Incisn windpipe at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,244.10
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.
$10,294.00
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.
$230.70 with United vs $14,393.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $230.70 | ↓ -90% |
| United | Medicaid|< 21 | $230.70 | ↓ -90% |
| Hill Physicians | Commercial|All Plans | $297.53 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $312.05 | ↓ -86% |
| Molina | Medicaid|All Plans | $377.96 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $400.03 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $547.90 | ↓ -76% |
| Health Net | Medicaid|All Plans | $843.69 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $843.69 | ↓ -62% |
| Partnership Health Plan | Medicaid|All Plans | $1,240.00 | ↓ -45% |
| Western Health Advantage | Commercial|All Plans | $3,431.40 | ↑ +53% |
| BCBS - Anthem | Medicare|All Other Plans | $4,018.80 | ↑ +79% |
| Kaiser | Medicaid|All Plans | $4,019.64 | ↑ +79% |
| Kaiser | Medicare|All Plans | $4,261.72 | ↑ +90% |
| Aetna | Medicare|All Plans | $4,261.72 | ↑ +90% |
| Molina | Medicare|All Plans | $4,261.72 | ↑ +90% |
| United | Medicare|All Plans | $4,261.72 | ↑ +90% |
| Humana | Commercial|All Plans | $4,261.72 | ↑ +90% |
| Blue Shield CA | Medicare|HMO | $4,261.72 | ↑ +90% |
| Blue Shield CA | Medicare|PPO | $4,261.72 | ↑ +90% |
| BCBS - Anthem | Medicare|Imperial | $4,389.57 | ↑ +96% |
| BrightHealth | Commercial|All Plans | $4,687.89 | ↑ +109% |
| Prison Healthcare | Medicaid|All Plans | $6,392.58 | ↑ +185% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +212% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +212% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +212% |
| Healthsmart | Commercial|All Plans | $7,058.88 | ↑ +215% |
| First Health | Commercial|All Plans | $7,353.00 | ↑ +228% |
| Kaiser | Commercial|All Plans | $7,745.16 | ↑ +245% |
| Sutter Health | Commercial|All Plans | $7,843.20 | ↑ +250% |
| MultiPlan | Commercial|All Plans | $7,843.20 | ↑ +250% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +254% |
| United | Commercial|Non-Options PPO | $9,804.00 | ↑ +337% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +342% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +345% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +541% |
Visitor-reported prices
Comments
Incisn windpipe at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,964.68 | $230.70 – $8,137.32 |
| Petaluma Valley Hospital | Petaluma | $5,792.07 | $3,632.00 – $6,619.00 |
| Mark Twain Medical Center | San Andreas | $704.63 | $230.70 – $1,036.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,280.39 | $230.70 – $7,073.60 |
| Bakersfield Memorial Hospital | Bakersfield | $3,245.02 | $230.70 – $6,985.18 |
| Queen of The Valley Medical Center | Napa | $6,268.92 | $4,707.49 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,598.78 | $4,264.23 – $16,652.00 |
| St. Joseph's Behavioral Health Center | Stockton | $6,726.38 | $1,178.00 – $9,424.00 |