Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$10,989.38
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.
$50,410.00
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.
$134.06 with United vs $4,317.95 with Blue Shield CA — 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 | $134.06 | ↓ -99% |
| United | Medicaid|> 21 | $134.06 | ↓ -99% |
| Partnership Health Plan | Medicaid|All Plans | $134.06 | ↓ -99% |
| Hill Physicians | Medicare|All Plans | $135.23 | ↓ -99% |
| Hill Physicians | Commercial|All Plans | $144.55 | ↓ -99% |
| Hill Physicians | Medicaid|All Plans | $147.47 | ↓ -99% |
| United | Commercial|Non-Options PPO | $221.20 | ↓ -98% |
| United | Commercial|HMO | $228.94 | ↓ -98% |
| United | Commercial|All Other Plans | $228.94 | ↓ -98% |
| Molina | Medicaid|All Plans | $252.03 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $254.71 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $311.02 | ↓ -97% |
| Health Net | Medicaid|All Plans | $311.02 | ↓ -97% |
| Cigna | Commercial|LocalPlus | $317.20 | ↓ -97% |
| Cigna | Commercial|All Other Plans | $423.02 | ↓ -96% |
| BCBS - Anthem | Commercial|Connection EPO | $444.90 | ↓ -96% |
| BCBS - Anthem | Commercial|All Other Plans | $556.13 | ↓ -95% |
| BCBS - Anthem | Commercial|MCS | $806.86 | ↓ -93% |
| Kaiser | Medicaid|All Plans | $1,091.35 | ↓ -90% |
| Kaiser | Commercial|All Plans | $1,091.35 | ↓ -90% |
| Kaiser | Medicare|All Plans | $1,091.35 | ↓ -90% |
| Health Net | Commercial|EPPO | $1,708.20 | ↓ -84% |
| Western Health Advantage | Commercial|All Plans | $3,084.25 | ↓ -72% |
| Health Net | Commercial|FFS | $3,131.70 | ↓ -72% |
| Healthsmart | Commercial|All Plans | $3,416.40 | ↓ -69% |
| First Health | Commercial|All Plans | $3,558.75 | ↓ -68% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,748.55 | ↓ -66% |
| Sutter Health | Commercial|All Plans | $3,796.00 | ↓ -65% |
| MultiPlan | Commercial|All Plans | $3,796.00 | ↓ -65% |
| Blue Shield CA | Commercial|Exchange | $3,843.45 | ↓ -65% |
| Aetna | Commercial|HMO | $4,223.05 | ↓ -62% |
| Aetna | Commercial|PPO | $4,223.05 | ↓ -62% |
| Aetna | Commercial|All Other Plans | $4,223.05 | ↓ -62% |
| Blue Shield CA | Commercial|HMO | $4,270.50 | ↓ -61% |
| Blue Shield CA | Commercial|All Other Plans | $4,270.50 | ↓ -61% |
| Blue Shield CA | Commercial|CalPers | $4,317.95 | ↓ -61% |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $4,624.54 | $134.06 – $10,588.90 |
| French Hospital | San Luis Obispo | $4,235.56 | $134.06 – $10,588.90 |
| Providence St Joseph Hospital Eureka | Eureka | $10,924.20 | $160.06 – $293.20 |
| Redwood Memorial Hospital | Fortuna | $10,924.20 | $253.32 – $272.35 |
| St. Joseph's Medical Center Stockton | Stockton | $8,559.23 | $134.06 – $1,048.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $10,345.85 | $134.06 – $1,590.54 |
| Dominican Hospital | Santa Cruz | $5,380.65 | $131.79 – $4,184.00 |
| Northridge Hospital Medical Center | Northridge | $4,240.53 | $134.06 – $8,988.00 |