Established Patient Office Visit (level 4) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$100.50
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.
?
What you pay up front if you don't use insurance.
$461.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$66.81 with United vs $23,178.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $66.81 | ↓ -34% |
| United | Medicaid|> 21 | $66.81 | ↓ -34% |
| Hill Physicians | Medicaid|All Plans | $73.49 | ↓ -27% |
| Molina | Medicaid|All Plans | $87.57 | ↓ -13% |
| Hill Physicians | Commercial|All Plans | $97.97 | ↓ -3% |
| BCBS - Anthem | Medicaid|All Plans | $102.20 | ↑ +2% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $113.00 | ↑ +12% |
| Blue Shield CA | Commercial|Exchange | $119.00 | ↑ +18% |
| Hill Physicians | Medicare|All Plans | $136.33 | ↑ +36% |
| Western Health Advantage | Commercial|All Plans | $149.10 | ↑ +48% |
| Health Net | Medicaid|All Plans | $155.00 | ↑ +54% |
| California Health & Wellness | Medicaid|All Plans | $155.00 | ↑ +54% |
| Blue Shield CA | Commercial|HMO | $158.00 | ↑ +57% |
| Cigna | Commercial|LocalPlus | $168.00 | ↑ +67% |
| Kaiser | Medicaid|All Plans | $174.66 | ↑ +74% |
| Blue Shield CA | Commercial|All Other Plans | $177.00 | ↑ +76% |
| Blue Shield CA | Commercial|CalPers | $178.00 | ↑ +77% |
| Cigna | Commercial|All Other Plans | $225.00 | ↑ +124% |
| BCBS - Anthem | Commercial|Connection EPO | $268.38 | ↑ +167% |
| Partnership Health Plan | Medicaid|All Plans | $287.28 | ↑ +186% |
| Healthsmart | Commercial|All Plans | $306.72 | ↑ +205% |
| First Health | Commercial|All Plans | $319.50 | ↑ +218% |
| BCBS - Anthem | Commercial|All Other Plans | $336.54 | ↑ +235% |
| Kaiser | Commercial|All Plans | $336.54 | ↑ +235% |
| Sutter Health | Commercial|All Plans | $340.80 | ↑ +239% |
| MultiPlan | Commercial|All Plans | $340.80 | ↑ +239% |
| United | Commercial|Non-Options PPO | $426.00 | ↑ +324% |
| BCBS - Anthem | Commercial|MCS | $426.00 | ↑ +324% |
| United | Commercial|HMO | $11,514.00 | ↑ +11357% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +22963% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $132.77 | $66.81 – $353.58 |
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,281.82 | $61.88 – $475.30 |
| Arroyo Grande Hospital | Santa Maria | $1,129.07 | $53.79 – $381.00 |
| Mark Twain Medical Center | San Andreas | $212.46 | $55.63 – $210.70 |
| French Hospital | San Luis Obispo | $784.40 | $53.79 – $373.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.61 | $66.81 – $303.20 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $66.81 – $314.82 |