Echo guide for artery repair at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$449.30
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.
$2,061.00
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.
$184.14 with Hill Physicians vs $2,061.00 with BCBS - Anthem — 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 | $184.14 | ↓ -59% |
| Hill Physicians | Medicare|All Plans | $290.99 | ↓ -35% |
| Aetna | Commercial|PPO | $366.29 | ↓ -18% |
| Aetna | Commercial|HMO | $366.29 | ↓ -18% |
| Aetna | Commercial|All Other Plans | $366.29 | ↓ -18% |
| BCBS - Anthem | Medicare|All Other Plans | $385.89 | ↓ -14% |
| Humana | Commercial|All Plans | $409.21 | ↓ -9% |
| Molina | Medicare|All Plans | $409.21 | ↓ -9% |
| Kaiser | Medicare|All Plans | $409.21 | ↓ -9% |
| United | Medicare|All Plans | $409.21 | ↓ -9% |
| Blue Shield CA | Medicare|HMO | $409.21 | ↓ -9% |
| Aetna | Medicare|All Plans | $409.21 | ↓ -9% |
| Blue Shield CA | Medicare|PPO | $409.21 | ↓ -9% |
| BCBS - Anthem | Medicare|Imperial | $421.49 | ↓ -6% |
| BrightHealth | Commercial|All Plans | $450.13 | ↑ +0% |
| United | Commercial|Non-Options PPO | $595.01 | ↑ +32% |
| United | Commercial|HMO | $595.01 | ↑ +32% |
| United | Commercial|All Other Plans | $595.01 | ↑ +32% |
| Prison Healthcare | Medicaid|All Plans | $613.82 | ↑ +37% |
| Western Health Advantage | Commercial|All Plans | $721.35 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $845.01 | ↑ +88% |
| Cigna | Commercial|LocalPlus | $1,069.36 | ↑ +138% |
| Cigna | Commercial|All Other Plans | $1,425.91 | ↑ +217% |
| BCBS - Anthem | Commercial|Connection EPO | $1,456.57 | ↑ +224% |
| Healthsmart | Commercial|All Plans | $1,483.92 | ↑ +230% |
| First Health | Commercial|All Plans | $1,545.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,628.19 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,648.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,648.80 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $1,819.95 | ↑ +305% |
| BCBS - Anthem | Commercial|MCS | $2,061.00 | ↑ +359% |
Visitor-reported prices
Comments
Echo guide for artery repair at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $593.57 | $184.14 – $1,710.63 |
| Mark Twain Medical Center | San Andreas | $3,168.83 | $365.29 – $1,383.76 |
| French Hospital | San Luis Obispo | $340.65 | $234.63 – $1,462.63 |
| Queen of The Valley Medical Center | Napa | $2,981.46 | $306.58 – $1,060.39 |
| Providence St Joseph Hospital Eureka | Eureka | $2,314.38 | $277.71 – $1,202.49 |
| Redwood Memorial Hospital | Fortuna | $1,128.12 | $1,205.30 – $1,205.30 |
| Santa Rosa Memorial Hospital | Santa Rosa | $698.70 | $300.45 – $902.14 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $614.88 | $236.06 – $513.77 |