Insert swan-ganz cath at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,478.26
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.
$6,781.00
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.
$85.30 with Hill Physicians vs $24,716.00 with Blue Shield CA — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $85.30 | ↓ -94% |
| Hill Physicians | Medicare|All Plans | $90.15 | ↓ -94% |
| United | Medicaid|< 21 | $145.71 | ↓ -90% |
| United | Medicaid|> 21 | $145.71 | ↓ -90% |
| Molina | Medicaid|All Plans | $238.72 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $254.10 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $346.07 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $535.92 | ↓ -64% |
| Health Net | Medicaid|All Plans | $535.92 | ↓ -64% |
| Partnership Health Plan | Medicaid|All Plans | $783.20 | ↓ -47% |
| BCBS - Anthem | Medicare|All Other Plans | $1,925.02 | ↑ +30% |
| Western Health Advantage | Commercial|All Plans | $1,961.40 | ↑ +33% |
| Humana | Commercial|All Plans | $2,041.38 | ↑ +38% |
| Aetna | Medicare|All Plans | $2,041.38 | ↑ +38% |
| Molina | Medicare|All Plans | $2,041.38 | ↑ +38% |
| United | Medicare|All Plans | $2,041.38 | ↑ +38% |
| Kaiser | Medicare|All Plans | $2,041.38 | ↑ +38% |
| Blue Shield CA | Medicare|HMO | $2,041.38 | ↑ +38% |
| Blue Shield CA | Medicare|PPO | $2,041.38 | ↑ +38% |
| BCBS - Anthem | Medicare|Imperial | $2,102.62 | ↑ +42% |
| BrightHealth | Commercial|All Plans | $2,245.52 | ↑ +52% |
| Kaiser | Medicaid|All Plans | $2,297.64 | ↑ +55% |
| Prison Healthcare | Medicaid|All Plans | $3,062.07 | ↑ +107% |
| Health Net | Commercial|EPPO | $3,902.00 | ↑ +164% |
| Healthsmart | Commercial|All Plans | $4,034.88 | ↑ +173% |
| First Health | Commercial|All Plans | $4,203.00 | ↑ +184% |
| Kaiser | Commercial|All Plans | $4,427.16 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $4,483.20 | ↑ +203% |
| Sutter Health | Commercial|All Plans | $4,483.20 | ↑ +203% |
| United | Commercial|Non-Options PPO | $5,604.00 | ↑ +279% |
| Health Net | Commercial|FFS | $7,197.00 | ↑ +387% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +561% |
| United | Commercial|HMO | $11,514.00 | ↑ +679% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +726% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,990.00 | ↑ +846% |
| Blue Shield CA | Commercial|Exchange | $14,319.00 | ↑ +869% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +1052% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +1052% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +1052% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +1098% |
| Blue Shield CA | Commercial|HMO | $20,160.00 | ↑ +1264% |
| Blue Shield CA | Commercial|All Other Plans | $21,946.00 | ↑ +1385% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +1468% |
| Blue Shield CA | Commercial|CalPers | $24,716.00 | ↑ +1572% |
Visitor-reported prices
Comments
Insert swan-ganz cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,952.93 | $85.30 – $4,651.32 |
| St. John's Camarillo Hospital | Camarillo | $1,137.93 | $141.65 – $3,734.50 |
| Arroyo Grande Hospital | Santa Maria | $2,070.24 | $145.71 – $4,740.26 |
| French Hospital | San Luis Obispo | $1,929.43 | $145.71 – $4,740.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,669.13 | $145.71 – $3,599.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,651.14 | $145.71 – $3,211.35 |
| Queen of The Valley Medical Center | Napa | $2,628.03 | $2,235.08 – $7,745.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,763.58 | $2,024.63 – $9,008.00 |