Ghs inf midline insertion at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$759.30
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.
$3,483.00
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.
$83.33 with Hill Physicians vs $6,582.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $83.33 | ↓ -89% |
| United | Medicaid|< 21 | $96.98 | ↓ -87% |
| United | Medicaid|> 21 | $96.98 | ↓ -87% |
| Molina | Medicaid|All Plans | $158.88 | ↓ -79% |
| Hill Physicians | Medicaid|All Plans | $168.17 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $230.32 | ↓ -70% |
| Health Net | Medicaid|All Plans | $354.68 | ↓ -53% |
| California Health & Wellness | Medicaid|All Plans | $354.68 | ↓ -53% |
| Partnership Health Plan | Medicaid|All Plans | $521.25 | ↓ -31% |
| Hill Physicians | Medicare|All Plans | $573.74 | ↓ -24% |
| Western Health Advantage | Commercial|All Plans | $1,160.25 | ↑ +53% |
| Kaiser | Medicaid|All Plans | $1,359.15 | ↑ +79% |
| Healthsmart | Commercial|All Plans | $2,386.80 | ↑ +214% |
| First Health | Commercial|All Plans | $2,486.25 | ↑ +227% |
| Kaiser | Commercial|All Plans | $2,618.85 | ↑ +245% |
| MultiPlan | Commercial|All Plans | $2,652.00 | ↑ +249% |
| Sutter Health | Commercial|All Plans | $2,652.00 | ↑ +249% |
| United | Commercial|Non-Options PPO | $3,315.00 | ↑ +337% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +378% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +498% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +559% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +559% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +559% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +767% |
Visitor-reported prices
Comments
Ghs inf midline insertion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,003.11 | $83.33 – $2,751.45 |
| St. John's Camarillo Hospital | Camarillo | $505.89 | $119.29 – $900.90 |
| Petaluma Valley Hospital | Petaluma | $723.18 | $576.17 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $541.85 | $96.98 – $1,007.44 |
| French Hospital | San Luis Obispo | $496.28 | $96.98 – $1,055.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,562.66 | $96.98 – $3,748.68 |
| Bakersfield Memorial Hospital | Bakersfield | $1,545.81 | $96.98 – $4,169.88 |
| Queen of The Valley Medical Center | Napa | $688.50 | $781.22 – $6,200.00 |