Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,048.58
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.
$4,810.00
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.
$113.93 with Hill Physicians vs $7,197.00 with Health Net — 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 | $113.93 | ↓ -89% |
| United | Medicaid|< 21 | $164.49 | ↓ -84% |
| United | Medicaid|> 21 | $164.49 | ↓ -84% |
| Molina | Medicaid|All Plans | $269.48 | ↓ -74% |
| Hill Physicians | Medicare|All Plans | $270.26 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $285.21 | ↓ -73% |
| BCBS - Anthem | Medicaid|All Plans | $390.66 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $601.53 | ↓ -43% |
| Health Net | Medicaid|All Plans | $601.53 | ↓ -43% |
| Partnership Health Plan | Medicaid|All Plans | $884.11 | ↓ -16% |
| BCBS - Anthem | Medicare|All Other Plans | $1,103.24 | ↑ +5% |
| Western Health Advantage | Commercial|All Plans | $1,122.45 | ↑ +7% |
| Humana | Commercial|All Plans | $1,169.93 | ↑ +12% |
| Aetna | Medicare|All Plans | $1,169.93 | ↑ +12% |
| Molina | Medicare|All Plans | $1,169.93 | ↑ +12% |
| United | Medicare|All Plans | $1,169.93 | ↑ +12% |
| Kaiser | Medicare|All Plans | $1,169.93 | ↑ +12% |
| Blue Shield CA | Medicare|HMO | $1,169.93 | ↑ +12% |
| Blue Shield CA | Medicare|PPO | $1,169.93 | ↑ +12% |
| BCBS - Anthem | Medicare|Imperial | $1,205.03 | ↑ +15% |
| BrightHealth | Commercial|All Plans | $1,286.92 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $1,314.87 | ↑ +25% |
| Prison Healthcare | Medicaid|All Plans | $1,754.89 | ↑ +67% |
| Healthsmart | Commercial|All Plans | $2,309.04 | ↑ +120% |
| First Health | Commercial|All Plans | $2,405.25 | ↑ +129% |
| Kaiser | Commercial|All Plans | $2,533.53 | ↑ +142% |
| MultiPlan | Commercial|All Plans | $2,565.60 | ↑ +145% |
| Sutter Health | Commercial|All Plans | $2,565.60 | ↑ +145% |
| United | Commercial|Non-Options PPO | $3,207.00 | ↑ +206% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +246% |
| Health Net | Commercial|EPPO | $3,902.00 | ↑ +272% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +333% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +377% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +377% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +377% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +528% |
| Health Net | Commercial|FFS | $7,197.00 | ↑ +586% |
Visitor-reported prices
Comments
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,385.28 | $113.93 – $2,661.81 |
| St. John's Camarillo Hospital | Camarillo | $1,464.24 | $202.32 – $2,138.98 |
| Petaluma Valley Hospital | Petaluma | $3,363.96 | $1,191.92 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,486.02 | $164.49 – $3,206.56 |
| Mark Twain Medical Center | San Andreas | $1,625.71 | $88.22 – $334.18 |
| French Hospital | San Luis Obispo | $1,333.98 | $164.49 – $2,190.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,176.29 | $164.49 – $1,791.20 |
| Bakersfield Memorial Hospital | Bakersfield | $821.72 | $164.49 – $1,768.81 |