Ghs abscess postoperative iandd complex at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,674.24
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.
$7,680.00
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.
$135.01 with United vs $14,393.00 with BCBS - Anthem — 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 | $135.01 | ↓ -92% |
| United | Medicaid|> 21 | $135.01 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $184.31 | ↓ -89% |
| Molina | Medicaid|All Plans | $221.18 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $234.09 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $281.01 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $320.64 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $493.72 | ↓ -71% |
| Health Net | Medicaid|All Plans | $493.72 | ↓ -71% |
| Partnership Health Plan | Medicaid|All Plans | $725.66 | ↓ -57% |
| Western Health Advantage | Commercial|All Plans | $2,688.00 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $3,148.80 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $3,546.64 | ↑ +112% |
| Aetna | Medicare|All Plans | $3,761.02 | ↑ +125% |
| Molina | Medicare|All Plans | $3,761.02 | ↑ +125% |
| United | Medicare|All Plans | $3,761.02 | ↑ +125% |
| Blue Shield CA | Medicare|PPO | $3,761.02 | ↑ +125% |
| Blue Shield CA | Medicare|HMO | $3,761.02 | ↑ +125% |
| Humana | Commercial|All Plans | $3,761.02 | ↑ +125% |
| Kaiser | Medicare|All Plans | $3,761.02 | ↑ +125% |
| BCBS - Anthem | Medicare|Imperial | $3,873.85 | ↑ +131% |
| BrightHealth | Commercial|All Plans | $4,137.12 | ↑ +147% |
| Health Net | Commercial|EPPO | $5,418.00 | ↑ +224% |
| Healthsmart | Commercial|All Plans | $5,529.60 | ↑ +230% |
| Prison Healthcare | Medicaid|All Plans | $5,641.53 | ↑ +237% |
| First Health | Commercial|All Plans | $5,760.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $6,067.20 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $6,144.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $6,144.00 | ↑ +267% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +318% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +318% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +318% |
| United | Commercial|Non-Options PPO | $7,680.00 | ↑ +359% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +374% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +493% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +497% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +760% |
Visitor-reported prices
Comments
Ghs abscess postoperative iandd complex at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,211.84 | $135.01 – $6,374.40 |
| St. John's Camarillo Hospital | Camarillo | $2,438.79 | $166.06 – $6,483.96 |
| Petaluma Valley Hospital | Petaluma | $5,230.05 | $2,570.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | $3,376.50 | $135.01 – $7,731.22 |
| Mark Twain Medical Center | San Andreas | $339.66 | $128.06 – $485.10 |
| French Hospital | San Luis Obispo | $3,092.49 | $135.01 – $7,731.22 |
| Bakersfield Memorial Hospital | Bakersfield | $2,019.24 | $135.01 – $4,346.58 |
| Queen of The Valley Medical Center | Napa | $5,815.02 | $4,124.29 – $16,652.00 |