Ins picad w subq port 5yr> at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,395.17
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.
$10,987.00
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.
$308.36 with Hill Physicians vs $17,715.00 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 | $308.36 | ↓ -87% |
| United | Medicaid|< 21 | $348.50 | ↓ -85% |
| United | Medicaid|> 21 | $348.50 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $421.42 | ↓ -82% |
| Molina | Medicaid|All Plans | $571.14 | ↓ -76% |
| BCBS - Anthem | Medicaid|All Plans | $577.03 | ↓ -76% |
| California Health & Wellness | Medicaid|All Plans | $888.82 | ↓ -63% |
| Health Net | Medicaid|All Plans | $888.82 | ↓ -63% |
| Partnership Health Plan | Medicaid|All Plans | $1,306.34 | ↓ -45% |
| Hill Physicians | Medicare|All Plans | $1,503.54 | ↓ -37% |
| Western Health Advantage | Commercial|All Plans | $3,845.45 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +63% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +73% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +73% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +73% |
| United | Medicare|All Plans | $4,136.13 | ↑ +73% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +73% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +73% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +73% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +78% |
| Kaiser | Medicaid|All Plans | $4,504.67 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +90% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +159% |
| Healthsmart | Commercial|All Plans | $7,910.64 | ↑ +230% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +234% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +234% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +234% |
| First Health | Commercial|All Plans | $8,240.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $8,679.73 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $8,789.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $8,789.60 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +308% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +317% |
| United | Commercial|Non-Options PPO | $10,987.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +410% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +640% |
Visitor-reported prices
Comments
Ins picad w subq port 5yr> at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,164.26 | $308.36 – $9,119.21 |
| St. John's Camarillo Hospital | Camarillo | $2,289.87 | $428.65 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $4,467.90 | $348.50 – $10,230.22 |
| Mark Twain Medical Center | San Andreas | $574.76 | $223.26 – $845.74 |
| French Hospital | San Luis Obispo | $4,092.09 | $348.50 – $10,230.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,891.64 | $348.50 – $10,548.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,838.90 | $348.50 – $10,416.15 |
| Queen of The Valley Medical Center | Napa | $6,205.68 | $4,483.19 – $17,909.00 |