Insert/repl sq defib w/eltrd at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$24,827.81
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.
$113,889.00
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.
$508.93 with United vs $113,889.00 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 | $508.93 | ↓ -98% |
| United | Medicaid|< 21 | $508.93 | ↓ -98% |
| Hill Physicians | Commercial|All Plans | $543.79 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $559.82 | ↓ -98% |
| Hill Physicians | Medicare|All Plans | $577.32 | ↓ -98% |
| Molina | Medicaid|All Plans | $956.79 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $966.97 | ↓ -96% |
| Health Net | Medicaid|All Plans | $1,180.72 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $1,180.72 | ↓ -95% |
| Partnership Health Plan | Medicaid|All Plans | $2,188.40 | ↓ -91% |
| Aetna | Commercial|PPO | $8,002.00 | ↓ -68% |
| Aetna | Commercial|HMO | $8,002.00 | ↓ -68% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↓ -68% |
| BCBS - Anthem | Commercial|Connection EPO | $12,142.00 | ↓ -51% |
| BCBS - Anthem | Commercial|All Other Plans | $15,178.00 | ↓ -39% |
| Health Net | Commercial|EPPO | $17,091.00 | ↓ -31% |
| BCBS - Anthem | Commercial|MCS | $22,008.00 | ↓ -11% |
| Health Net | Commercial|FFS | $31,516.00 | ↑ +27% |
| BCBS - Anthem | Medicare|All Other Plans | $39,730.59 | ↑ +60% |
| Western Health Advantage | Commercial|All Plans | $39,861.15 | ↑ +61% |
| Humana | Commercial|All Plans | $42,132.12 | ↑ +70% |
| Aetna | Medicare|All Plans | $42,132.12 | ↑ +70% |
| Molina | Medicare|All Plans | $42,132.12 | ↑ +70% |
| United | Medicare|All Plans | $42,132.12 | ↑ +70% |
| Kaiser | Medicare|All Plans | $42,132.12 | ↑ +70% |
| Blue Shield CA | Medicare|HMO | $42,132.12 | ↑ +70% |
| Blue Shield CA | Medicare|PPO | $42,132.12 | ↑ +70% |
| BCBS - Anthem | Medicare|Imperial | $43,396.08 | ↑ +75% |
| BrightHealth | Commercial|All Plans | $46,345.33 | ↑ +87% |
| Kaiser | Medicaid|All Plans | $46,694.49 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $63,198.18 | ↑ +155% |
| Healthsmart | Commercial|All Plans | $82,000.08 | ↑ +230% |
| First Health | Commercial|All Plans | $85,416.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $89,972.31 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $91,111.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $91,111.20 | ↑ +267% |
| United | Commercial|Non-Options PPO | $113,889.00 | ↑ +359% |
Visitor-reported prices
Comments
Insert/repl sq defib w/eltrd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $32,800.04 | $508.93 – $94,527.87 |
| St. John's Camarillo Hospital | Camarillo | $28,282.54 | $769.96 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $45,154.86 | $508.93 – $103,391.96 |
| French Hospital | San Luis Obispo | $40,152.17 | $508.93 – $100,380.42 |
| Bakersfield Memorial Hospital | Bakersfield | $42,194.36 | $508.93 – $90,827.09 |
| St. Joseph's Medical Center Stockton | Stockton | $19,895.87 | $508.93 – $56,845.32 |
| Santa Rosa Memorial Hospital | Santa Rosa | $48,827.91 | $2,995.00 – $43,676.48 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $26,421.12 | $6,920.00 – $74,686.95 |