | ↑ +71% |
| Healthsmart | Commercial|All Plans | $1,599.12 | ↑ +201% |
| First Health | Commercial|All Plans | $1,665.75 | ↑ +213% |
| Kaiser | Commercial|All Plans | $1,754.59 | ↑ +230% |
| MultiPlan | Commercial|All Plans | $1,776.80 | ↑ +234% |
| Sutter Health | Commercial|All Plans | $1,776.80 | ↑ +234% |
| United | Commercial|Non-Options PPO | $2,221.00 | ↑ +317% |
Visitor-reported prices
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Dialysis one evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $703.01 | $82.81 – $1,843.43 |
| St. John's Camarillo Hospital | Camarillo | $1,327.58 | $101.86 – $957.84 |
| Petaluma Valley Hospital | Petaluma | $1,165.35 | $562.31 – $573.78 |
| Arroyo Grande Hospital | Santa Maria | $1,432.09 | $82.81 – $3,279.08 |
| French Hospital | San Luis Obispo | $1,311.64 | $82.81 – $2,950.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,128.06 | $82.81 – $723.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,441.95 | $82.81 – $714.16 |
| Queen of The Valley Medical Center | Napa | $1,532.55 | $592.45 – $592.45 |