Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$6,501.85
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.
$29,825.00
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.
$103.77 with United vs $2,047.25 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $103.77 | ↓ -98% |
| United | Medicaid|> 21 | $103.77 | ↓ -98% |
| Partnership Health Plan | Medicaid|All Plans | $103.77 | ↓ -98% |
| Hill Physicians | Medicare|All Plans | $108.76 | ↓ -98% |
| Hill Physicians | Commercial|All Plans | $111.79 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $114.15 | ↓ -98% |
| United | Commercial|HMO | $174.39 | ↓ -97% |
| United | Commercial|All Other Plans | $174.39 | ↓ -97% |
| United | Commercial|Non-Options PPO | $182.57 | ↓ -97% |
| Molina | Medicaid|All Plans | $195.09 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $198.51 | ↓ -97% |
| California Health & Wellness | Medicaid|All Plans | $240.75 | ↓ -96% |
| Health Net | Medicaid|All Plans | $240.75 | ↓ -96% |
| Cigna | Commercial|LocalPlus | $245.30 | ↓ -96% |
| Cigna | Commercial|All Other Plans | $327.14 | ↓ -95% |
| Kaiser | Medicaid|All Plans | $495.65 | ↓ -92% |
| Kaiser | Medicare|All Plans | $495.65 | ↓ -92% |
| Kaiser | Commercial|All Plans | $495.65 | ↓ -92% |
| Health Net | Commercial|EPPO | $775.80 | ↓ -88% |
| Western Health Advantage | Commercial|All Plans | $1,400.75 | ↓ -78% |
| Health Net | Commercial|FFS | $1,422.30 | ↓ -78% |
| Healthsmart | Commercial|All Plans | $1,551.60 | ↓ -76% |
| First Health | Commercial|All Plans | $1,616.25 | ↓ -75% |
| BCBS - Anthem | Commercial|Connection EPO | $1,637.80 | ↓ -75% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,702.45 | ↓ -74% |
| MultiPlan | Commercial|All Plans | $1,724.00 | ↓ -73% |
| Sutter Health | Commercial|All Plans | $1,724.00 | ↓ -73% |
| Blue Shield CA | Commercial|Exchange | $1,745.55 | ↓ -73% |
| Aetna | Commercial|All Other Plans | $1,917.95 | ↓ -71% |
| Aetna | Commercial|HMO | $1,917.95 | ↓ -71% |
| Aetna | Commercial|PPO | $1,917.95 | ↓ -71% |
| Blue Shield CA | Commercial|HMO | $1,939.50 | ↓ -70% |
| Blue Shield CA | Commercial|All Other Plans | $1,939.50 | ↓ -70% |
| Blue Shield CA | Commercial|CalPers | $1,961.05 | ↓ -70% |
| BCBS - Anthem | Commercial|All Other Plans | $2,047.25 | ↓ -69% |
| BCBS - Anthem | Commercial|MCS | $2,047.25 | ↓ -69% |
Visitor-reported prices
Comments
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $8,589.60 | $103.77 – $1,939.50 |
| Mark Twain Medical Center | San Andreas | $10,543.45 | $103.77 – $15,514.38 |
| French Hospital | San Luis Obispo | $12,101.04 | $103.77 – $2,848.86 |
| Queen of The Valley Medical Center | Napa | $11,904.17 | $176.69 – $1,727.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,357.61 | $160.06 – $1,802.00 |
| Healdsburg Hospital | Healdsburg | $7,587.27 | $167.67 – $721.00 |
| Redwood Memorial Hospital | Fortuna | $6,357.61 | $197.08 – $1,847.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,391.92 | $103.77 – $1,364.00 |