Endoluminal bx urtr rnl plvs at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,092.59
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.
$9,599.00
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.
$133.69 with Hill Physicians vs $9,599.00 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 | $133.69 | ↓ -94% |
| United | Medicaid|> 21 | $480.64 | ↓ -77% |
| United | Medicaid|< 21 | $480.64 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $528.70 | ↓ -75% |
| Hill Physicians | Medicare|All Plans | $646.57 | ↓ -69% |
| Molina | Medicaid|All Plans | $903.60 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $913.22 | ↓ -56% |
| California Health & Wellness | Medicaid|All Plans | $1,115.08 | ↓ -47% |
| Health Net | Medicaid|All Plans | $1,115.08 | ↓ -47% |
| Partnership Health Plan | Medicaid|All Plans | $2,066.75 | ↓ -1% |
| Western Health Advantage | Commercial|All Plans | $3,359.65 | ↑ +61% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +74% |
| Kaiser | Medicaid|All Plans | $3,935.59 | ↑ +88% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +117% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +139% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +139% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +139% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +215% |
| Healthsmart | Commercial|All Plans | $6,911.28 | ↑ +230% |
| First Health | Commercial|All Plans | $7,199.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $7,583.21 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $7,679.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $7,679.20 | ↑ +267% |
| United | Commercial|Non-Options PPO | $9,599.00 | ↑ +359% |
Visitor-reported prices
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Endoluminal bx urtr rnl plvs at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,764.52 | $133.69 – $7,967.17 |
| St. John's Camarillo Hospital | Camarillo | $291.71 | $179.82 – $836.31 |
| Northridge Hospital Medical Center | Northridge | $3,231.94 | $480.64 – $11,584.00 |
| California Hospital Medical Center | Los Angeles | $2,780.02 | $432.58 – $4,528.28 |
| Mercy San Juan Medical Center | Carmichael | $2,630.13 | $133.69 – $7,967.17 |
| Mercy Hospital of Folsom | Folsom | $3,734.02 | $133.69 – $7,871.18 |
| Woodland Memorial Hospital | Woodland | $2,630.13 | $480.64 – $9,599.00 |
| Petaluma Valley Hospital | Petaluma | not published | $1,687.00 – $10,997.00 |