Electrophysiology evaluation at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,068.42
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.
$4,901.00
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.
$623.17 with United vs $24,641.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $623.17 | ↓ -42% |
| United | Medicaid|< 21 | $623.17 | ↓ -42% |
| Molina | Medicaid|All Plans | $1,020.95 | ↓ -4% |
| Hill Physicians | Medicaid|All Plans | $1,086.76 | ↑ +2% |
| BCBS - Anthem | Medicaid|All Plans | $1,480.04 | ↑ +39% |
| Western Health Advantage | Commercial|All Plans | $1,715.35 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $2,009.41 | ↑ +88% |
| Health Net | Medicaid|All Plans | $2,292.07 | ↑ +115% |
| California Health & Wellness | Medicaid|All Plans | $2,292.07 | ↑ +115% |
| Partnership Health Plan | Medicaid|All Plans | $3,349.55 | ↑ +214% |
| Healthsmart | Commercial|All Plans | $3,528.72 | ↑ +230% |
| First Health | Commercial|All Plans | $3,675.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,871.79 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $3,920.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $3,920.80 | ↑ +267% |
| United | Commercial|Non-Options PPO | $4,901.00 | ↑ +359% |
| United | Commercial|HMO | $11,514.00 | ↑ +978% |
| BCBS - Anthem | Commercial|Connection EPO | $13,595.00 | ↑ +1172% |
| BCBS - Anthem | Commercial|All Other Plans | $16,994.00 | ↑ +1491% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +1494% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +1494% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +1494% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +2069% |
| BCBS - Anthem | Commercial|MCS | $24,641.00 | ↑ +2206% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,411.49 | $623.17 – $4,067.83 |
| St. John's Camarillo Hospital | Camarillo | $1,109.90 | $684.18 – $1,976.52 |
| Arroyo Grande Hospital | Santa Maria | $1,456.92 | $623.17 – $3,335.92 |
| French Hospital | San Luis Obispo | $1,361.42 | $623.17 – $3,403.54 |
| Bakersfield Memorial Hospital | Bakersfield | $1,742.15 | $623.17 – $4,747.00 |
| Queen of The Valley Medical Center | Napa | $9,251.91 | $2,747.00 – $19,158.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,813.67 | $2,699.00 – $53,297.00 |
| Redwood Memorial Hospital | Fortuna | $2,385.27 | $11,059.00 – $51,997.00 |