Electrophysiology evaluation at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,475.95
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.
$25,119.00
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.
$802.51 with United vs $49,274.00 with Blue Shield CA — 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 | $802.51 | ↓ -85% |
| United | Medicaid|< 21 | $802.51 | ↓ -85% |
| Molina | Medicaid|All Plans | $1,314.76 | ↓ -76% |
| Hill Physicians | Medicaid|All Plans | $1,399.49 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $1,905.95 | ↓ -65% |
| California Health & Wellness | Medicaid|All Plans | $2,951.64 | ↓ -46% |
| Health Net | Medicaid|All Plans | $2,951.64 | ↓ -46% |
| Partnership Health Plan | Medicaid|All Plans | $4,313.47 | ↓ -21% |
| Health Net | Commercial|EPPO | $7,523.00 | ↑ +37% |
| Western Health Advantage | Commercial|All Plans | $8,791.65 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $9,403.14 | ↑ +72% |
| Humana | Commercial|All Plans | $9,971.52 | ↑ +82% |
| Aetna | Medicare|All Plans | $9,971.52 | ↑ +82% |
| Molina | Medicare|All Plans | $9,971.52 | ↑ +82% |
| United | Medicare|All Plans | $9,971.52 | ↑ +82% |
| Kaiser | Medicare|All Plans | $9,971.52 | ↑ +82% |
| Blue Shield CA | Medicare|HMO | $9,971.52 | ↑ +82% |
| Blue Shield CA | Medicare|PPO | $9,971.52 | ↑ +82% |
| BCBS - Anthem | Medicare|Imperial | $10,270.67 | ↑ +88% |
| Kaiser | Medicaid|All Plans | $10,298.79 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $10,968.67 | ↑ +100% |
| United | Commercial|HMO | $11,514.00 | ↑ +110% |
| BCBS - Anthem | Commercial|Connection EPO | $13,595.00 | ↑ +148% |
| Health Net | Commercial|FFS | $13,873.00 | ↑ +153% |
| Prison Healthcare | Medicaid|All Plans | $14,957.28 | ↑ +173% |
| Cigna | Commercial|LocalPlus | $16,327.35 | ↑ +198% |
| BCBS - Anthem | Commercial|All Other Plans | $16,994.00 | ↑ +210% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +211% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +211% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +211% |
| Healthsmart | Commercial|All Plans | $18,085.68 | ↑ +230% |
| First Health | Commercial|All Plans | $18,839.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $19,844.01 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $20,095.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $20,095.20 | ↑ +267% |
| Cigna | Commercial|All Other Plans | $21,602.34 | ↑ +294% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +323% |
| BCBS - Anthem | Commercial|MCS | $24,641.00 | ↑ +350% |
| United | Commercial|Non-Options PPO | $25,119.00 | ↑ +359% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $31,410.00 | ↑ +474% |
| Blue Shield CA | Commercial|Exchange | $32,157.00 | ↑ +487% |
| Blue Shield CA | Commercial|HMO | $45,268.00 | ↑ +727% |
| Blue Shield CA | Commercial|CalPers | $49,024.00 | ↑ +795% |
| Blue Shield CA | Commercial|All Other Plans | $49,274.00 | ↑ +800% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,234.28 | $802.51 – $20,848.77 |
| St. John's Camarillo Hospital | Camarillo | $10,427.91 | $987.09 – $23,808.00 |
| Arroyo Grande Hospital | Santa Maria | $11,309.90 | $802.51 – $26,425.00 |
| French Hospital | San Luis Obispo | $10,057.16 | $802.51 – $25,142.88 |
| Bakersfield Memorial Hospital | Bakersfield | $6,508.75 | $802.51 – $17,202.95 |
| Queen of The Valley Medical Center | Napa | $11,852.91 | $9,256.00 – $35,965.00 |
| St. Joseph's Medical Center Stockton | Stockton | $7,107.45 | $802.51 – $19,823.50 |
| Santa Rosa Memorial Hospital | Santa Rosa | $21,239.46 | $9,773.00 – $15,575.00 |