Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$3,788.41
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.
$17,378.00
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.
$501.66 with Hill Physicians vs $24,641.00 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 | $501.66 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $531.51 | ↓ -86% |
| United | Medicaid|< 21 | $854.44 | ↓ -77% |
| United | Medicaid|> 21 | $854.44 | ↓ -77% |
| Molina | Medicaid|All Plans | $1,399.85 | ↓ -63% |
| Hill Physicians | Medicaid|All Plans | $1,481.59 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $2,029.30 | ↓ -46% |
| Health Net | Medicaid|All Plans | $3,124.81 | ↓ -18% |
| California Health & Wellness | Medicaid|All Plans | $3,124.81 | ↓ -18% |
| Partnership Health Plan | Medicaid|All Plans | $4,592.63 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $6,082.30 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $7,124.98 | ↑ +88% |
| Health Net | Commercial|EPPO | $10,446.00 | ↑ +176% |
| Healthsmart | Commercial|All Plans | $12,512.16 | ↑ +230% |
| BCBS - Anthem | Medicare|All Other Plans | $12,968.60 | ↑ +242% |
| First Health | Commercial|All Plans | $13,033.50 | ↑ +244% |
| BCBS - Anthem | Commercial|Connection EPO | $13,595.00 | ↑ +259% |
| Kaiser | Commercial|All Plans | $13,728.62 | ↑ +262% |
| Humana | Commercial|All Plans | $13,752.49 | ↑ +263% |
| Kaiser | Medicare|All Plans | $13,752.49 | ↑ +263% |
| United | Medicare|All Plans | $13,752.49 | ↑ +263% |
| Molina | Medicare|All Plans | $13,752.49 | ↑ +263% |
| Blue Shield CA | Medicare|HMO | $13,752.49 | ↑ +263% |
| Blue Shield CA | Medicare|PPO | $13,752.49 | ↑ +263% |
| Aetna | Medicare|All Plans | $13,752.49 | ↑ +263% |
| MultiPlan | Commercial|All Plans | $13,902.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $13,902.40 | ↑ +267% |
| BCBS - Anthem | Medicare|Imperial | $14,165.06 | ↑ +274% |
| BrightHealth | Commercial|All Plans | $15,127.74 | ↑ +299% |
| BCBS - Anthem | Commercial|All Other Plans | $16,994.00 | ↑ +349% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +350% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +350% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +350% |
| United | Commercial|Non-Options PPO | $17,378.00 | ↑ +359% |
| Health Net | Commercial|FFS | $19,264.00 | ↑ +408% |
| Prison Healthcare | Medicaid|All Plans | $20,628.74 | ↑ +445% |
| BCBS - Anthem | Commercial|MCS | $24,641.00 | ↑ +550% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $5,004.87 | $501.66 – $14,423.74 |
| St. John's Camarillo Hospital | Camarillo | $17,560.74 | $1,050.96 – $31,272.54 |
| Arroyo Grande Hospital | Santa Maria | $16,040.16 | $854.44 – $36,727.46 |
| French Hospital | San Luis Obispo | $14,990.48 | $854.44 – $37,476.18 |
| Bakersfield Memorial Hospital | Bakersfield | $15,006.63 | $854.44 – $32,303.10 |
| Queen of The Valley Medical Center | Napa | $22,043.73 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $11,046.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $11,059.00 – $62,607.00 |