Feeding tube reposition at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$420.74
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.
$1,930.00
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.
$147.83 with United vs $1,930.00 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 | $147.83 | ↓ -65% |
| United | Medicaid|< 21 | $147.83 | ↓ -65% |
| Hill Physicians | Medicaid|All Plans | $162.61 | ↓ -61% |
| Molina | Medicaid|All Plans | $193.75 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $280.88 | ↓ -33% |
| California Health & Wellness | Medicaid|All Plans | $342.97 | ↓ -18% |
| Health Net | Medicaid|All Plans | $342.97 | ↓ -18% |
| Aetna | Commercial|HMO | $357.66 | ↓ -15% |
| Aetna | Commercial|PPO | $357.66 | ↓ -15% |
| Aetna | Commercial|All Other Plans | $357.66 | ↓ -15% |
| Partnership Health Plan | Medicaid|All Plans | $635.67 | ↑ +51% |
| Western Health Advantage | Commercial|All Plans | $675.50 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $791.30 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $1,062.57 | ↑ +153% |
| BCBS - Anthem | Commercial|All Other Plans | $1,327.65 | ↑ +216% |
| Healthsmart | Commercial|All Plans | $1,389.60 | ↑ +230% |
| First Health | Commercial|All Plans | $1,447.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,524.70 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,544.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,544.00 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $1,924.65 | ↑ +357% |
| United | Commercial|Non-Options PPO | $1,930.00 | ↑ +359% |
Visitor-reported prices
Comments
Feeding tube reposition at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $555.84 | $147.83 – $1,601.90 |
| St. John's Camarillo Hospital | Camarillo | $205.86 | $126.90 – $366.60 |
| Arroyo Grande Hospital | Santa Maria | $567.10 | $147.83 – $1,298.50 |
| French Hospital | San Luis Obispo | $519.40 | $147.83 – $1,298.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $197.38 | $147.83 – $432.09 |
| Bakersfield Memorial Hospital | Bakersfield | $195.25 | $147.83 – $526.68 |
| St. Joseph's Medical Center Stockton | Stockton | $153.47 | $105.21 – $420.84 |
| Mercy Medical Center Merced | Merced | $284.28 | $147.83 – $552.00 |