Doppler upper/lower extremity arteries limited bilateral at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$250.70
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.
$1,150.00
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.
$59.79 with United vs $22,221.00 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 | $59.79 | ↓ -76% |
| United | Medicaid|> 21 | $59.79 | ↓ -76% |
| Hill Physicians | Commercial|All Plans | $78.14 | ↓ -69% |
| Hill Physicians | Medicare|All Plans | $92.91 | ↓ -63% |
| Molina | Medicaid|All Plans | $97.95 | ↓ -61% |
| Hill Physicians | Medicaid|All Plans | $104.27 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $141.99 | ↓ -43% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↓ -36% |
| Humana | Commercial|All Plans | $169.39 | ↓ -32% |
| Aetna | Medicare|All Plans | $169.39 | ↓ -32% |
| Molina | Medicare|All Plans | $169.39 | ↓ -32% |
| United | Medicare|All Plans | $169.39 | ↓ -32% |
| Kaiser | Medicare|All Plans | $169.39 | ↓ -32% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↓ -32% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↓ -32% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↓ -30% |
| BrightHealth | Commercial|All Plans | $186.33 | ↓ -26% |
| California Health & Wellness | Medicaid|All Plans | $219.91 | ↓ -12% |
| Health Net | Medicaid|All Plans | $219.91 | ↓ -12% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +1% |
| Western Health Advantage | Commercial|All Plans | $285.60 | ↑ +14% |
| Partnership Health Plan | Medicaid|All Plans | $321.35 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $334.56 | ↑ +33% |
| Cigna | Commercial|LocalPlus | $455.62 | ↑ +82% |
| Healthsmart | Commercial|All Plans | $587.52 | ↑ +134% |
| BCBS - Anthem | Commercial|Connection EPO | $597.01 | ↑ +138% |
| Cigna | Commercial|All Other Plans | $607.54 | ↑ +142% |
| First Health | Commercial|All Plans | $612.00 | ↑ +144% |
| Kaiser | Commercial|All Plans | $644.64 | ↑ +157% |
| Sutter Health | Commercial|All Plans | $652.80 | ↑ +160% |
| MultiPlan | Commercial|All Plans | $652.80 | ↑ +160% |
| BCBS - Anthem | Commercial|All Other Plans | $745.95 | ↑ +198% |
| BCBS - Anthem | Commercial|MCS | $816.00 | ↑ +225% |
| United | Commercial|Non-Options PPO | $816.00 | ↑ +225% |
| United | Commercial|HMO | $10,710.00 | ↑ +4172% |
| United | Commercial|All Other Plans | $22,221.00 | ↑ +8764% |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries limited bilateral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $331.20 | $59.79 – $677.28 |
| St. John's Camarillo Hospital | Camarillo | $368.80 | $73.54 – $585.60 |
| Banner Lassen Medical Center | Susanville | $244.22 | $25.78 – $307.49 |
| Arroyo Grande Hospital | Santa Maria | $566.25 | $59.79 – $1,168.16 |
| Mark Twain Medical Center | San Andreas | $1,698.30 | $59.79 – $782.04 |
| French Hospital | San Luis Obispo | $467.27 | $59.79 – $623.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $214.81 | $59.79 – $591.22 |
| Bakersfield Memorial Hospital | Bakersfield | $212.50 | $59.79 – $591.22 |