Injection, renflexis at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$788.51
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.
$3,617.00
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.
$27.85 with Partnership Health Plan vs $2,893.60 with MultiPlan — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $27.85 | ↓ -96% |
| Hill Physicians | Commercial|All Plans | $29.52 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $30.64 | ↓ -96% |
| BCBS - Anthem | Medicare|All Other Plans | $31.04 | ↓ -96% |
| United | Medicare|All Plans | $32.92 | ↓ -96% |
| Kaiser | Medicare|All Plans | $32.92 | ↓ -96% |
| Molina | Medicare|All Plans | $32.92 | ↓ -96% |
| Aetna | Medicare|All Plans | $32.92 | ↓ -96% |
| Humana | Commercial|All Plans | $32.92 | ↓ -96% |
| Blue Shield CA | Medicare|HMO | $32.92 | ↓ -96% |
| Blue Shield CA | Medicare|PPO | $32.92 | ↓ -96% |
| BCBS - Anthem | Medicare|Imperial | $33.91 | ↓ -96% |
| BrightHealth | Commercial|All Plans | $36.21 | ↓ -95% |
| Hill Physicians | Medicare|All Plans | $42.09 | ↓ -95% |
| United | Commercial|HMO | $43.33 | ↓ -95% |
| United | Commercial|All Other Plans | $43.33 | ↓ -95% |
| Prison Healthcare | Medicaid|All Plans | $49.38 | ↓ -94% |
| Molina | Medicaid|All Plans | $52.36 | ↓ -93% |
| Aetna | Commercial|HMO | $57.37 | ↓ -93% |
| Aetna | Commercial|PPO | $57.37 | ↓ -93% |
| Aetna | Commercial|All Other Plans | $57.37 | ↓ -93% |
| Health Net | Medicaid|All Plans | $64.61 | ↓ -92% |
| California Health & Wellness | Medicaid|All Plans | $64.61 | ↓ -92% |
| Cigna | Commercial|LocalPlus | $64.78 | ↓ -92% |
| Health Net | Commercial|EPPO | $65.10 | ↓ -92% |
| United | Commercial|Non-Options PPO | $65.31 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $70.34 | ↓ -91% |
| Western Health Advantage | Commercial|All Plans | $81.37 | ↓ -90% |
| Cigna | Commercial|All Other Plans | $86.39 | ↓ -89% |
| Blue Shield CA | Commercial|Exchange | $90.41 | ↓ -89% |
| Blue Shield CA | Commercial|HMO | $90.41 | ↓ -89% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $90.41 | ↓ -89% |
| Blue Shield CA | Commercial|CalPers | $90.41 | ↓ -89% |
| Blue Shield CA | Commercial|All Other Plans | $90.41 | ↓ -89% |
| Health Net | Commercial|FFS | $121.15 | ↓ -85% |
| BCBS - Anthem | Commercial|Connection EPO | $227.84 | ↓ -71% |
| BCBS - Anthem | Commercial|All Other Plans | $284.80 | ↓ -64% |
| BCBS - Anthem | Commercial|MCS | $413.21 | ↓ -48% |
| Kaiser | Medicaid|All Plans | $1,482.97 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $2,604.24 | ↑ +230% |
| First Health | Commercial|All Plans | $2,712.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $2,857.43 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $2,893.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,893.60 | ↑ +267% |
Visitor-reported prices
Comments
Injection, renflexis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,041.70 | $27.85 – $3,002.11 |
| St. John's Camarillo Hospital | Camarillo | $1,314.00 | $26.18 – $900.00 |
| Arroyo Grande Hospital | Santa Maria | $3,869.55 | $31.83 – $8,860.18 |
| French Hospital | San Luis Obispo | $3,544.08 | $27.85 – $8,860.18 |
| Bakersfield Memorial Hospital | Bakersfield | $1,320.84 | $31.83 – $2,843.21 |
| Queen of The Valley Medical Center | Napa | $1,170.67 | $26.80 – $108.49 |
| Providence St Joseph Hospital Eureka | Eureka | $1,170.67 | $26.80 – $129.41 |
| St. Joseph's Medical Center Stockton | Stockton | $864.07 | $29.91 – $2,409.98 |