I-123 ioflupane diag at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,931.23
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.
$13,446.00
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.
$1,720.03 with BCBS - Anthem vs $13,446.00 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 | $1,720.03 | ↓ -41% |
| Humana | Commercial|All Plans | $1,824.00 | ↓ -38% |
| Aetna | Medicare|All Plans | $1,824.00 | ↓ -38% |
| Kaiser | Medicare|All Plans | $1,824.00 | ↓ -38% |
| Molina | Medicare|All Plans | $1,824.00 | ↓ -38% |
| United | Medicare|All Plans | $1,824.00 | ↓ -38% |
| Blue Shield CA | Medicare|PPO | $1,824.00 | ↓ -38% |
| Blue Shield CA | Medicare|HMO | $1,824.00 | ↓ -38% |
| BCBS - Anthem | Medicare|Imperial | $1,878.72 | ↓ -36% |
| BrightHealth | Commercial|All Plans | $2,006.40 | ↓ -32% |
| United | Commercial|HMO | $2,290.23 | ↓ -22% |
| United | Commercial|All Other Plans | $2,290.23 | ↓ -22% |
| Prison Healthcare | Medicaid|All Plans | $2,736.00 | ↓ -7% |
| BCBS - Anthem | Medicaid|All Plans | $4,689.20 | ↑ +60% |
| Western Health Advantage | Commercial|All Plans | $4,706.10 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $5,512.86 | ↑ +88% |
| Cigna | Commercial|LocalPlus | $5,855.38 | ↑ +100% |
| Health Net | Medicaid|All Plans | $6,723.00 | ↑ +129% |
| California Health & Wellness | Medicaid|All Plans | $6,723.00 | ↑ +129% |
| BCBS - Anthem | Commercial|Connection EPO | $6,827.85 | ↑ +133% |
| Cigna | Commercial|All Other Plans | $7,808.85 | ↑ +166% |
| BCBS - Anthem | Commercial|All Other Plans | $8,534.87 | ↑ +191% |
| Healthsmart | Commercial|All Plans | $9,681.12 | ↑ +230% |
| First Health | Commercial|All Plans | $10,084.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $10,622.34 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $10,756.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $10,756.80 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $12,382.80 | ↑ +322% |
| United | Commercial|Non-Options PPO | $13,446.00 | ↑ +359% |
Visitor-reported prices
Comments
I-123 ioflupane diag at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,872.45 | $1,720.03 – $11,160.18 |
| St. John's Camarillo Hospital | Camarillo | $985.50 | $607.50 – $3,527.24 |
| Arroyo Grande Hospital | Santa Maria | $3,937.60 | $1,763.62 – $9,016.00 |
| French Hospital | San Luis Obispo | $3,606.40 | $1,763.62 – $9,016.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,308.68 | $1,181.67 – $4,614.14 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $10,460.99 | $3,227.04 – $13,177.08 |
| California Hospital Medical Center | Los Angeles | $6,581.45 | $1,763.62 – $10,720.30 |
| Mercy San Juan Medical Center | Carmichael | $3,684.21 | $1,479.06 – $11,160.18 |