Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$219.09
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.
$1,005.00
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.
$36.80 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 | $36.80 | ↓ -83% |
| United | Medicaid|< 21 | $52.49 | ↓ -76% |
| United | Medicaid|> 21 | $52.49 | ↓ -76% |
| Hill Physicians | Medicare|All Plans | $57.36 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $57.74 | ↓ -74% |
| Molina | Medicaid|All Plans | $98.68 | ↓ -55% |
| BCBS - Anthem | Medicaid|All Plans | $99.73 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $121.78 | ↓ -44% |
| Health Net | Medicaid|All Plans | $121.78 | ↓ -44% |
| Partnership Health Plan | Medicaid|All Plans | $225.71 | ↑ +3% |
| Western Health Advantage | Commercial|All Plans | $351.75 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $365.80 | ↑ +67% |
| Humana | Commercial|All Plans | $387.91 | ↑ +77% |
| Aetna | Medicare|All Plans | $387.91 | ↑ +77% |
| Molina | Medicare|All Plans | $387.91 | ↑ +77% |
| United | Medicare|All Plans | $387.91 | ↑ +77% |
| Kaiser | Medicare|All Plans | $387.91 | ↑ +77% |
| Blue Shield CA | Medicare|HMO | $387.91 | ↑ +77% |
| Blue Shield CA | Medicare|PPO | $387.91 | ↑ +77% |
| BCBS - Anthem | Medicare|Imperial | $399.55 | ↑ +82% |
| Kaiser | Medicaid|All Plans | $412.05 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $426.70 | ↑ +95% |
| Prison Healthcare | Medicaid|All Plans | $581.87 | ↑ +166% |
| Healthsmart | Commercial|All Plans | $723.60 | ↑ +230% |
| First Health | Commercial|All Plans | $753.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $793.95 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $804.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $804.00 | ↑ +267% |
| United | Commercial|Non-Options PPO | $1,005.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +1183% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +1557% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +1972% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +2183% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +2183% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +2183% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +2266% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +2904% |
Visitor-reported prices
Comments
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $289.44 | $36.80 – $834.15 |
| St. John's Camarillo Hospital | Camarillo | $515.53 | $79.41 – $918.06 |
| Petaluma Valley Hospital | Petaluma | $818.04 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $481.50 | $52.49 – $848.68 |
| Mark Twain Medical Center | San Andreas | $295.04 | $26.39 – $99.96 |
| French Hospital | San Luis Obispo | $427.68 | $52.49 – $848.68 |
| Bakersfield Memorial Hospital | Bakersfield | $363.33 | $52.49 – $782.10 |
| Queen of The Valley Medical Center | Napa | $1,826.82 | $435.83 – $6,200.00 |