ER Visit (level 3) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$566.15
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.
$2,597.00
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.
$63.97 with United vs $14,693.00 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 | $63.97 | ↓ -89% |
| United | Medicaid|> 21 | $63.97 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $69.50 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $70.37 | ↓ -88% |
| Hill Physicians | Medicare|All Plans | $73.60 | ↓ -87% |
| Molina | Medicaid|All Plans | $83.85 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $121.54 | ↓ -79% |
| Health Net | Medicaid|All Plans | $148.41 | ↓ -74% |
| California Health & Wellness | Medicaid|All Plans | $148.41 | ↓ -74% |
| Partnership Health Plan | Medicaid|All Plans | $275.09 | ↓ -51% |
| BCBS - Anthem | Medicare|All Other Plans | $343.12 | ↓ -39% |
| Kaiser | Medicare|All Plans | $363.86 | ↓ -36% |
| Humana | Commercial|All Plans | $363.86 | ↓ -36% |
| Aetna | Medicare|All Plans | $363.86 | ↓ -36% |
| Molina | Medicare|All Plans | $363.86 | ↓ -36% |
| United | Medicare|All Plans | $363.86 | ↓ -36% |
| Blue Shield CA | Medicare|PPO | $363.86 | ↓ -36% |
| Blue Shield CA | Medicare|HMO | $363.86 | ↓ -36% |
| BCBS - Anthem | Medicare|Imperial | $374.78 | ↓ -34% |
| BrightHealth | Commercial|All Plans | $400.25 | ↓ -29% |
| Prison Healthcare | Medicaid|All Plans | $545.79 | ↓ -4% |
| Western Health Advantage | Commercial|All Plans | $908.95 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,064.77 | ↑ +88% |
| Cigna | Commercial|LocalPlus | $1,714.02 | ↑ +203% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,739.99 | ↑ +207% |
| Healthsmart | Commercial|All Plans | $1,869.84 | ↑ +230% |
| First Health | Commercial|All Plans | $1,947.75 | ↑ +244% |
| Blue Shield CA | Commercial|Exchange | $1,973.72 | ↑ +249% |
| Kaiser | Commercial|All Plans | $2,051.63 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $2,077.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,077.60 | ↑ +267% |
| Aetna | Commercial|HMO | $2,233.42 | ↑ +294% |
| Aetna | Commercial|All Other Plans | $2,233.42 | ↑ +294% |
| Aetna | Commercial|PPO | $2,233.42 | ↑ +294% |
| Cigna | Commercial|All Other Plans | $2,285.36 | ↑ +304% |
| Blue Shield CA | Commercial|HMO | $2,337.30 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $2,337.30 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $2,363.27 | ↑ +317% |
| Health Net | Commercial|EPPO | $3,058.00 | ↑ +440% |
| BCBS - Anthem | Commercial|Connection EPO | $3,766.00 | ↑ +565% |
| BCBS - Anthem | Commercial|All Other Plans | $4,707.00 | ↑ +731% |
| United | Commercial|HMO | $5,422.00 | ↑ +858% |
| Health Net | Commercial|FFS | $5,632.00 | ↑ +895% |
| BCBS - Anthem | Commercial|MCS | $6,825.00 | ↑ +1106% |
| United | Commercial|Non-Options PPO | $12,155.00 | ↑ +2047% |
| United | Commercial|All Other Plans | $14,693.00 | ↑ +2495% |
Visitor-reported prices
Comments
ER Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $747.94 | $63.97 – $2,155.51 |
| St. John's Camarillo Hospital | Camarillo | $762.56 | $81.27 – $1,196.38 |
| Banner Lassen Medical Center | Susanville | $1,059.08 | $55.38 – $1,065.06 |
| Petaluma Valley Hospital | Petaluma | $1,925.25 | $367.87 – $375.37 |
| Arroyo Grande Hospital | Santa Maria | $828.61 | $63.97 – $1,736.56 |
| Mark Twain Medical Center | San Andreas | $746.59 | $46.83 – $177.38 |
| French Hospital | San Luis Obispo | $758.92 | $63.97 – $1,897.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $731.25 | $63.97 – $1,616.22 |