Hlth bhv ivntj fam 1st 30 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$84.15
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.
$386.00
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.
$36.92 with BCBS - Anthem vs $386.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $36.92 | ↓ -56% |
| Humana | Commercial|All Plans | $39.15 | ↓ -53% |
| Aetna | Medicare|All Plans | $39.15 | ↓ -53% |
| Molina | Medicare|All Plans | $39.15 | ↓ -53% |
| United | Medicare|All Plans | $39.15 | ↓ -53% |
| Kaiser | Medicare|All Plans | $39.15 | ↓ -53% |
| Blue Shield CA | Medicare|HMO | $39.15 | ↓ -53% |
| Blue Shield CA | Medicare|PPO | $39.15 | ↓ -53% |
| BCBS - Anthem | Medicare|Imperial | $40.32 | ↓ -52% |
| BrightHealth | Commercial|All Plans | $43.06 | ↓ -49% |
| Prison Healthcare | Medicaid|All Plans | $58.73 | ↓ -30% |
| United | Medicaid|< 21 | $61.83 | ↓ -27% |
| United | Medicaid|> 21 | $61.83 | ↓ -27% |
| Hill Physicians | Commercial|All Plans | $65.44 | ↓ -22% |
| Hill Physicians | Medicaid|All Plans | $68.01 | ↓ -19% |
| Hill Physicians | Medicare|All Plans | $73.64 | ↓ -12% |
| Molina | Medicaid|All Plans | $116.24 | ↑ +38% |
| BCBS - Anthem | Medicaid|All Plans | $117.48 | ↑ +40% |
| Western Health Advantage | Commercial|All Plans | $135.10 | ↑ +61% |
| Health Net | Medicaid|All Plans | $143.45 | ↑ +70% |
| California Health & Wellness | Medicaid|All Plans | $143.45 | ↑ +70% |
| Kaiser | Medicaid|All Plans | $158.26 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $265.87 | ↑ +216% |
| Healthsmart | Commercial|All Plans | $277.92 | ↑ +230% |
| First Health | Commercial|All Plans | $289.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $304.94 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $308.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $308.80 | ↑ +267% |
| United | Commercial|Non-Options PPO | $386.00 | ↑ +359% |
Visitor-reported prices
Comments
Hlth bhv ivntj fam 1st 30 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $111.17 | $36.92 – $320.38 |
| Mercy San Juan Medical Center | Carmichael | $105.77 | $36.92 – $320.38 |
| Mercy Hospital of Folsom | Folsom | $150.16 | $36.92 – $316.52 |
| Woodland Memorial Hospital | Woodland | $105.77 | $36.92 – $386.00 |
| Providence Saint John's Health Center | Santa Monica | not published | $48.19 – $89.15 |