ER Visit (level 1, minor) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$121.21
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.
$556.00
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.
$11.15 with Hill Physicians vs $7,150.00 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 | $11.15 | ↓ -91% |
| United | Medicaid|< 21 | $21.77 | ↓ -82% |
| United | Medicaid|> 21 | $21.77 | ↓ -82% |
| Hill Physicians | Medicare|All Plans | $22.53 | ↓ -81% |
| Hill Physicians | Medicaid|All Plans | $23.95 | ↓ -80% |
| Molina | Medicaid|All Plans | $28.54 | ↓ -76% |
| BCBS - Anthem | Medicaid|All Plans | $41.36 | ↓ -66% |
| Health Net | Medicaid|All Plans | $50.51 | ↓ -58% |
| California Health & Wellness | Medicaid|All Plans | $50.51 | ↓ -58% |
| Partnership Health Plan | Medicaid|All Plans | $93.63 | ↓ -23% |
| BCBS - Anthem | Medicare|All Other Plans | $109.11 | ↓ -10% |
| Kaiser | Medicare|All Plans | $115.71 | ↓ -5% |
| Humana | Commercial|All Plans | $115.71 | ↓ -5% |
| Aetna | Medicare|All Plans | $115.71 | ↓ -5% |
| Molina | Medicare|All Plans | $115.71 | ↓ -5% |
| United | Medicare|All Plans | $115.71 | ↓ -5% |
| Blue Shield CA | Medicare|PPO | $115.71 | ↓ -5% |
| Blue Shield CA | Medicare|HMO | $115.71 | ↓ -5% |
| BCBS - Anthem | Medicare|Imperial | $119.18 | ↓ -2% |
| BrightHealth | Commercial|All Plans | $127.28 | ↑ +5% |
| Prison Healthcare | Medicaid|All Plans | $173.56 | ↑ +43% |
| Western Health Advantage | Commercial|All Plans | $194.60 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $227.96 | ↑ +88% |
| Cigna | Commercial|LocalPlus | $366.96 | ↑ +203% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $372.52 | ↑ +207% |
| Healthsmart | Commercial|All Plans | $400.32 | ↑ +230% |
| First Health | Commercial|All Plans | $417.00 | ↑ +244% |
| Blue Shield CA | Commercial|Exchange | $422.56 | ↑ +249% |
| Kaiser | Commercial|All Plans | $439.24 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $444.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $444.80 | ↑ +267% |
| Aetna | Commercial|HMO | $478.16 | ↑ +294% |
| Aetna | Commercial|All Other Plans | $478.16 | ↑ +294% |
| Aetna | Commercial|PPO | $478.16 | ↑ +294% |
| Cigna | Commercial|All Other Plans | $489.28 | ↑ +304% |
| Blue Shield CA | Commercial|HMO | $500.40 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $500.40 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $505.96 | ↑ +317% |
| Health Net | Commercial|EPPO | $1,060.00 | ↑ +775% |
| BCBS - Anthem | Commercial|Connection EPO | $1,570.00 | ↑ +1195% |
| Health Net | Commercial|FFS | $1,953.00 | ↑ +1511% |
| BCBS - Anthem | Commercial|All Other Plans | $1,962.00 | ↑ +1519% |
| United | Commercial|HMO | $2,842.00 | ↑ +2245% |
| BCBS - Anthem | Commercial|MCS | $2,845.00 | ↑ +2247% |
| United | Commercial|Non-Options PPO | $5,916.00 | ↑ +4781% |
| United | Commercial|All Other Plans | $7,150.00 | ↑ +5799% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $160.13 | $11.15 – $461.48 |
| St. John's Camarillo Hospital | Camarillo | $370.99 | $27.95 – $694.54 |
| Banner Lassen Medical Center | Susanville | $311.68 | $17.06 – $331.74 |
| Petaluma Valley Hospital | Petaluma | $587.01 | $113.64 – $115.95 |
| Arroyo Grande Hospital | Santa Maria | $350.54 | $21.77 – $743.82 |
| Mark Twain Medical Center | San Andreas | $262.41 | $16.04 – $60.76 |
| French Hospital | San Luis Obispo | $335.56 | $21.77 – $838.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $176.60 | $21.77 – $334.56 |