Fetal contract stress test 59020 - 26 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$396.76
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.
$1,820.00
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.
$38.70 with Hill Physicians vs $23,178.00 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 | $38.70 | ↓ -90% |
| United | Medicaid|> 21 | $72.68 | ↓ -82% |
| United | Medicaid|< 21 | $72.68 | ↓ -82% |
| Molina | Medicaid|All Plans | $95.26 | ↓ -76% |
| Hill Physicians | Medicaid|All Plans | $101.75 | ↓ -74% |
| Hill Physicians | Medicare|All Plans | $103.19 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $138.09 | ↓ -65% |
| California Health & Wellness | Medicaid|All Plans | $168.62 | ↓ -58% |
| Health Net | Medicaid|All Plans | $168.62 | ↓ -58% |
| BCBS - Anthem | Medicare|All Other Plans | $249.29 | ↓ -37% |
| Aetna | Medicare|All Plans | $264.36 | ↓ -33% |
| Humana | Commercial|All Plans | $264.36 | ↓ -33% |
| Kaiser | Medicare|All Plans | $264.36 | ↓ -33% |
| Molina | Medicare|All Plans | $264.36 | ↓ -33% |
| Blue Shield CA | Medicare|PPO | $264.36 | ↓ -33% |
| Blue Shield CA | Medicare|HMO | $264.36 | ↓ -33% |
| United | Medicare|All Plans | $264.36 | ↓ -33% |
| BCBS - Anthem | Medicare|Imperial | $272.29 | ↓ -31% |
| BrightHealth | Commercial|All Plans | $290.80 | ↓ -27% |
| Partnership Health Plan | Medicaid|All Plans | $312.53 | ↓ -21% |
| Prison Healthcare | Medicaid|All Plans | $396.54 | ↓ -0% |
| Western Health Advantage | Commercial|All Plans | $637.00 | ↑ +61% |
| BCBS - Anthem | Commercial|Connection EPO | $667.80 | ↑ +68% |
| Kaiser | Medicaid|All Plans | $746.20 | ↑ +88% |
| BCBS - Anthem | Commercial|All Other Plans | $834.40 | ↑ +110% |
| Cigna | Commercial|LocalPlus | $1,183.00 | ↑ +198% |
| BCBS - Anthem | Commercial|MCS | $1,209.60 | ↑ +205% |
| Healthsmart | Commercial|All Plans | $1,310.40 | ↑ +230% |
| First Health | Commercial|All Plans | $1,365.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,437.80 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $1,456.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $1,456.00 | ↑ +267% |
| Cigna | Commercial|All Other Plans | $1,583.40 | ↑ +299% |
| United | Commercial|Non-Options PPO | $1,820.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +608% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +1206% |
| United | Commercial|HMO | $11,514.00 | ↑ +2802% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +5742% |
Visitor-reported prices
Comments
Fetal contract stress test 59020 - 26 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $524.16 | $38.70 – $1,510.60 |
| St. John's Camarillo Hospital | Camarillo | $369.24 | $109.96 – $691.26 |
| Banner Lassen Medical Center | Susanville | $756.28 | $40.23 – $708.10 |
| Bakersfield Memorial Hospital | Bakersfield | $398.20 | $72.68 – $857.15 |
| Queen of The Valley Medical Center | Napa | $400.86 | $287.05 – $2,747.00 |
| Healdsburg Hospital | Healdsburg | $218.79 | $219.93 – $721.00 |
| St. Joseph's Medical Center Stockton | Stockton | $234.62 | $72.68 – $654.36 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $424.32 | $221.02 – $1,597.00 |