Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,207.51
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.
$5,539.00
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.
$93.00 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 | $93.00 | ↓ -92% |
| United | Medicaid|< 21 | $165.76 | ↓ -86% |
| United | Medicaid|> 21 | $165.76 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $192.86 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $200.39 | ↓ -83% |
| Molina | Medicaid|All Plans | $271.57 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $274.46 | ↓ -77% |
| Health Net | Medicaid|All Plans | $422.63 | ↓ -65% |
| California Health & Wellness | Medicaid|All Plans | $422.63 | ↓ -65% |
| Partnership Health Plan | Medicaid|All Plans | $621.14 | ↓ -49% |
| BCBS - Anthem | Medicare|All Other Plans | $1,103.24 | ↓ -9% |
| Molina | Medicare|All Plans | $1,169.93 | ↓ -3% |
| Humana | Commercial|All Plans | $1,169.93 | ↓ -3% |
| Aetna | Medicare|All Plans | $1,169.93 | ↓ -3% |
| Kaiser | Medicare|All Plans | $1,169.93 | ↓ -3% |
| United | Medicare|All Plans | $1,169.93 | ↓ -3% |
| Blue Shield CA | Medicare|PPO | $1,169.93 | ↓ -3% |
| Blue Shield CA | Medicare|HMO | $1,169.93 | ↓ -3% |
| BCBS - Anthem | Medicare|Imperial | $1,205.03 | ↓ -0% |
| Western Health Advantage | Commercial|All Plans | $1,240.75 | ↑ +3% |
| BrightHealth | Commercial|All Plans | $1,286.92 | ↑ +7% |
| Kaiser | Medicaid|All Plans | $1,453.45 | ↑ +20% |
| Prison Healthcare | Medicaid|All Plans | $1,754.89 | ↑ +45% |
| Healthsmart | Commercial|All Plans | $2,552.40 | ↑ +111% |
| First Health | Commercial|All Plans | $2,658.75 | ↑ +120% |
| Kaiser | Commercial|All Plans | $2,800.55 | ↑ +132% |
| MultiPlan | Commercial|All Plans | $2,836.00 | ↑ +135% |
| Sutter Health | Commercial|All Plans | $2,836.00 | ↑ +135% |
| United | Commercial|Non-Options PPO | $3,545.00 | ↑ +194% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +201% |
| Health Net | Commercial|EPPO | $3,902.00 | ↑ +223% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +276% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +314% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +314% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +314% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +445% |
| Health Net | Commercial|FFS | $7,197.00 | ↑ +496% |
Visitor-reported prices
Comments
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,595.24 | $93.00 – $2,942.35 |
| St. John's Camarillo Hospital | Camarillo | $904.91 | $203.88 – $2,138.98 |
| Banner Lassen Medical Center | Susanville | $1,909.73 | $168.10 – $397.70 |
| Petaluma Valley Hospital | Petaluma | $3,615.90 | $1,191.92 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,146.19 | $165.76 – $2,302.02 |
| Mark Twain Medical Center | San Andreas | $1,984.02 | $71.41 – $270.48 |
| French Hospital | San Luis Obispo | $948.25 | $165.76 – $2,187.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,823.47 | $165.76 – $1,791.20 |