Ins lv lead exist pm/icd at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,814.60
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.
?
What you pay up front if you don't use insurance.
$12,911.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$279.60 with United vs $24,641.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | Medicaid|< 21 | $279.60 | ↓ -90% |
| United | Medicaid|> 21 | $279.60 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $307.56 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $487.77 | ↓ -83% |
| Hill Physicians | Medicare|All Plans | $521.85 | ↓ -81% |
| Molina | Medicaid|All Plans | $525.65 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $531.24 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $648.67 | ↓ -77% |
| Health Net | Medicaid|All Plans | $648.67 | ↓ -77% |
| Partnership Health Plan | Medicaid|All Plans | $1,202.28 | ↓ -57% |
| Western Health Advantage | Commercial|All Plans | $4,518.85 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $5,293.51 | ↑ +88% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +184% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +184% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +184% |
| Healthsmart | Commercial|All Plans | $9,295.92 | ↑ +230% |
| First Health | Commercial|All Plans | $9,683.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $10,199.69 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $10,328.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $10,328.80 | ↑ +267% |
| Health Net | Commercial|EPPO | $10,446.00 | ↑ +271% |
| BCBS - Anthem | Medicare|All Other Plans | $12,175.08 | ↑ +333% |
| United | Commercial|Non-Options PPO | $12,911.00 | ↑ +359% |
| Molina | Medicare|All Plans | $12,911.00 | ↑ +359% |
| Humana | Commercial|All Plans | $12,911.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $12,911.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $12,911.00 | ↑ +359% |
| BCBS - Anthem | Medicare|Imperial | $13,298.33 | ↑ +372% |
| BCBS - Anthem | Commercial|Connection EPO | $13,595.00 | ↑ +383% |
| Kaiser | Medicare|All Plans | $13,752.49 | ↑ +389% |
| United | Medicare|All Plans | $13,752.49 | ↑ +389% |
| Blue Shield CA | Medicare|HMO | $13,752.49 | ↑ +389% |
| BrightHealth | Commercial|All Plans | $14,202.10 | ↑ +405% |
| BCBS - Anthem | Commercial|All Other Plans | $16,994.00 | ↑ +504% |
| Health Net | Commercial|FFS | $19,264.00 | ↑ +584% |
| Prison Healthcare | Medicaid|All Plans | $20,628.74 | ↑ +633% |
| BCBS - Anthem | Commercial|MCS | $24,641.00 | ↑ +775% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,718.37 | $279.60 – $12,911.00 |
| St. John's Camarillo Hospital | Camarillo | $15,211.74 | $423.01 – $27,089.40 |
| Arroyo Grande Hospital | Santa Maria | $22,068.97 | $279.60 – $50,531.74 |
| French Hospital | San Luis Obispo | $20,566.68 | $279.60 – $51,416.68 |
| Bakersfield Memorial Hospital | Bakersfield | $22,624.45 | $279.60 – $48,701.13 |
| Queen of The Valley Medical Center | Napa | $33,111.75 | $7,483.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,084.60 | $279.60 – $25,956.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $15,113.85 | $2,995.00 – $20,488.00 |