Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$162.41
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.
$745.00
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.
$49.47 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 | $49.47 | ↓ -70% |
| Hill Physicians | Medicare|All Plans | $181.09 | ↑ +12% |
| United | Medicaid|< 21 | $197.80 | ↑ +22% |
| United | Medicaid|> 21 | $197.80 | ↑ +22% |
| Western Health Advantage | Commercial|All Plans | $250.60 | ↑ +54% |
| Kaiser | Medicaid|All Plans | $293.56 | ↑ +81% |
| Molina | Medicaid|All Plans | $324.06 | ↑ +100% |
| Hill Physicians | Medicaid|All Plans | $342.99 | ↑ +111% |
| BCBS - Anthem | Medicaid|All Plans | $469.78 | ↑ +189% |
| Healthsmart | Commercial|All Plans | $515.52 | ↑ +217% |
| First Health | Commercial|All Plans | $537.00 | ↑ +231% |
| Kaiser | Commercial|All Plans | $565.64 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $572.80 | ↑ +253% |
| Sutter Health | Commercial|All Plans | $572.80 | ↑ +253% |
| United | Commercial|Non-Options PPO | $716.00 | ↑ +341% |
| Health Net | Medicaid|All Plans | $716.00 | ↑ +341% |
| Partnership Health Plan | Medicaid|All Plans | $716.00 | ↑ +341% |
| California Health & Wellness | Medicaid|All Plans | $716.00 | ↑ +341% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +2136% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +2695% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +2980% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +2980% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +2980% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +3953% |
Visitor-reported prices
Comments
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $214.56 | $49.47 – $716.00 |
| St. John's Camarillo Hospital | Camarillo | $179.58 | $110.70 – $410.00 |
| Banner Lassen Medical Center | Susanville | $266.22 | $139.40 – $329.80 |
| Petaluma Valley Hospital | Petaluma | $497.76 | $268.25 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $638.58 | $197.80 – $677.18 |
| Mark Twain Medical Center | San Andreas | $1,057.61 | $31.05 – $197.80 |
| French Hospital | San Luis Obispo | $568.40 | $186.57 – $677.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $251.54 | $197.80 – $473.00 |