Duplex scan bilateral study 93985 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$594.93
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.
$2,729.00
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.
$232.93 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $232.93 | ↓ -61% |
| United | Medicaid|> 21 | $247.34 | ↓ -58% |
| United | Medicaid|< 21 | $247.34 | ↓ -58% |
| Hill Physicians | Medicaid|All Plans | $272.07 | ↓ -54% |
| Hill Physicians | Medicare|All Plans | $291.45 | ↓ -51% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -50% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↓ -47% |
| Humana | Commercial|All Plans | $317.64 | ↓ -47% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -47% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -47% |
| Molina | Medicare|All Plans | $317.64 | ↓ -47% |
| United | Medicare|All Plans | $317.64 | ↓ -47% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↓ -47% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -45% |
| BrightHealth | Commercial|All Plans | $349.40 | ↓ -41% |
| Molina | Medicaid|All Plans | $465.00 | ↓ -22% |
| BCBS - Anthem | Medicaid|All Plans | $469.95 | ↓ -21% |
| Prison Healthcare | Medicaid|All Plans | $476.46 | ↓ -20% |
| Health Net | Medicaid|All Plans | $573.83 | ↓ -4% |
| California Health & Wellness | Medicaid|All Plans | $573.83 | ↓ -4% |
| Cigna | Commercial|LocalPlus | $929.74 | ↑ +56% |
| Western Health Advantage | Commercial|All Plans | $955.15 | ↑ +61% |
| Partnership Health Plan | Medicaid|All Plans | $1,063.56 | ↑ +79% |
| Kaiser | Medicaid|All Plans | $1,118.89 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $1,239.74 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $1,964.88 | ↑ +230% |
| First Health | Commercial|All Plans | $2,046.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $2,155.91 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $2,183.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $2,183.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,183.20 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $2,729.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $2,729.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $2,729.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +372% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +771% |
| United | Commercial|HMO | $10,710.00 | ↑ +1700% |
| United | Commercial|All Other Plans | $22,221.00 | ↑ +3635% |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $785.96 | $232.93 – $2,265.07 |
| St. John's Camarillo Hospital | Camarillo | $255.36 | $157.41 – $1,113.94 |
| French Hospital | San Luis Obispo | $251.67 | $173.34 – $1,271.67 |
| Mercy Hospitals – Bakersfield | Bakersfield | $175.12 | $236.00 – $1,206.45 |
| Bakersfield Memorial Hospital | Bakersfield | $173.23 | $236.00 – $1,206.45 |
| St. Joseph's Medical Center Stockton | Stockton | $167.58 | $59.85 – $285.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $342.21 | $332.01 – $1,467.07 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $475.36 | $146.64 – $611.00 |