Incision & drainage hematoma/seroma/fluid collection at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,412.86
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.
$6,481.00
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.
$57.25 with United vs $8,480.00 with Health Net — 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 | $57.25 | ↓ -96% |
| United | Medicaid|> 21 | $57.25 | ↓ -96% |
| Molina | Medicaid|All Plans | $93.79 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $99.26 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $124.33 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $135.96 | ↓ -90% |
| Hill Physicians | Medicare|All Plans | $184.23 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $209.36 | ↓ -85% |
| Health Net | Medicaid|All Plans | $209.36 | ↓ -85% |
| Partnership Health Plan | Medicaid|All Plans | $307.72 | ↓ -78% |
| Western Health Advantage | Commercial|All Plans | $654.50 | ↓ -54% |
| Kaiser | Medicaid|All Plans | $766.70 | ↓ -46% |
| Healthsmart | Commercial|All Plans | $1,346.40 | ↓ -5% |
| First Health | Commercial|All Plans | $1,402.50 | ↓ -1% |
| Kaiser | Commercial|All Plans | $1,477.30 | ↑ +5% |
| Sutter Health | Commercial|All Plans | $1,496.00 | ↑ +6% |
| MultiPlan | Commercial|All Plans | $1,496.00 | ↑ +6% |
| BCBS - Anthem | Medicare|All Other Plans | $1,763.41 | ↑ +25% |
| United | Commercial|Non-Options PPO | $1,870.00 | ↑ +32% |
| Molina | Medicare|All Plans | $1,870.00 | ↑ +32% |
| Humana | Commercial|All Plans | $1,870.00 | ↑ +32% |
| Blue Shield CA | Medicare|PPO | $1,870.00 | ↑ +32% |
| Aetna | Medicare|All Plans | $1,870.00 | ↑ +32% |
| BCBS - Anthem | Medicare|Imperial | $1,926.10 | ↑ +36% |
| BrightHealth | Commercial|All Plans | $2,057.00 | ↑ +46% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +51% |
| Blue Shield CA | Medicare|HMO | $2,129.16 | ↑ +51% |
| United | Medicare|All Plans | $2,129.16 | ↑ +51% |
| Prison Healthcare | Medicaid|All Plans | $3,193.74 | ↑ +126% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +157% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +221% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +226% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +254% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +254% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +254% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +366% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +500% |
Visitor-reported prices
Comments
Incision & drainage hematoma/seroma/fluid collection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,866.53 | $57.25 – $1,870.00 |
| St. John's Camarillo Hospital | Camarillo | $1,125.66 | $70.42 – $3,763.88 |
| Petaluma Valley Hospital | Petaluma | $4,778.19 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $1,868.22 | $57.25 – $4,066.02 |
| Mark Twain Medical Center | San Andreas | $795.87 | $57.25 – $305.76 |
| French Hospital | San Luis Obispo | $1,780.47 | $57.25 – $4,239.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,003.40 | $57.25 – $4,320.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,005.29 | $57.25 – $4,316.56 |