G-esoph reflx tst w/electrod at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$494.86
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.
$2,270.00
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.
$102.43 with United vs $17,030.00 with Aetna — 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 | $102.43 | ↓ -79% |
| United | Medicaid|> 21 | $102.43 | ↓ -79% |
| Hill Physicians | Medicaid|All Plans | $112.67 | ↓ -77% |
| Molina | Medicaid|All Plans | $192.57 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $194.62 | ↓ -61% |
| Health Net | Medicaid|All Plans | $237.64 | ↓ -52% |
| California Health & Wellness | Medicaid|All Plans | $237.64 | ↓ -52% |
| Hill Physicians | Commercial|All Plans | $400.09 | ↓ -19% |
| Partnership Health Plan | Medicaid|All Plans | $440.45 | ↓ -11% |
| Hill Physicians | Medicare|All Plans | $553.19 | ↑ +12% |
| BCBS - Anthem | Medicare|All Other Plans | $657.52 | ↑ +33% |
| Kaiser | Medicare|All Plans | $697.26 | ↑ +41% |
| Humana | Commercial|All Plans | $697.26 | ↑ +41% |
| Aetna | Medicare|All Plans | $697.26 | ↑ +41% |
| Molina | Medicare|All Plans | $697.26 | ↑ +41% |
| United | Medicare|All Plans | $697.26 | ↑ +41% |
| Blue Shield CA | Medicare|PPO | $697.26 | ↑ +41% |
| Blue Shield CA | Medicare|HMO | $697.26 | ↑ +41% |
| BCBS - Anthem | Medicare|Imperial | $718.18 | ↑ +45% |
| BrightHealth | Commercial|All Plans | $766.99 | ↑ +55% |
| Western Health Advantage | Commercial|All Plans | $794.50 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $930.70 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $1,045.89 | ↑ +111% |
| Healthsmart | Commercial|All Plans | $1,634.40 | ↑ +230% |
| First Health | Commercial|All Plans | $1,702.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,793.30 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $1,816.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $1,816.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,816.00 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $2,270.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $2,270.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $2,270.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +569% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +1134% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +3341% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +3341% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +3341% |
Visitor-reported prices
Comments
G-esoph reflx tst w/electrod at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $653.76 | $102.43 – $1,884.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $503.08 | $102.43 – $1,084.80 |
| Bakersfield Memorial Hospital | Bakersfield | $497.66 | $102.43 – $1,071.24 |
| St. Joseph's Medical Center Stockton | Stockton | $490.40 | $102.43 – $1,401.12 |
| Mercy Medical Center Merced | Merced | $792.59 | $102.43 – $1,523.61 |
| Dominican Hospital | Santa Cruz | $1,772.10 | $102.43 – $3,347.30 |
| St. Mary Medical Center | Long Beach | $642.85 | $92.19 – $1,495.00 |
| Providence Saint Joseph Medical Center | Burbank | $758.45 | $1,104.48 – $1,679.06 |