Exchange drainage catheter at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,816.82
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.
$8,334.00
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.
$68.56 with Hill Physicians vs $8,480.00 with Health Net — 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 | $68.56 | ↓ -96% |
| United | Medicaid|> 21 | $78.61 | ↓ -96% |
| United | Medicaid|< 21 | $78.61 | ↓ -96% |
| Molina | Medicaid|All Plans | $128.78 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $136.31 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $186.69 | ↓ -90% |
| California Health & Wellness | Medicaid|All Plans | $287.49 | ↓ -84% |
| Health Net | Medicaid|All Plans | $287.49 | ↓ -84% |
| Partnership Health Plan | Medicaid|All Plans | $422.50 | ↓ -77% |
| Hill Physicians | Medicare|All Plans | $696.66 | ↓ -62% |
| BCBS - Anthem | Medicare|All Other Plans | $2,350.74 | ↑ +29% |
| Kaiser | Medicare|All Plans | $2,492.83 | ↑ +37% |
| Humana | Commercial|All Plans | $2,492.83 | ↑ +37% |
| Aetna | Medicare|All Plans | $2,492.83 | ↑ +37% |
| Molina | Medicare|All Plans | $2,492.83 | ↑ +37% |
| United | Medicare|All Plans | $2,492.83 | ↑ +37% |
| Blue Shield CA | Medicare|PPO | $2,492.83 | ↑ +37% |
| Blue Shield CA | Medicare|HMO | $2,492.83 | ↑ +37% |
| BCBS - Anthem | Medicare|Imperial | $2,567.61 | ↑ +41% |
| BrightHealth | Commercial|All Plans | $2,742.11 | ↑ +51% |
| Western Health Advantage | Commercial|All Plans | $2,800.35 | ↑ +54% |
| Kaiser | Medicaid|All Plans | $3,280.41 | ↑ +81% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +100% |
| Prison Healthcare | Medicaid|All Plans | $3,739.24 | ↑ +106% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +150% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +153% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +175% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +175% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +175% |
| Healthsmart | Commercial|All Plans | $5,760.72 | ↑ +217% |
| First Health | Commercial|All Plans | $6,000.75 | ↑ +230% |
| Kaiser | Commercial|All Plans | $6,320.79 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $6,400.80 | ↑ +252% |
| Sutter Health | Commercial|All Plans | $6,400.80 | ↑ +252% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +262% |
| United | Commercial|Non-Options PPO | $8,001.00 | ↑ +340% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +367% |
Visitor-reported prices
Comments
Exchange drainage catheter at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,400.20 | $68.56 – $6,640.83 |
| St. John's Camarillo Hospital | Camarillo | $1,196.62 | $96.69 – $4,371.40 |
| Petaluma Valley Hospital | Petaluma | $3,545.52 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $3,112.85 | $78.61 – $4,908.82 |
| French Hospital | San Luis Obispo | $2,851.02 | $78.61 – $4,900.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,425.08 | $78.61 – $4,431.20 |
| Bakersfield Memorial Hospital | Bakersfield | $3,388.15 | $78.61 – $4,375.81 |
| Queen of The Valley Medical Center | Napa | $3,837.75 | $2,724.58 – $9,858.00 |