Esoph imped function test at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,105.70
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.
$5,072.00
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.
$130.86 with Hill Physicians vs $22,221.00 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 | $130.86 | ↓ -88% |
| United | Medicaid|< 21 | $134.22 | ↓ -88% |
| United | Medicaid|> 21 | $134.22 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $147.64 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $190.47 | ↓ -83% |
| Molina | Medicaid|All Plans | $252.33 | ↓ -77% |
| BCBS - Anthem | Medicaid|All Plans | $255.02 | ↓ -77% |
| Health Net | Medicaid|All Plans | $311.39 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $311.39 | ↓ -72% |
| BCBS - Anthem | Medicare|All Other Plans | $385.89 | ↓ -65% |
| United | Medicare|All Plans | $409.21 | ↓ -63% |
| Humana | Commercial|All Plans | $409.21 | ↓ -63% |
| Aetna | Medicare|All Plans | $409.21 | ↓ -63% |
| Molina | Medicare|All Plans | $409.21 | ↓ -63% |
| Blue Shield CA | Medicare|PPO | $409.21 | ↓ -63% |
| Blue Shield CA | Medicare|HMO | $409.21 | ↓ -63% |
| Kaiser | Medicare|All Plans | $409.21 | ↓ -63% |
| BCBS - Anthem | Medicare|Imperial | $421.49 | ↓ -62% |
| BrightHealth | Commercial|All Plans | $450.13 | ↓ -59% |
| Partnership Health Plan | Medicaid|All Plans | $577.15 | ↓ -48% |
| Prison Healthcare | Medicaid|All Plans | $613.82 | ↓ -44% |
| BCBS - Anthem | Commercial|Connection EPO | $1,350.96 | ↑ +22% |
| BCBS - Anthem | Commercial|All Other Plans | $1,687.99 | ↑ +53% |
| Western Health Advantage | Commercial|All Plans | $1,775.20 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $2,079.52 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $2,447.02 | ↑ +121% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +154% |
| Healthsmart | Commercial|All Plans | $3,651.84 | ↑ +230% |
| First Health | Commercial|All Plans | $3,804.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $4,006.88 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $4,057.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $4,057.60 | ↑ +267% |
| United | Commercial|Non-Options PPO | $5,072.00 | ↑ +359% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +369% |
| United | Commercial|HMO | $10,710.00 | ↑ +869% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +1440% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +1440% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +1440% |
| United | Commercial|All Other Plans | $22,221.00 | ↑ +1910% |
Visitor-reported prices
Comments
Esoph imped function test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,460.74 | $130.86 – $4,209.76 |
| St. John's Camarillo Hospital | Camarillo | $356.10 | $203.06 – $702.96 |
| Arroyo Grande Hospital | Santa Maria | $332.13 | $134.22 – $760.48 |
| French Hospital | San Luis Obispo | $304.20 | $134.22 – $760.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $356.91 | $134.22 – $769.60 |
| Bakersfield Memorial Hospital | Bakersfield | $353.06 | $134.22 – $759.98 |
| St. Joseph's Medical Center Stockton | Stockton | $227.85 | $134.22 – $651.00 |
| Mercy Medical Center Merced | Merced | $366.17 | $134.22 – $703.89 |