Insert hepatic shunt (tips) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,334.13
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.
$10,707.00
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.
$545.05 with United vs $22,349.00 with Aetna — 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 | $545.05 | ↓ -77% |
| United | Medicaid|< 21 | $545.05 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $599.55 | ↓ -74% |
| Hill Physicians | Commercial|All Plans | $789.98 | ↓ -66% |
| Hill Physicians | Medicare|All Plans | $836.88 | ↓ -64% |
| Molina | Medicaid|All Plans | $1,024.69 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $1,035.27 | ↓ -56% |
| Health Net | Medicaid|All Plans | $1,264.52 | ↓ -46% |
| California Health & Wellness | Medicaid|All Plans | $1,264.52 | ↓ -46% |
| Partnership Health Plan | Medicaid|All Plans | $2,343.72 | ↑ +0% |
| Western Health Advantage | Commercial|All Plans | $3,747.45 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $4,389.87 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $7,709.04 | ↑ +230% |
| First Health | Commercial|All Plans | $8,030.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $8,458.53 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $8,565.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $8,565.60 | ↑ +267% |
| United | Commercial|Non-Options PPO | $10,707.00 | ↑ +359% |
| BCBS - Anthem | Commercial|Connection EPO | $12,142.00 | ↑ +420% |
| BCBS - Anthem | Commercial|All Other Plans | $15,178.00 | ↑ +550% |
| BCBS - Anthem | Commercial|MCS | $22,008.00 | ↑ +843% |
| Aetna | Commercial|PPO | $22,349.00 | ↑ +857% |
| Aetna | Commercial|HMO | $22,349.00 | ↑ +857% |
| Aetna | Commercial|All Other Plans | $22,349.00 | ↑ +857% |
Visitor-reported prices
Comments
Insert hepatic shunt (tips) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,083.62 | $545.05 – $8,886.81 |
| St. John's Camarillo Hospital | Camarillo | $3,730.89 | $824.60 – $6,644.04 |
| Arroyo Grande Hospital | Santa Maria | $7,354.33 | $544.88 – $6,198.50 |
| French Hospital | San Luis Obispo | $6,539.35 | $544.88 – $6,309.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $10,678.13 | $545.05 – $25,615.98 |
| Bakersfield Memorial Hospital | Bakersfield | $10,563.00 | $545.05 – $28,494.18 |
| St. Joseph's Medical Center Stockton | Stockton | $10,409.37 | $544.88 – $29,457.96 |
| Santa Rosa Memorial Hospital | Santa Rosa | $26,842.32 | $2,238.00 – $26,028.38 |