Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,274.83
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.
$10,435.00
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.
$1,091.35 with Kaiser vs $4,507.75 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 |
|---|---|---|---|
| Kaiser | Commercial|All Plans | $1,091.35 | ↓ -52% |
| Kaiser | Medicare|All Plans | $1,091.35 | ↓ -52% |
| Kaiser | Medicaid|All Plans | $1,091.35 | ↓ -52% |
| BCBS - Anthem | Medicaid|All Plans | $1,138.80 | ↓ -50% |
| Partnership Health Plan | Medicaid|All Plans | $1,186.25 | ↓ -48% |
| Molina | Medicaid|All Plans | $1,233.70 | ↓ -46% |
| Health Net | Medicaid|All Plans | $1,328.60 | ↓ -42% |
| California Health & Wellness | Medicaid|All Plans | $1,328.60 | ↓ -42% |
| Health Net | Commercial|EPPO | $1,708.20 | ↓ -25% |
| Cigna | Commercial|LocalPlus | $1,898.00 | ↓ -17% |
| Cigna | Commercial|All Other Plans | $2,514.85 | ↑ +11% |
| United | Commercial|HMO | $2,562.30 | ↑ +13% |
| United | Commercial|Non-Options PPO | $3,036.80 | ↑ +33% |
| Western Health Advantage | Commercial|All Plans | $3,084.25 | ↑ +36% |
| Health Net | Commercial|FFS | $3,131.70 | ↑ +38% |
| United | Commercial|All Other Plans | $3,274.05 | ↑ +44% |
| Healthsmart | Commercial|All Plans | $3,416.40 | ↑ +50% |
| First Health | Commercial|All Plans | $3,558.75 | ↑ +56% |
| BCBS - Anthem | Commercial|Connection EPO | $3,606.20 | ↑ +59% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,748.55 | ↑ +65% |
| Sutter Health | Commercial|All Plans | $3,796.00 | ↑ +67% |
| MultiPlan | Commercial|All Plans | $3,796.00 | ↑ +67% |
| Blue Shield CA | Commercial|Exchange | $3,843.45 | ↑ +69% |
| Aetna | Commercial|HMO | $4,223.05 | ↑ +86% |
| Aetna | Commercial|PPO | $4,223.05 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $4,223.05 | ↑ +86% |
| Blue Shield CA | Commercial|All Other Plans | $4,270.50 | ↑ +88% |
| Blue Shield CA | Commercial|HMO | $4,270.50 | ↑ +88% |
| Blue Shield CA | Commercial|CalPers | $4,317.95 | ↑ +90% |
| BCBS - Anthem | Commercial|All Other Plans | $4,507.75 | ↑ +98% |
| BCBS - Anthem | Commercial|MCS | $4,507.75 | ↑ +98% |
Visitor-reported prices
Comments
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,005.28 | $1,091.35 – $4,270.50 |
| Petaluma Valley Hospital | Petaluma | $8,017.36 | not published |
| Queen of The Valley Medical Center | Napa | $6,767.90 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $3,969.64 | not published |
| Healdsburg Hospital | Healdsburg | $4,295.02 | not published |
| Redwood Memorial Hospital | Fortuna | $3,969.64 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $8,017.36 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,308.54 | not published |