Ins/rpl ldless pm right vent w img & eval at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$14,188.53
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.
$65,085.00
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.
$417.72 with United vs $65,085.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $417.72 | ↓ -97% |
| United | Medicaid|> 21 | $417.72 | ↓ -97% |
| Hill Physicians | Medicaid|All Plans | $459.49 | ↓ -97% |
| Hill Physicians | Commercial|All Plans | $463.09 | ↓ -97% |
| Hill Physicians | Medicare|All Plans | $494.79 | ↓ -97% |
| Molina | Medicaid|All Plans | $785.31 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $793.67 | ↓ -94% |
| Health Net | Medicaid|All Plans | $969.11 | ↓ -93% |
| California Health & Wellness | Medicaid|All Plans | $969.11 | ↓ -93% |
| Partnership Health Plan | Medicaid|All Plans | $1,796.20 | ↓ -87% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↓ -31% |
| Aetna | Commercial|PPO | $10,007.00 | ↓ -29% |
| Aetna | Commercial|HMO | $10,007.00 | ↓ -29% |
| Aetna | Commercial|All Other Plans | $10,007.00 | ↓ -29% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↓ -14% |
| Health Net | Commercial|EPPO | $12,309.00 | ↓ -13% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +25% |
| Health Net | Commercial|FFS | $22,699.00 | ↑ +60% |
| Western Health Advantage | Commercial|All Plans | $22,779.75 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $23,632.91 | ↑ +67% |
| Humana | Commercial|All Plans | $25,061.41 | ↑ +77% |
| Aetna | Medicare|All Plans | $25,061.41 | ↑ +77% |
| Molina | Medicare|All Plans | $25,061.41 | ↑ +77% |
| United | Medicare|All Plans | $25,061.41 | ↑ +77% |
| Kaiser | Medicare|All Plans | $25,061.41 | ↑ +77% |
| Blue Shield CA | Medicare|HMO | $25,061.41 | ↑ +77% |
| Blue Shield CA | Medicare|PPO | $25,061.41 | ↑ +77% |
| BCBS - Anthem | Medicare|Imperial | $25,813.25 | ↑ +82% |
| Kaiser | Medicaid|All Plans | $26,684.85 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $27,567.55 | ↑ +94% |
| Prison Healthcare | Medicaid|All Plans | $37,592.11 | ↑ +165% |
| Healthsmart | Commercial|All Plans | $46,861.20 | ↑ +230% |
| First Health | Commercial|All Plans | $48,813.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $51,417.15 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $52,068.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $52,068.00 | ↑ +267% |
| United | Commercial|Non-Options PPO | $65,085.00 | ↑ +359% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $18,744.48 | $417.72 – $54,020.55 |
| St. John's Camarillo Hospital | Camarillo | $17,482.34 | $631.97 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $27,923.15 | $417.72 – $63,936.18 |
| French Hospital | San Luis Obispo | $25,574.48 | $417.72 – $63,936.18 |
| Bakersfield Memorial Hospital | Bakersfield | $21,010.75 | $417.72 – $45,227.50 |
| Queen of The Valley Medical Center | Napa | $24,293.85 | $7,745.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $27,480.84 | $9,008.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $16,491.05 | $417.72 – $47,117.28 |