Inj hrt cath w/s&i sel left vent at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,920.99
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.
$13,399.00
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.
$25.43 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 | $25.43 | ↓ -99% |
| United | Medicaid|< 21 | $41.35 | ↓ -99% |
| United | Medicaid|> 21 | $41.35 | ↓ -99% |
| Hill Physicians | Medicare|All Plans | $45.30 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $50.27 | ↓ -98% |
| Molina | Medicaid|All Plans | $67.74 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $68.46 | ↓ -98% |
| Health Net | Medicaid|All Plans | $106.02 | ↓ -96% |
| California Health & Wellness | Medicaid|All Plans | $106.02 | ↓ -96% |
| Partnership Health Plan | Medicaid|All Plans | $154.93 | ↓ -95% |
| Western Health Advantage | Commercial|All Plans | $4,689.65 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $5,493.59 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +172% |
| Healthsmart | Commercial|All Plans | $9,647.28 | ↑ +230% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +240% |
| First Health | Commercial|All Plans | $10,049.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $10,585.21 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $10,719.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $10,719.20 | ↑ +267% |
| United | Commercial|Non-Options PPO | $13,399.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +393% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +483% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +483% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +483% |
Visitor-reported prices
Comments
Inj hrt cath w/s&i sel left vent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,858.92 | $25.43 – $11,121.17 |
| St. John's Camarillo Hospital | Camarillo | $7,331.69 | $50.86 – $13,056.42 |
| St. Joseph's Medical Center Stockton | Stockton | $627.99 | $36.03 – $1,794.24 |
| Dominican Hospital | Santa Cruz | $656.55 | $41.35 – $1,313.10 |
| St. Mary Medical Center | Long Beach | $375.82 | $36.03 – $874.00 |
| Community Hospital San Bernardino | San Bernardino | $155.62 | $41.35 – $398.00 |
| Providence St Joseph Hospital Orange | Orange | $282.24 | $1,394.00 – $11,456.00 |
| Glendale Memorial Hospital Health Center | Glendale | $606.69 | $45.04 – $1,488.80 |