Endo abl/incom vein/ext/rad fre/#1 36475 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,554.56
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.
$7,131.00
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.
$262.04 with Hill Physicians vs $17,715.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $262.04 | ↓ -83% |
| Hill Physicians | Medicare|All Plans | $1,395.20 | ↓ -10% |
| United | Medicaid|< 21 | $2,282.45 | ↑ +47% |
| United | Medicaid|> 21 | $2,282.45 | ↑ +47% |
| Western Health Advantage | Commercial|All Plans | $2,399.95 | ↑ +54% |
| Hill Physicians | Medicaid|All Plans | $2,759.39 | ↑ +78% |
| Kaiser | Medicaid|All Plans | $2,811.37 | ↑ +81% |
| Molina | Medicaid|All Plans | $3,739.70 | ↑ +141% |
| BCBS - Anthem | Medicaid|All Plans | $3,779.16 | ↑ +143% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +151% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +166% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +166% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +166% |
| United | Medicare|All Plans | $4,136.13 | ↑ +166% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +166% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +166% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +166% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +174% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +193% |
| Healthsmart | Commercial|All Plans | $4,937.04 | ↑ +218% |
| First Health | Commercial|All Plans | $5,142.75 | ↑ +231% |
| Kaiser | Commercial|All Plans | $5,417.03 | ↑ +248% |
| Sutter Health | Commercial|All Plans | $5,485.60 | ↑ +253% |
| MultiPlan | Commercial|All Plans | $5,485.60 | ↑ +253% |
| Health Net | Medicaid|All Plans | $5,819.81 | ↑ +274% |
| California Health & Wellness | Medicaid|All Plans | $5,819.81 | ↑ +274% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +299% |
| United | Commercial|Non-Options PPO | $6,857.00 | ↑ +341% |
| Partnership Health Plan | Medicaid|All Plans | $6,857.00 | ↑ +341% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +415% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +415% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +415% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +529% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +543% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +686% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +1040% |
Visitor-reported prices
Comments
Endo abl/incom vein/ext/rad fre/#1 36475 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,053.73 | $262.04 – $6,857.00 |
| Arroyo Grande Hospital | Santa Maria | $3,298.17 | $2,282.45 – $7,551.88 |
| French Hospital | San Luis Obispo | $3,020.76 | $2,080.62 – $7,551.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,068.17 | $2,282.45 – $6,164.80 |
| Bakersfield Memorial Hospital | Bakersfield | $3,035.09 | $2,282.45 – $6,087.74 |
| St. Joseph's Medical Center Stockton | Stockton | $5,646.57 | $0.80 – $6,196.09 |
| Mercy Medical Center Merced | Merced | $4,015.46 | $2,282.45 – $7,719.03 |
| Mercy San Juan Medical Center | Carmichael | $1,953.90 | $262.04 – $6,857.00 |