Ghs tracheostomy emergency - transtracheal at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,095.02
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.
$5,023.00
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.
$122.19 with United vs $17,715.00 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 | $122.19 | ↓ -89% |
| United | Medicaid|< 21 | $122.19 | ↓ -89% |
| Molina | Medicaid|All Plans | $200.18 | ↓ -82% |
| Hill Physicians | Medicaid|All Plans | $211.87 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $290.19 | ↓ -73% |
| Hill Physicians | Commercial|All Plans | $311.68 | ↓ -72% |
| Hill Physicians | Medicare|All Plans | $326.45 | ↓ -70% |
| California Health & Wellness | Medicaid|All Plans | $446.86 | ↓ -59% |
| Health Net | Medicaid|All Plans | $446.86 | ↓ -59% |
| Partnership Health Plan | Medicaid|All Plans | $656.76 | ↓ -40% |
| Western Health Advantage | Commercial|All Plans | $1,674.40 | ↑ +53% |
| BCBS - Anthem | Medicare|All Other Plans | $1,835.60 | ↑ +68% |
| Humana | Commercial|All Plans | $1,946.55 | ↑ +78% |
| Aetna | Medicare|All Plans | $1,946.55 | ↑ +78% |
| Molina | Medicare|All Plans | $1,946.55 | ↑ +78% |
| United | Medicare|All Plans | $1,946.55 | ↑ +78% |
| Kaiser | Medicare|All Plans | $1,946.55 | ↑ +78% |
| Blue Shield CA | Medicare|HMO | $1,946.55 | ↑ +78% |
| Blue Shield CA | Medicare|PPO | $1,946.55 | ↑ +78% |
| Kaiser | Medicaid|All Plans | $1,961.44 | ↑ +79% |
| BCBS - Anthem | Medicare|Imperial | $2,004.95 | ↑ +83% |
| BrightHealth | Commercial|All Plans | $2,141.20 | ↑ +96% |
| Prison Healthcare | Medicaid|All Plans | $2,919.82 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $3,444.48 | ↑ +215% |
| First Health | Commercial|All Plans | $3,588.00 | ↑ +228% |
| Kaiser | Commercial|All Plans | $3,779.36 | ↑ +245% |
| Sutter Health | Commercial|All Plans | $3,827.20 | ↑ +250% |
| MultiPlan | Commercial|All Plans | $3,827.20 | ↑ +250% |
| Health Net | Commercial|EPPO | $3,902.00 | ↑ +256% |
| United | Commercial|Non-Options PPO | $4,784.00 | ↑ +337% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +357% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +357% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +357% |
| Health Net | Commercial|FFS | $7,197.00 | ↑ +557% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +793% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +1016% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +1518% |
Visitor-reported prices
Comments
Ghs tracheostomy emergency - transtracheal at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,446.63 | $122.19 – $3,970.72 |
| St. John's Camarillo Hospital | Camarillo | $2,288.99 | $150.29 – $4,076.28 |
| Petaluma Valley Hospital | Petaluma | $2,826.42 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $1,982.50 | $122.19 – $4,539.36 |
| Queen of The Valley Medical Center | Napa | $3,058.98 | $2,203.03 – $7,745.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,732.58 | $1,995.60 – $9,008.00 |
| Healdsburg Hospital | Healdsburg | $1,415.76 | $2,090.52 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,770.21 | $5,981.00 – $20,799.00 |