Gastroesophageal reflux test at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,089.13
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.
$4,996.00
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.
$77.61 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 | $77.61 | ↓ -93% |
| United | Medicaid|> 21 | $77.61 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $85.37 | ↓ -92% |
| Molina | Medicaid|All Plans | $145.91 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $147.46 | ↓ -86% |
| Hill Physicians | Commercial|All Plans | $154.79 | ↓ -86% |
| California Health & Wellness | Medicaid|All Plans | $180.06 | ↓ -83% |
| Health Net | Medicaid|All Plans | $180.06 | ↓ -83% |
| Hill Physicians | Medicare|All Plans | $217.79 | ↓ -80% |
| Partnership Health Plan | Medicaid|All Plans | $333.72 | ↓ -69% |
| BCBS - Anthem | Medicare|All Other Plans | $657.52 | ↓ -40% |
| Humana | Commercial|All Plans | $697.26 | ↓ -36% |
| United | Medicare|All Plans | $697.26 | ↓ -36% |
| Molina | Medicare|All Plans | $697.26 | ↓ -36% |
| Aetna | Medicare|All Plans | $697.26 | ↓ -36% |
| Blue Shield CA | Medicare|PPO | $697.26 | ↓ -36% |
| Blue Shield CA | Medicare|HMO | $697.26 | ↓ -36% |
| Kaiser | Medicare|All Plans | $697.26 | ↓ -36% |
| BCBS - Anthem | Medicare|Imperial | $718.18 | ↓ -34% |
| BrightHealth | Commercial|All Plans | $766.99 | ↓ -30% |
| Prison Healthcare | Medicaid|All Plans | $1,045.89 | ↓ -4% |
| Western Health Advantage | Commercial|All Plans | $1,748.60 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $2,048.36 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $2,617.78 | ↑ +140% |
| BCBS - Anthem | Commercial|All Other Plans | $3,270.85 | ↑ +200% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +204% |
| Healthsmart | Commercial|All Plans | $3,597.12 | ↑ +230% |
| First Health | Commercial|All Plans | $3,747.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,946.84 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $3,996.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $3,996.80 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $4,741.63 | ↑ +335% |
| United | Commercial|Non-Options PPO | $4,996.00 | ↑ +359% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +461% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +1464% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +1464% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +1464% |
Visitor-reported prices
Comments
Gastroesophageal reflux test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,438.85 | $77.61 – $4,146.68 |
| St. John's Camarillo Hospital | Camarillo | $1,463.36 | $117.42 – $2,605.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,141.94 | $77.61 – $2,462.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,129.63 | $77.61 – $2,431.62 |
| St. Joseph's Medical Center Stockton | Stockton | $743.82 | $77.61 – $2,125.20 |
| Mercy Medical Center Merced | Merced | $1,315.83 | $77.61 – $2,529.45 |
| Northridge Hospital Medical Center | Northridge | $734.89 | $77.61 – $2,634.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,717.40 | $417.64 – $1,287.00 |