Insertion catheter pleural indwelling tunneled with cuff at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,651.76
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.
$12,164.00
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.
$199.61 with Hill Physicians vs $9,992.00 with Health Net — 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 | $199.61 | ↓ -92% |
| United | Medicaid|> 21 | $687.82 | ↓ -74% |
| United | Medicaid|< 21 | $687.82 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $831.49 | ↓ -69% |
| Hill Physicians | Medicare|All Plans | $912.52 | ↓ -66% |
| Molina | Medicaid|All Plans | $1,126.87 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $1,138.86 | ↓ -57% |
| Health Net | Medicaid|All Plans | $1,753.69 | ↓ -34% |
| California Health & Wellness | Medicaid|All Plans | $1,753.69 | ↓ -34% |
| Partnership Health Plan | Medicaid|All Plans | $2,577.42 | ↓ -3% |
| Western Health Advantage | Commercial|All Plans | $2,940.35 | ↑ +11% |
| Kaiser | Medicaid|All Plans | $3,444.41 | ↑ +30% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +37% |
| BCBS - Anthem | Medicare|All Other Plans | $4,373.20 | ↑ +65% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +71% |
| Kaiser | Medicare|All Plans | $4,637.54 | ↑ +75% |
| Aetna | Medicare|All Plans | $4,637.54 | ↑ +75% |
| Molina | Medicare|All Plans | $4,637.54 | ↑ +75% |
| United | Medicare|All Plans | $4,637.54 | ↑ +75% |
| Humana | Commercial|All Plans | $4,637.54 | ↑ +75% |
| Blue Shield CA | Medicare|HMO | $4,637.54 | ↑ +75% |
| Blue Shield CA | Medicare|PPO | $4,637.54 | ↑ +75% |
| BCBS - Anthem | Medicare|Imperial | $4,776.67 | ↑ +80% |
| BrightHealth | Commercial|All Plans | $5,101.29 | ↑ +92% |
| Healthsmart | Commercial|All Plans | $6,048.72 | ↑ +128% |
| First Health | Commercial|All Plans | $6,300.75 | ↑ +138% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +148% |
| Kaiser | Commercial|All Plans | $6,636.79 | ↑ +150% |
| Sutter Health | Commercial|All Plans | $6,720.80 | ↑ +153% |
| MultiPlan | Commercial|All Plans | $6,720.80 | ↑ +153% |
| Prison Healthcare | Medicaid|All Plans | $6,956.31 | ↑ +162% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +164% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +164% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +164% |
| United | Commercial|Non-Options PPO | $8,401.00 | ↑ +217% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +277% |
Visitor-reported prices
Comments
Insertion catheter pleural indwelling tunneled with cuff at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,503.24 | $199.61 – $6,972.83 |
| St. John's Camarillo Hospital | Camarillo | $2,490.91 | $846.02 – $8,890.24 |
| Petaluma Valley Hospital | Petaluma | $7,170.60 | $1,921.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $4,930.56 | $687.82 – $10,550.68 |
| Mark Twain Medical Center | San Andreas | $5,358.64 | $687.82 – $3,449.60 |
| French Hospital | San Luis Obispo | $4,515.84 | $687.82 – $10,550.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,596.11 | $687.82 – $7,754.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,557.34 | $687.82 – $7,657.47 |