Inj cntr knee arthro incl ct/mri at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$71.51
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.
$328.00
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.
$39.90 with Hill Physicians vs $6,582.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $39.90 | ↓ -44% |
| Western Health Advantage | Commercial|All Plans | $110.25 | ↑ +54% |
| Kaiser | Medicaid|All Plans | $129.15 | ↑ +81% |
| United | Medicaid|> 21 | $130.68 | ↑ +83% |
| United | Medicaid|< 21 | $130.68 | ↑ +83% |
| Hill Physicians | Medicaid|All Plans | $143.75 | ↑ +101% |
| Hill Physicians | Medicare|All Plans | $188.80 | ↑ +164% |
| Healthsmart | Commercial|All Plans | $226.80 | ↑ +217% |
| First Health | Commercial|All Plans | $236.25 | ↑ +230% |
| Molina | Medicaid|All Plans | $245.68 | ↑ +244% |
| Kaiser | Commercial|All Plans | $248.85 | ↑ +248% |
| Sutter Health | Commercial|All Plans | $252.00 | ↑ +252% |
| MultiPlan | Commercial|All Plans | $252.00 | ↑ +252% |
| California Health & Wellness | Medicaid|All Plans | $303.18 | ↑ +324% |
| Health Net | Medicaid|All Plans | $303.18 | ↑ +324% |
| United | Commercial|Non-Options PPO | $315.00 | ↑ +340% |
| Partnership Health Plan | Medicaid|All Plans | $315.00 | ↑ +340% |
| BCBS - Anthem | Medicaid|All Plans | $315.00 | ↑ +340% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +4978% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +6247% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +6895% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +6895% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +6895% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +9104% |
Visitor-reported prices
Comments
Inj cntr knee arthro incl ct/mri at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $94.47 | $39.90 – $315.00 |
| St. John's Camarillo Hospital | Camarillo | $179.58 | $110.70 – $319.80 |
| Banner Lassen Medical Center | Susanville | $210.89 | $110.29 – $260.93 |
| Petaluma Valley Hospital | Petaluma | $278.46 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $467.81 | $130.68 – $975.10 |
| Mark Twain Medical Center | San Andreas | $1,269.40 | $130.68 – $859.46 |
| French Hospital | San Luis Obispo | $390.04 | $91.80 – $333.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $329.45 | $130.68 – $790.32 |