Insert sq defib electrode at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,902.93
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.
$8,729.00
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.
$428.89 with United vs $22,008.00 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 | $428.89 | ↓ -77% |
| United | Medicaid|> 21 | $428.89 | ↓ -77% |
| Hill Physicians | Commercial|All Plans | $441.30 | ↓ -77% |
| Hill Physicians | Medicare|All Plans | $460.73 | ↓ -76% |
| Hill Physicians | Medicaid|All Plans | $471.78 | ↓ -75% |
| Molina | Medicaid|All Plans | $806.31 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $814.89 | ↓ -57% |
| California Health & Wellness | Medicaid|All Plans | $995.02 | ↓ -48% |
| Health Net | Medicaid|All Plans | $995.02 | ↓ -48% |
| Partnership Health Plan | Medicaid|All Plans | $1,844.23 | ↓ -3% |
| Western Health Advantage | Commercial|All Plans | $3,055.15 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $3,578.89 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $6,284.88 | ↑ +230% |
| First Health | Commercial|All Plans | $6,546.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $6,895.91 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $6,983.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $6,983.20 | ↑ +267% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +321% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +321% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +321% |
| BCBS - Anthem | Medicare|All Other Plans | $8,231.45 | ↑ +333% |
| United | Commercial|Non-Options PPO | $8,729.00 | ↑ +359% |
| Molina | Medicare|All Plans | $8,729.00 | ↑ +359% |
| Humana | Commercial|All Plans | $8,729.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $8,729.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $8,729.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $8,865.00 | ↑ +366% |
| BCBS - Anthem | Medicare|Imperial | $8,990.87 | ↑ +372% |
| BrightHealth | Commercial|All Plans | $9,601.90 | ↑ +405% |
| Blue Shield CA | Medicare|HMO | $10,875.47 | ↑ +472% |
| United | Medicare|All Plans | $10,875.47 | ↑ +472% |
| Kaiser | Medicare|All Plans | $10,875.47 | ↑ +472% |
| BCBS - Anthem | Commercial|Connection EPO | $12,142.00 | ↑ +538% |
| BCBS - Anthem | Commercial|All Other Plans | $15,178.00 | ↑ +698% |
| Prison Healthcare | Medicaid|All Plans | $16,313.20 | ↑ +757% |
| Health Net | Commercial|FFS | $16,347.00 | ↑ +759% |
| BCBS - Anthem | Commercial|MCS | $22,008.00 | ↑ +1057% |
Visitor-reported prices
Comments
Insert sq defib electrode at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,513.96 | $428.89 – $8,729.00 |
| St. John's Camarillo Hospital | Camarillo | $6,502.11 | $648.86 – $20,488.56 |
| Bakersfield Memorial Hospital | Bakersfield | $2,374.49 | $428.89 – $6,470.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,926.96 | $428.89 – $11,741.96 |
| Mercy Medical Center Merced | Merced | $12,772.00 | $428.89 – $24,552.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,462.25 | $4,589.00 – $19,690.54 |
| California Hospital Medical Center | Los Angeles | $13,318.59 | $386.00 – $21,694.19 |
| Providence Saint Joseph Medical Center | Burbank | $3,593.45 | $4,589.00 – $19,690.54 |