ER Visit (level 2) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$296.48
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.
$1,360.00
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.
$34.97 with United 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $34.97 | ↓ -88% |
| United | Medicaid|> 21 | $34.97 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $38.47 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $41.14 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $43.61 | ↓ -85% |
| Molina | Medicaid|All Plans | $45.83 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $66.44 | ↓ -78% |
| Health Net | Medicaid|All Plans | $81.13 | ↓ -73% |
| California Health & Wellness | Medicaid|All Plans | $81.13 | ↓ -73% |
| Partnership Health Plan | Medicaid|All Plans | $150.37 | ↓ -49% |
| BCBS - Anthem | Medicare|All Other Plans | $196.24 | ↓ -34% |
| Kaiser | Medicare|All Plans | $208.10 | ↓ -30% |
| Humana | Commercial|All Plans | $208.10 | ↓ -30% |
| Aetna | Medicare|All Plans | $208.10 | ↓ -30% |
| Molina | Medicare|All Plans | $208.10 | ↓ -30% |
| United | Medicare|All Plans | $208.10 | ↓ -30% |
| Blue Shield CA | Medicare|PPO | $208.10 | ↓ -30% |
| Blue Shield CA | Medicare|HMO | $208.10 | ↓ -30% |
| BCBS - Anthem | Medicare|Imperial | $214.34 | ↓ -28% |
| BrightHealth | Commercial|All Plans | $228.91 | ↓ -23% |
| Prison Healthcare | Medicaid|All Plans | $312.15 | ↑ +5% |
| Western Health Advantage | Commercial|All Plans | $476.00 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $557.60 | ↑ +88% |
| Cigna | Commercial|LocalPlus | $897.60 | ↑ +203% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $911.20 | ↑ +207% |
| Healthsmart | Commercial|All Plans | $979.20 | ↑ +230% |
| First Health | Commercial|All Plans | $1,020.00 | ↑ +244% |
| Blue Shield CA | Commercial|Exchange | $1,033.60 | ↑ +249% |
| Kaiser | Commercial|All Plans | $1,074.40 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,088.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,088.00 | ↑ +267% |
| Aetna | Commercial|HMO | $1,169.60 | ↑ +294% |
| Aetna | Commercial|All Other Plans | $1,169.60 | ↑ +294% |
| Aetna | Commercial|PPO | $1,169.60 | ↑ +294% |
| Cigna | Commercial|All Other Plans | $1,196.80 | ↑ +304% |
| Blue Shield CA | Commercial|HMO | $1,224.00 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $1,224.00 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $1,237.60 | ↑ +317% |
| Health Net | Commercial|EPPO | $1,246.00 | ↑ +320% |
| BCBS - Anthem | Commercial|Connection EPO | $1,882.00 | ↑ +535% |
| Health Net | Commercial|FFS | $2,292.00 | ↑ +673% |
| BCBS - Anthem | Commercial|All Other Plans | $2,352.00 | ↑ +693% |
| United | Commercial|HMO | $2,842.00 | ↑ +859% |
| BCBS - Anthem | Commercial|MCS | $3,410.00 | ↑ +1050% |
| United | Commercial|Non-Options PPO | $5,916.00 | ↑ +1895% |
| United | Commercial|All Other Plans | $7,150.00 | ↑ +2312% |
Visitor-reported prices
Comments
ER Visit (level 2) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $391.68 | $34.97 – $1,128.80 |
| St. John's Camarillo Hospital | Camarillo | $556.26 | $52.90 – $887.24 |
| Banner Lassen Medical Center | Susanville | $502.82 | $31.67 – $606.25 |
| Petaluma Valley Hospital | Petaluma | $1,094.46 | $206.92 – $211.14 |
| Arroyo Grande Hospital | Santa Maria | $510.18 | $34.97 – $1,060.36 |
| Mark Twain Medical Center | San Andreas | $458.88 | $31.57 – $119.56 |
| French Hospital | San Luis Obispo | $467.27 | $34.97 – $1,168.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $554.65 | $34.97 – $1,225.90 |