Dstrj nulyt agt gnclr nrv at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,426.16
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.
$6,542.00
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.
$150.60 with Hill Physicians vs $11,775.00 with Health Net — 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 | $150.60 | ↓ -89% |
| United | Medicaid|< 21 | $374.91 | ↓ -74% |
| United | Medicaid|> 21 | $374.91 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $412.40 | ↓ -71% |
| Hill Physicians | Medicare|All Plans | $450.24 | ↓ -68% |
| Molina | Medicaid|All Plans | $704.83 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $712.50 | ↓ -50% |
| California Health & Wellness | Medicaid|All Plans | $869.79 | ↓ -39% |
| Health Net | Medicaid|All Plans | $869.79 | ↓ -39% |
| Partnership Health Plan | Medicaid|All Plans | $1,612.11 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $2,289.70 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $2,419.87 | ↑ +70% |
| Humana | Commercial|All Plans | $2,566.14 | ↑ +80% |
| Aetna | Medicare|All Plans | $2,566.14 | ↑ +80% |
| Molina | Medicare|All Plans | $2,566.14 | ↑ +80% |
| United | Medicare|All Plans | $2,566.14 | ↑ +80% |
| Kaiser | Medicare|All Plans | $2,566.14 | ↑ +80% |
| Blue Shield CA | Medicare|HMO | $2,566.14 | ↑ +80% |
| Blue Shield CA | Medicare|PPO | $2,566.14 | ↑ +80% |
| BCBS - Anthem | Medicare|Imperial | $2,643.12 | ↑ +85% |
| Kaiser | Medicaid|All Plans | $2,682.22 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $2,822.75 | ↑ +98% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +155% |
| Prison Healthcare | Medicaid|All Plans | $3,849.21 | ↑ +170% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +218% |
| Healthsmart | Commercial|All Plans | $4,710.24 | ↑ +230% |
| First Health | Commercial|All Plans | $4,906.50 | ↑ +244% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +251% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +251% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +251% |
| Kaiser | Commercial|All Plans | $5,168.18 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $5,233.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $5,233.60 | ↑ +267% |
| Health Net | Commercial|EPPO | $6,384.00 | ↑ +348% |
| United | Commercial|Non-Options PPO | $6,542.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +362% |
| Health Net | Commercial|FFS | $11,775.00 | ↑ +726% |
Visitor-reported prices
Comments
Dstrj nulyt agt gnclr nrv at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,884.10 | $150.60 – $5,429.86 |
| Arroyo Grande Hospital | Santa Maria | $2,012.89 | $374.91 – $4,608.94 |
| Mark Twain Medical Center | San Andreas | $492.84 | $99.60 – $377.30 |
| French Hospital | San Luis Obispo | $1,843.58 | $374.91 – $4,608.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,872.44 | $374.91 – $4,037.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,852.25 | $374.91 – $3,987.13 |
| Providence St Joseph Hospital Eureka | Eureka | $8,592.48 | $1,333.00 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $544.17 | $721.00 – $3,982.87 |