Electron microscopy diagnostic at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$173.49
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.
?
What you pay up front if you don't use insurance.
$795.79
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.
?
The hospital's undiscounted list price — almost no one pays this.
$109.04 with Western Health Advantage vs $1,610.23 with Prison Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $109.04 | ↓ -37% |
| Kaiser | Medicaid|All Plans | $127.73 | ↓ -26% |
| Healthsmart | Commercial|All Plans | $224.30 | ↑ +29% |
| First Health | Commercial|All Plans | $233.64 | ↑ +35% |
| Partnership Health Plan | Medicaid|All Plans | $237.71 | ↑ +37% |
| Kaiser | Commercial|All Plans | $246.11 | ↑ +42% |
| Sutter Health | Commercial|All Plans | $249.22 | ↑ +44% |
| BCBS - Anthem | Commercial|Connection EPO | $249.22 | ↑ +44% |
| MultiPlan | Commercial|All Plans | $249.22 | ↑ +44% |
| BCBS - Anthem | Medicare|All Other Plans | $293.77 | ↑ +69% |
| United | Commercial|All Other Plans | $311.52 | ↑ +80% |
| United | Commercial|HMO | $311.52 | ↑ +80% |
| United | Commercial|Non-Options PPO | $311.52 | ↑ +80% |
| United | Medicaid|< 21 | $311.52 | ↑ +80% |
| United | Medicaid|> 21 | $311.52 | ↑ +80% |
| Health Net | Medicaid|All Plans | $311.52 | ↑ +80% |
| Humana | Commercial|All Plans | $311.52 | ↑ +80% |
| Aetna | Commercial|PPO | $311.52 | ↑ +80% |
| Aetna | Commercial|HMO | $311.52 | ↑ +80% |
| BCBS - Anthem | Medicaid|All Plans | $311.52 | ↑ +80% |
| BCBS - Anthem | Commercial|All Other Plans | $311.52 | ↑ +80% |
| Aetna | Medicare|All Plans | $311.52 | ↑ +80% |
| Molina | Medicaid|All Plans | $311.52 | ↑ +80% |
| Molina | Medicare|All Plans | $311.52 | ↑ +80% |
| BCBS - Anthem | Commercial|MCS | $311.52 | ↑ +80% |
| Blue Shield CA | Medicare|PPO | $311.52 | ↑ +80% |
| Aetna | Commercial|All Other Plans | $311.52 | ↑ +80% |
| California Health & Wellness | Medicaid|All Plans | $311.52 | ↑ +80% |
| Hill Physicians | Commercial|All Plans | $311.52 | ↑ +80% |
| Hill Physicians | Medicaid|All Plans | $311.52 | ↑ +80% |
| Hill Physicians | Medicare|All Plans | $311.52 | ↑ +80% |
| BCBS - Anthem | Medicare|Imperial | $320.87 | ↑ +85% |
| BrightHealth | Commercial|All Plans | $342.68 | ↑ +98% |
| Cigna | Commercial|LocalPlus | $854.51 | ↑ +393% |
| United | Medicare|All Plans | $1,073.49 | ↑ +519% |
| Kaiser | Medicare|All Plans | $1,073.49 | ↑ +519% |
| Blue Shield CA | Medicare|HMO | $1,073.49 | ↑ +519% |
| Cigna | Commercial|All Other Plans | $1,139.43 | ↑ +557% |
| Prison Healthcare | Medicaid|All Plans | $1,610.23 | ↑ +828% |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $229.19 | $109.04 – $854.51 |
| St. John's Camarillo Hospital | Camarillo | $83.66 | $51.57 – $1,023.81 |
| Banner Lassen Medical Center | Susanville | $295.40 | $163.38 – $679.00 |
| Petaluma Valley Hospital | Petaluma | $1,200.54 | $271.27 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $629.34 | $21.00 – $994.21 |
| Mark Twain Medical Center | San Andreas | $458.21 | $177.99 – $674.24 |
| French Hospital | San Luis Obispo | $576.40 | $11.34 – $1,168.77 |
| Mercy Hospitals – Bakersfield | Bakersfield | $204.05 | $260.50 – $1,108.83 |