Ghs moderate sedation, > 5 yr, 30 min, other at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$141.49
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.
$649.00
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.
$63.61 with United vs $649.00 with United — 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 | $63.61 | ↓ -55% |
| United | Medicaid|< 21 | $63.61 | ↓ -55% |
| Hill Physicians | Medicaid|All Plans | $69.97 | ↓ -51% |
| Hill Physicians | Commercial|All Plans | $72.67 | ↓ -49% |
| Hill Physicians | Medicare|All Plans | $78.42 | ↓ -45% |
| Molina | Medicaid|All Plans | $119.59 | ↓ -15% |
| BCBS - Anthem | Medicaid|All Plans | $120.86 | ↓ -15% |
| Health Net | Medicaid|All Plans | $147.58 | ↑ +4% |
| California Health & Wellness | Medicaid|All Plans | $147.58 | ↑ +4% |
| Western Health Advantage | Commercial|All Plans | $227.15 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $266.09 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $273.52 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $467.28 | ↑ +230% |
| First Health | Commercial|All Plans | $486.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $512.71 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $519.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $519.20 | ↑ +267% |
| United | Commercial|Non-Options PPO | $649.00 | ↑ +359% |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $186.92 | $63.61 – $538.67 |
| St. John's Camarillo Hospital | Camarillo | $127.02 | $78.30 – $226.20 |
| Banner Lassen Medical Center | Susanville | $195.56 | $104.96 – $342.41 |
| Petaluma Valley Hospital | Petaluma | $514.59 | not published |
| Arroyo Grande Hospital | Santa Maria | $174.63 | $63.61 – $399.84 |
| French Hospital | San Luis Obispo | $159.94 | $63.61 – $399.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $222.98 | $63.61 – $428.80 |
| Bakersfield Memorial Hospital | Bakersfield | $220.57 | $63.61 – $594.99 |