Dilat xst trc ndurlgc px at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,965.49
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.
$9,016.00
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.
$131.42 with United vs $9,016.00 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 | $131.42 | ↓ -93% |
| United | Medicaid|> 21 | $131.42 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $144.56 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $151.33 | ↓ -92% |
| Hill Physicians | Medicare|All Plans | $155.44 | ↓ -92% |
| Molina | Medicaid|All Plans | $247.07 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $304.89 | ↓ -84% |
| Health Net | Medicaid|All Plans | $304.89 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $456.61 | ↓ -77% |
| Partnership Health Plan | Medicaid|All Plans | $565.11 | ↓ -71% |
| Western Health Advantage | Commercial|All Plans | $3,155.60 | ↑ +61% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +85% |
| Kaiser | Medicaid|All Plans | $3,696.56 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $4,273.95 | ↑ +117% |
| United | Medicare|All Plans | $4,532.29 | ↑ +131% |
| Blue Shield CA | Medicare|PPO | $4,532.29 | ↑ +131% |
| Blue Shield CA | Medicare|HMO | $4,532.29 | ↑ +131% |
| Molina | Medicare|All Plans | $4,532.29 | ↑ +131% |
| Humana | Commercial|All Plans | $4,532.29 | ↑ +131% |
| Kaiser | Medicare|All Plans | $4,532.29 | ↑ +131% |
| Aetna | Medicare|All Plans | $4,532.29 | ↑ +131% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +131% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +134% |
| BCBS - Anthem | Medicare|Imperial | $4,668.26 | ↑ +138% |
| BrightHealth | Commercial|All Plans | $4,985.52 | ↑ +154% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +154% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +154% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +154% |
| Healthsmart | Commercial|All Plans | $6,491.52 | ↑ +230% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +235% |
| First Health | Commercial|All Plans | $6,762.00 | ↑ +244% |
| Prison Healthcare | Medicaid|All Plans | $6,798.44 | ↑ +246% |
| Kaiser | Commercial|All Plans | $7,122.64 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $7,212.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $7,212.80 | ↑ +267% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +331% |
| United | Commercial|Non-Options PPO | $9,016.00 | ↑ +359% |
Visitor-reported prices
Comments
Dilat xst trc ndurlgc px at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,596.61 | $131.42 – $7,483.28 |
| St. John's Camarillo Hospital | Camarillo | $2,912.70 | $198.83 – $8,044.86 |
| Arroyo Grande Hospital | Santa Maria | $3,333.70 | $131.42 – $7,633.22 |
| French Hospital | San Luis Obispo | $3,053.29 | $131.42 – $7,633.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,674.17 | $131.42 – $5,766.40 |
| Bakersfield Memorial Hospital | Bakersfield | $2,645.34 | $131.42 – $5,694.32 |
| St. Joseph's Medical Center Stockton | Stockton | $787.04 | $131.42 – $2,677.00 |
| Mercy Medical Center Merced | Merced | $1,490.93 | $131.42 – $2,895.00 |