Fix g/colon tube w/device at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$417.91
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.
$1,917.00
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.
$49.79 with Hill Physicians vs $7,197.00 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 | $49.79 | ↓ -88% |
| Western Health Advantage | Commercial|All Plans | $642.25 | ↑ +54% |
| United | Medicaid|< 21 | $679.82 | ↑ +63% |
| United | Medicaid|> 21 | $679.82 | ↑ +63% |
| Hill Physicians | Medicaid|All Plans | $747.80 | ↑ +79% |
| Kaiser | Medicaid|All Plans | $752.35 | ↑ +80% |
| Hill Physicians | Medicare|All Plans | $817.85 | ↑ +96% |
| BCBS - Anthem | Medicare|All Other Plans | $1,161.82 | ↑ +178% |
| United | Medicare|All Plans | $1,232.05 | ↑ +195% |
| Blue Shield CA | Medicare|PPO | $1,232.05 | ↑ +195% |
| Aetna | Medicare|All Plans | $1,232.05 | ↑ +195% |
| Blue Shield CA | Medicare|HMO | $1,232.05 | ↑ +195% |
| Kaiser | Medicare|All Plans | $1,232.05 | ↑ +195% |
| Molina | Medicare|All Plans | $1,232.05 | ↑ +195% |
| Humana | Commercial|All Plans | $1,232.05 | ↑ +195% |
| BCBS - Anthem | Medicare|Imperial | $1,269.01 | ↑ +204% |
| Molina | Medicaid|All Plans | $1,278.06 | ↑ +206% |
| BCBS - Anthem | Medicaid|All Plans | $1,291.66 | ↑ +209% |
| Healthsmart | Commercial|All Plans | $1,321.20 | ↑ +216% |
| BrightHealth | Commercial|All Plans | $1,355.26 | ↑ +224% |
| First Health | Commercial|All Plans | $1,376.25 | ↑ +229% |
| Kaiser | Commercial|All Plans | $1,449.65 | ↑ +247% |
| MultiPlan | Commercial|All Plans | $1,468.00 | ↑ +251% |
| Sutter Health | Commercial|All Plans | $1,468.00 | ↑ +251% |
| California Health & Wellness | Medicaid|All Plans | $1,577.18 | ↑ +277% |
| Health Net | Medicaid|All Plans | $1,577.18 | ↑ +277% |
| Partnership Health Plan | Medicaid|All Plans | $1,835.00 | ↑ +339% |
| United | Commercial|Non-Options PPO | $1,835.00 | ↑ +339% |
| Prison Healthcare | Medicaid|All Plans | $1,848.08 | ↑ +342% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +769% |
| Health Net | Commercial|EPPO | $3,902.00 | ↑ +834% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +986% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +1097% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +1097% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +1097% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +1475% |
| Health Net | Commercial|FFS | $7,197.00 | ↑ +1622% |
Visitor-reported prices
Comments
Fix g/colon tube w/device at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $552.10 | $49.79 – $1,835.00 |
| St. John's Camarillo Hospital | Camarillo | $464.28 | $286.20 – $2,072.04 |
| Petaluma Valley Hospital | Petaluma | $1,680.45 | $1,222.26 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $919.35 | $679.82 – $2,105.04 |
| French Hospital | San Luis Obispo | $842.02 | $579.96 – $2,105.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $998.37 | $679.82 – $2,064.80 |
| Bakersfield Memorial Hospital | Bakersfield | $947.23 | $679.82 – $2,012.92 |
| Queen of The Valley Medical Center | Napa | $1,819.17 | $1,287.79 – $7,455.00 |