Inj hrt cath w/s&i nonsel p-art angrp at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$702.18
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.
$3,221.00
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.
$44.28 with Hill Physicians vs $17,030.00 with Aetna — 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 | $44.28 | ↓ -94% |
| United | Medicaid|> 21 | $106.95 | ↓ -85% |
| United | Medicaid|< 21 | $106.95 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $130.03 | ↓ -81% |
| Hill Physicians | Medicare|All Plans | $141.56 | ↓ -80% |
| Molina | Medicaid|All Plans | $175.22 | ↓ -75% |
| BCBS - Anthem | Medicaid|All Plans | $177.08 | ↓ -75% |
| Health Net | Medicaid|All Plans | $274.25 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $274.25 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $400.76 | ↓ -43% |
| Western Health Advantage | Commercial|All Plans | $1,127.35 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,320.61 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $2,319.12 | ↑ +230% |
| First Health | Commercial|All Plans | $2,415.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $2,544.59 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $2,576.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $2,576.80 | ↑ +267% |
| United | Commercial|Non-Options PPO | $3,221.00 | ↑ +359% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +1031% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +1314% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +1950% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +2325% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +2325% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +2325% |
Visitor-reported prices
Comments
Inj hrt cath w/s&i nonsel p-art angrp at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $927.65 | $44.28 – $2,673.43 |
| St. John's Camarillo Hospital | Camarillo | $83.22 | $51.30 – $203.32 |
| Arroyo Grande Hospital | Santa Maria | $115.14 | $106.95 – $263.62 |
| French Hospital | San Luis Obispo | $101.53 | $69.93 – $253.82 |
| Bakersfield Memorial Hospital | Bakersfield | $478.57 | $106.95 – $1,290.96 |
| St. Joseph's Medical Center Stockton | Stockton | $649.16 | $93.20 – $1,854.72 |
| Santa Rosa Memorial Hospital | Santa Rosa | $830.79 | $1,716.00 – $4,042.00 |
| Mercy Medical Center Merced | Merced | $540.75 | $106.95 – $1,039.50 |