Emg 2 ext w-w/o paraspinal area 95861 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$104.64
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.
$480.00
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.
$83.94 with Hill Physicians vs $22,221.00 with United — 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 | $83.94 | ↓ -20% |
| United | Medicaid|> 21 | $112.92 | ↑ +8% |
| United | Medicaid|< 21 | $112.92 | ↑ +8% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↑ +53% |
| Western Health Advantage | Commercial|All Plans | $168.00 | ↑ +61% |
| Kaiser | Medicare|All Plans | $169.39 | ↑ +62% |
| Aetna | Medicare|All Plans | $169.39 | ↑ +62% |
| Molina | Medicare|All Plans | $169.39 | ↑ +62% |
| United | Medicare|All Plans | $169.39 | ↑ +62% |
| Humana | Commercial|All Plans | $169.39 | ↑ +62% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↑ +62% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↑ +62% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↑ +67% |
| Molina | Medicaid|All Plans | $184.99 | ↑ +77% |
| Hill Physicians | Medicare|All Plans | $186.27 | ↑ +78% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +78% |
| Kaiser | Medicaid|All Plans | $196.80 | ↑ +88% |
| Hill Physicians | Medicaid|All Plans | $196.91 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +143% |
| BCBS - Anthem | Medicaid|All Plans | $268.17 | ↑ +156% |
| Healthsmart | Commercial|All Plans | $345.60 | ↑ +230% |
| First Health | Commercial|All Plans | $360.00 | ↑ +244% |
| BCBS - Anthem | Commercial|Connection EPO | $376.64 | ↑ +260% |
| Kaiser | Commercial|All Plans | $379.20 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $384.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $384.00 | ↑ +267% |
| California Health & Wellness | Medicaid|All Plans | $415.30 | ↑ +297% |
| Health Net | Medicaid|All Plans | $415.30 | ↑ +297% |
| BCBS - Anthem | Commercial|All Other Plans | $470.60 | ↑ +350% |
| United | Commercial|Non-Options PPO | $480.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $480.00 | ↑ +359% |
| Partnership Health Plan | Medicaid|All Plans | $480.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +2586% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +4853% |
| United | Commercial|HMO | $10,710.00 | ↑ +10135% |
| United | Commercial|All Other Plans | $22,221.00 | ↑ +21136% |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $138.24 | $83.94 – $480.00 |
| St. John's Camarillo Hospital | Camarillo | $410.85 | $111.51 – $322.14 |
| Arroyo Grande Hospital | Santa Maria | $157.94 | $112.92 – $361.62 |
| Mark Twain Medical Center | San Andreas | $173.83 | $67.53 – $255.78 |
| French Hospital | San Luis Obispo | $144.65 | $99.63 – $361.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $114.27 | $112.92 – $308.00 |
| Bakersfield Memorial Hospital | Bakersfield | $470.87 | $112.92 – $308.00 |
| St. Joseph's Medical Center Stockton | Stockton | $209.33 | $112.92 – $583.84 |