Ins tun cv cath wo subq prt/pm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$4,160.75
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.
$19,086.00
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.
$155.64 with United vs $14,393.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $155.64 | ↓ -96% |
| United | Medicaid|> 21 | $155.64 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $187.99 | ↓ -95% |
| Molina | Medicaid|All Plans | $254.78 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $256.92 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $257.70 | ↓ -94% |
| California Health & Wellness | Medicaid|All Plans | $396.49 | ↓ -90% |
| Health Net | Medicaid|All Plans | $396.49 | ↓ -90% |
| Partnership Health Plan | Medicaid|All Plans | $582.74 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $944.43 | ↓ -77% |
| Western Health Advantage | Commercial|All Plans | $3,607.10 | ↓ -13% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↓ -6% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↓ -1% |
| Aetna | Medicare|All Plans | $4,136.13 | ↓ -1% |
| Molina | Medicare|All Plans | $4,136.13 | ↓ -1% |
| United | Medicare|All Plans | $4,136.13 | ↓ -1% |
| Humana | Commercial|All Plans | $4,136.13 | ↓ -1% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↓ -1% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↓ -1% |
| Kaiser | Medicaid|All Plans | $4,225.46 | ↑ +2% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +2% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +9% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +49% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +68% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +68% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +68% |
| Healthsmart | Commercial|All Plans | $7,420.32 | ↑ +78% |
| First Health | Commercial|All Plans | $7,729.50 | ↑ +86% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +91% |
| Kaiser | Commercial|All Plans | $8,141.74 | ↑ +96% |
| Sutter Health | Commercial|All Plans | $8,244.80 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $8,244.80 | ↑ +98% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +139% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +140% |
| United | Commercial|Non-Options PPO | $10,306.00 | ↑ +148% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +246% |
Visitor-reported prices
Comments
Ins tun cv cath wo subq prt/pm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $5,496.77 | $155.64 – $8,553.98 |
| St. John's Camarillo Hospital | Camarillo | $2,793.13 | $191.44 – $7,477.22 |
| Petaluma Valley Hospital | Petaluma | $6,031.26 | $1,921.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $4,220.51 | $155.64 – $9,276.68 |
| Mark Twain Medical Center | San Andreas | $478.19 | $155.64 – $703.64 |
| French Hospital | San Luis Obispo | $3,787.90 | $155.64 – $9,372.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,908.64 | $155.64 – $6,272.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,877.28 | $155.64 – $6,193.60 |