Embo or occlude vascular tumor/organ/infarct s&i at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$3,411.27
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.
$15,648.00
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.
$510.05 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 | $510.05 | ↓ -85% |
| United | Medicaid|> 21 | $510.05 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $543.00 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $561.05 | ↓ -84% |
| Molina | Medicaid|All Plans | $958.89 | ↓ -72% |
| Health Net | Medicaid|All Plans | $1,183.32 | ↓ -65% |
| California Health & Wellness | Medicaid|All Plans | $1,183.32 | ↓ -65% |
| BCBS - Anthem | Medicaid|All Plans | $2,018.12 | ↓ -41% |
| Partnership Health Plan | Medicaid|All Plans | $2,193.22 | ↓ -36% |
| Western Health Advantage | Commercial|All Plans | $5,476.80 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $6,415.68 | ↑ +88% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +135% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +135% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +135% |
| Health Net | Commercial|EPPO | $10,446.00 | ↑ +206% |
| Hill Physicians | Medicare|All Plans | $10,683.00 | ↑ +213% |
| Healthsmart | Commercial|All Plans | $11,266.56 | ↑ +230% |
| First Health | Commercial|All Plans | $11,736.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $12,361.92 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $12,518.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $12,518.40 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $13,595.00 | ↑ +299% |
| BCBS - Anthem | Medicare|All Other Plans | $14,053.19 | ↑ +312% |
| United | Medicare|All Plans | $14,902.64 | ↑ +337% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +337% |
| Blue Shield CA | Medicare|PPO | $14,902.64 | ↑ +337% |
| Aetna | Medicare|All Plans | $14,902.64 | ↑ +337% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +337% |
| Humana | Commercial|All Plans | $14,902.64 | ↑ +337% |
| Molina | Medicare|All Plans | $14,902.64 | ↑ +337% |
| BCBS - Anthem | Medicare|Imperial | $15,349.72 | ↑ +350% |
| United | Commercial|Non-Options PPO | $15,648.00 | ↑ +359% |
| BrightHealth | Commercial|All Plans | $16,392.90 | ↑ +381% |
| BCBS - Anthem | Commercial|All Other Plans | $16,994.00 | ↑ +398% |
| Health Net | Commercial|FFS | $19,264.00 | ↑ +465% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +555% |
| BCBS - Anthem | Commercial|MCS | $24,641.00 | ↑ +622% |
Visitor-reported prices
Comments
Embo or occlude vascular tumor/organ/infarct s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $4,506.63 | $510.05 – $14,902.64 |
| St. John's Camarillo Hospital | Camarillo | $7,078.52 | $771.65 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $18,047.48 | $510.05 – $41,323.66 |
| French Hospital | San Luis Obispo | $17,025.35 | $510.05 – $41,323.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13,040.65 | $510.05 – $28,120.00 |
| Bakersfield Memorial Hospital | Bakersfield | $12,900.05 | $510.05 – $27,768.50 |
| St. Joseph's Medical Center Stockton | Stockton | $16,805.63 | $510.05 – $26,889.24 |
| Santa Rosa Memorial Hospital | Santa Rosa | $14,433.51 | $691.00 – $20,488.00 |