Ghs nerve blk intercostal, single level at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$572.91
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.
$2,628.00
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.
$59.24 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 | $59.24 | ↓ -90% |
| United | Medicaid|< 21 | $68.36 | ↓ -88% |
| United | Medicaid|> 21 | $68.36 | ↓ -88% |
| Hill Physicians | Medicare|All Plans | $107.22 | ↓ -81% |
| Molina | Medicaid|All Plans | $111.99 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $118.52 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $162.36 | ↓ -72% |
| Health Net | Medicaid|All Plans | $249.98 | ↓ -56% |
| California Health & Wellness | Medicaid|All Plans | $249.98 | ↓ -56% |
| Partnership Health Plan | Medicaid|All Plans | $367.42 | ↓ -36% |
| BCBS - Anthem | Medicare|All Other Plans | $858.17 | ↑ +50% |
| Molina | Medicare|All Plans | $910.04 | ↑ +59% |
| Humana | Commercial|All Plans | $910.04 | ↑ +59% |
| Aetna | Medicare|All Plans | $910.04 | ↑ +59% |
| Kaiser | Medicare|All Plans | $910.04 | ↑ +59% |
| United | Medicare|All Plans | $910.04 | ↑ +59% |
| Blue Shield CA | Medicare|PPO | $910.04 | ↑ +59% |
| Blue Shield CA | Medicare|HMO | $910.04 | ↑ +59% |
| Western Health Advantage | Commercial|All Plans | $919.80 | ↑ +61% |
| BCBS - Anthem | Medicare|Imperial | $937.34 | ↑ +64% |
| BrightHealth | Commercial|All Plans | $1,001.04 | ↑ +75% |
| Kaiser | Medicaid|All Plans | $1,077.48 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $1,365.06 | ↑ +138% |
| Healthsmart | Commercial|All Plans | $1,892.16 | ↑ +230% |
| First Health | Commercial|All Plans | $1,971.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $2,076.12 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $2,102.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,102.40 | ↑ +267% |
| United | Commercial|Non-Options PPO | $2,628.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +478% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +534% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +692% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +773% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +773% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +773% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +966% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +1049% |
Visitor-reported prices
Comments
Ghs nerve blk intercostal, single level at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $756.87 | $59.24 – $2,181.24 |
| St. John's Camarillo Hospital | Camarillo | $1,029.30 | $84.08 – $1,833.00 |
| Banner Lassen Medical Center | Susanville | $613.54 | $98.29 – $265.78 |
| Petaluma Valley Hospital | Petaluma | $1,360.68 | $951.25 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,109.38 | $68.36 – $2,540.16 |
| Mark Twain Medical Center | San Andreas | $230.44 | $68.36 – $339.08 |
| French Hospital | San Luis Obispo | $1,016.07 | $68.36 – $2,540.16 |
| Queen of The Valley Medical Center | Napa | $1,450.44 | $1,002.25 – $6,200.00 |