Impl neurostim electr perc at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,391.80
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.
$24,733.00
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.
$422.63 with Hill Physicians vs $24,733.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $422.63 | ↓ -92% |
| United | Medicaid|> 21 | $500.71 | ↓ -91% |
| United | Medicaid|< 21 | $500.71 | ↓ -91% |
| Molina | Medicaid|All Plans | $820.32 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $868.21 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $1,189.19 | ↓ -78% |
| California Health & Wellness | Medicaid|All Plans | $1,831.13 | ↓ -66% |
| Health Net | Medicaid|All Plans | $1,831.13 | ↓ -66% |
| Hill Physicians | Medicare|All Plans | $2,479.06 | ↓ -54% |
| Partnership Health Plan | Medicaid|All Plans | $2,691.31 | ↓ -50% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +30% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +30% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +30% |
| Health Net | Commercial|EPPO | $7,523.00 | ↑ +40% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +47% |
| BCBS - Anthem | Medicare|All Other Plans | $8,132.72 | ↑ +51% |
| Molina | Medicare|All Plans | $8,624.31 | ↑ +60% |
| Aetna | Medicare|All Plans | $8,624.31 | ↑ +60% |
| Blue Shield CA | Medicare|PPO | $8,624.31 | ↑ +60% |
| United | Medicare|All Plans | $8,624.31 | ↑ +60% |
| Blue Shield CA | Medicare|HMO | $8,624.31 | ↑ +60% |
| Humana | Commercial|All Plans | $8,624.31 | ↑ +60% |
| Kaiser | Medicare|All Plans | $8,624.31 | ↑ +60% |
| Western Health Advantage | Commercial|All Plans | $8,656.55 | ↑ +61% |
| BCBS - Anthem | Medicare|Imperial | $8,883.04 | ↑ +65% |
| BrightHealth | Commercial|All Plans | $9,486.74 | ↑ +76% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +84% |
| Kaiser | Medicaid|All Plans | $10,140.53 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $12,936.47 | ↑ +140% |
| Health Net | Commercial|FFS | $13,873.00 | ↑ +157% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $17,807.76 | ↑ +230% |
| First Health | Commercial|All Plans | $18,549.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $19,539.07 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $19,786.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $19,786.40 | ↑ +267% |
| United | Commercial|Non-Options PPO | $24,733.00 | ↑ +359% |
Visitor-reported prices
Comments
Impl neurostim electr perc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,123.11 | $422.63 – $20,528.39 |
| Arroyo Grande Hospital | Santa Maria | $8,027.57 | $500.71 – $18,380.88 |
| Mark Twain Medical Center | San Andreas | $849.15 | $329.85 – $1,249.50 |
| French Hospital | San Luis Obispo | $7,352.36 | $500.71 – $18,380.88 |
| Providence St Joseph Hospital Eureka | Eureka | $13,093.23 | $7,809.00 – $35,965.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $16,565.82 | $2,995.00 – $15,575.00 |
| Mercy San Juan Medical Center | Carmichael | $6,776.85 | $422.63 – $20,528.39 |
| Mercy Hospital of Folsom | Folsom | $9,621.14 | $422.63 – $20,281.06 |