Ghs layer closure 2.5 cm or less - 12031 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$206.23
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.
?
What you pay up front if you don't use insurance.
$946.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$96.98 with United vs $14,393.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $96.98 | ↓ -53% |
| United | Medicaid|> 21 | $96.98 | ↓ -53% |
| Hill Physicians | Commercial|All Plans | $158.36 | ↓ -23% |
| Molina | Medicaid|All Plans | $158.88 | ↓ -23% |
| Hill Physicians | Medicaid|All Plans | $168.17 | ↓ -18% |
| BCBS - Anthem | Medicaid|All Plans | $230.32 | ↑ +12% |
| Hill Physicians | Medicare|All Plans | $286.09 | ↑ +39% |
| Western Health Advantage | Commercial|All Plans | $331.10 | ↑ +61% |
| Health Net | Medicaid|All Plans | $354.68 | ↑ +72% |
| California Health & Wellness | Medicaid|All Plans | $354.68 | ↑ +72% |
| Kaiser | Medicaid|All Plans | $387.86 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $495.09 | ↑ +140% |
| Partnership Health Plan | Medicaid|All Plans | $521.25 | ↑ +153% |
| Molina | Medicare|All Plans | $525.02 | ↑ +155% |
| Blue Shield CA | Medicare|PPO | $525.02 | ↑ +155% |
| United | Medicare|All Plans | $525.02 | ↑ +155% |
| Humana | Commercial|All Plans | $525.02 | ↑ +155% |
| Kaiser | Medicare|All Plans | $525.02 | ↑ +155% |
| Aetna | Medicare|All Plans | $525.02 | ↑ +155% |
| Blue Shield CA | Medicare|HMO | $525.02 | ↑ +155% |
| BCBS - Anthem | Medicare|Imperial | $540.77 | ↑ +162% |
| BrightHealth | Commercial|All Plans | $577.52 | ↑ +180% |
| Healthsmart | Commercial|All Plans | $681.12 | ↑ +230% |
| First Health | Commercial|All Plans | $709.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $747.34 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $756.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $756.80 | ↑ +267% |
| Prison Healthcare | Medicaid|All Plans | $787.53 | ↑ +282% |
| United | Commercial|Non-Options PPO | $946.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +1263% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +2325% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +2325% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +2325% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +2413% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +3751% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +4713% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +6879% |
Visitor-reported prices
Comments
Ghs layer closure 2.5 cm or less - 12031 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $272.45 | $96.98 – $785.18 |
| St. John's Camarillo Hospital | Camarillo | $275.98 | $119.29 – $936.40 |
| Petaluma Valley Hospital | Petaluma | $2,754.51 | $547.82 – $1,921.00 |
| Mark Twain Medical Center | San Andreas | $677.99 | $39.59 – $149.94 |
| Queen of The Valley Medical Center | Napa | $1,826.82 | $577.20 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,077.23 | $522.85 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $452.37 | $547.72 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $2,083.35 | $1,333.00 – $20,799.00 |