Inj for ext venography at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$434.04
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.
$1,991.00
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.
$45.52 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $45.52 | ↓ -90% |
| Western Health Advantage | Commercial|All Plans | $262.50 | ↓ -40% |
| Kaiser | Medicaid|All Plans | $307.50 | ↓ -29% |
| Hill Physicians | Medicare|All Plans | $319.09 | ↓ -26% |
| United | Medicaid|> 21 | $329.82 | ↓ -24% |
| United | Medicaid|< 21 | $329.82 | ↓ -24% |
| Healthsmart | Commercial|All Plans | $540.00 | ↑ +24% |
| Molina | Medicaid|All Plans | $540.35 | ↑ +24% |
| First Health | Commercial|All Plans | $562.50 | ↑ +30% |
| Hill Physicians | Medicaid|All Plans | $571.89 | ↑ +32% |
| Kaiser | Commercial|All Plans | $592.50 | ↑ +37% |
| Sutter Health | Commercial|All Plans | $600.00 | ↑ +38% |
| MultiPlan | Commercial|All Plans | $600.00 | ↑ +38% |
| Partnership Health Plan | Medicaid|All Plans | $750.00 | ↑ +73% |
| United | Commercial|Non-Options PPO | $750.00 | ↑ +73% |
| Health Net | Medicaid|All Plans | $750.00 | ↑ +73% |
| BCBS - Anthem | Medicaid|All Plans | $750.00 | ↑ +73% |
| California Health & Wellness | Medicaid|All Plans | $750.00 | ↑ +73% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +1052% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +1052% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +1052% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +1730% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +2187% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +3216% |
Visitor-reported prices
Comments
Inj for ext venography at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $573.41 | $45.52 – $750.00 |
| St. John's Camarillo Hospital | Camarillo | $197.98 | $122.04 – $452.00 |
| Petaluma Valley Hospital | Petaluma | $2,861.10 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $148.95 | $191.40 – $405.68 |
| Mark Twain Medical Center | San Andreas | $1,150.19 | $195.58 – $740.88 |
| French Hospital | San Luis Obispo | $138.38 | $93.96 – $348.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $184.76 | $273.90 – $498.00 |
| Bakersfield Memorial Hospital | Bakersfield | $275.99 | $273.90 – $498.00 |