Insertion of catheter vein at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,374.28
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.
$6,304.00
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.
$315.73 with Hill Physicians vs $6,582.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $315.73 | ↓ -77% |
| United | Medicaid|< 21 | $334.09 | ↓ -76% |
| United | Medicaid|> 21 | $334.09 | ↓ -76% |
| Molina | Medicaid|All Plans | $547.34 | ↓ -60% |
| Hill Physicians | Medicaid|All Plans | $579.30 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $793.46 | ↓ -42% |
| Health Net | Medicaid|All Plans | $1,221.80 | ↓ -11% |
| California Health & Wellness | Medicaid|All Plans | $1,221.80 | ↓ -11% |
| Partnership Health Plan | Medicaid|All Plans | $1,795.73 | ↑ +31% |
| Hill Physicians | Medicare|All Plans | $2,103.41 | ↑ +53% |
| Western Health Advantage | Commercial|All Plans | $2,121.70 | ↑ +54% |
| Kaiser | Medicaid|All Plans | $2,485.42 | ↑ +81% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +164% |
| Healthsmart | Commercial|All Plans | $4,364.64 | ↑ +218% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +230% |
| First Health | Commercial|All Plans | $4,546.50 | ↑ +231% |
| Kaiser | Commercial|All Plans | $4,788.98 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $4,849.60 | ↑ +253% |
| Sutter Health | Commercial|All Plans | $4,849.60 | ↑ +253% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +264% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +264% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +264% |
| United | Commercial|Non-Options PPO | $6,062.00 | ↑ +341% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +379% |
Visitor-reported prices
Comments
Insertion of catheter vein at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,815.56 | $315.73 – $5,031.46 |
| St. John's Camarillo Hospital | Camarillo | $165.57 | $102.06 – $378.00 |
| Petaluma Valley Hospital | Petaluma | $2,473.50 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $1,626.83 | $334.09 – $3,724.98 |
| French Hospital | San Luis Obispo | $1,490.00 | $334.09 – $3,724.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $484.90 | $334.09 – $1,269.20 |
| Bakersfield Memorial Hospital | Bakersfield | $471.60 | $334.09 – $1,272.15 |
| Providence St Joseph Hospital Eureka | Eureka | $5,621.22 | $2,699.00 – $21,319.00 |