Ins cerv dilator (sep proc) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$219.53
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.
$1,007.00
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.
$64.05 with Hill Physicians vs $23,178.00 with United — 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 | $64.05 | ↓ -71% |
| Hill Physicians | Medicare|All Plans | $107.10 | ↓ -51% |
| Western Health Advantage | Commercial|All Plans | $352.45 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $376.95 | ↑ +72% |
| Humana | Commercial|All Plans | $399.74 | ↑ +82% |
| Aetna | Medicare|All Plans | $399.74 | ↑ +82% |
| Molina | Medicare|All Plans | $399.74 | ↑ +82% |
| United | Medicare|All Plans | $399.74 | ↑ +82% |
| Kaiser | Medicare|All Plans | $399.74 | ↑ +82% |
| Blue Shield CA | Medicare|HMO | $399.74 | ↑ +82% |
| Blue Shield CA | Medicare|PPO | $399.74 | ↑ +82% |
| BCBS - Anthem | Medicare|Imperial | $411.73 | ↑ +88% |
| Kaiser | Medicaid|All Plans | $412.87 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $439.71 | ↑ +100% |
| Prison Healthcare | Medicaid|All Plans | $599.61 | ↑ +173% |
| Cigna | Commercial|LocalPlus | $654.55 | ↑ +198% |
| Healthsmart | Commercial|All Plans | $725.04 | ↑ +230% |
| First Health | Commercial|All Plans | $755.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $795.53 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $805.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $805.60 | ↑ +267% |
| Cigna | Commercial|All Other Plans | $876.09 | ↑ +299% |
| United | Commercial|Non-Options PPO | $1,007.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +1180% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +1554% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +1968% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +2179% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +2179% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +2179% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +2261% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +2898% |
| United | Commercial|HMO | $11,514.00 | ↑ +5145% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +10458% |
Visitor-reported prices
Comments
Ins cerv dilator (sep proc) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $290.02 | $64.05 – $835.81 |
| St. John's Camarillo Hospital | Camarillo | $355.66 | $219.24 – $732.82 |
| Banner Lassen Medical Center | Susanville | $577.43 | $60.84 – $495.67 |
| Petaluma Valley Hospital | Petaluma | $591.09 | $410.66 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $488.35 | $386.50 – $1,118.18 |
| French Hospital | San Luis Obispo | $447.28 | $308.07 – $1,118.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $195.89 | $264.00 – $438.24 |
| Bakersfield Memorial Hospital | Bakersfield | $208.46 | $284.00 – $471.44 |