Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$3,644.75
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.
$16,719.00
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.
$882.95 with Hill Physicians vs $63,198.18 with Prison Healthcare — 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 | $882.95 | ↓ -76% |
| Hill Physicians | Medicare|All Plans | $937.60 | ↓ -74% |
| United | Medicaid|< 21 | $1,027.04 | ↓ -72% |
| United | Medicaid|> 21 | $1,027.04 | ↓ -72% |
| Molina | Medicaid|All Plans | $1,682.62 | ↓ -54% |
| Hill Physicians | Medicaid|All Plans | $1,780.88 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $2,439.22 | ↓ -33% |
| Health Net | Medicaid|All Plans | $3,756.03 | ↑ +3% |
| California Health & Wellness | Medicaid|All Plans | $3,756.03 | ↑ +3% |
| Partnership Health Plan | Medicaid|All Plans | $5,520.35 | ↑ +51% |
| Western Health Advantage | Commercial|All Plans | $5,851.65 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $6,854.79 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $12,037.68 | ↑ +230% |
| First Health | Commercial|All Plans | $12,539.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $13,208.01 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $13,375.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $13,375.20 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $13,595.00 | ↑ +273% |
| BCBS - Anthem | Medicare|All Other Plans | $15,766.02 | ↑ +333% |
| Humana | Commercial|All Plans | $16,719.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $16,719.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $16,719.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $16,719.00 | ↑ +359% |
| Molina | Medicare|All Plans | $16,719.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $16,994.00 | ↑ +366% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +367% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +367% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +367% |
| Health Net | Commercial|EPPO | $17,091.00 | ↑ +369% |
| BCBS - Anthem | Medicare|Imperial | $17,220.57 | ↑ +372% |
| BrightHealth | Commercial|All Plans | $18,390.90 | ↑ +405% |
| BCBS - Anthem | Commercial|MCS | $24,641.00 | ↑ +576% |
| Health Net | Commercial|FFS | $31,516.00 | ↑ +765% |
| United | Medicare|All Plans | $42,132.12 | ↑ +1056% |
| Kaiser | Medicare|All Plans | $42,132.12 | ↑ +1056% |
| Blue Shield CA | Medicare|HMO | $42,132.12 | ↑ +1056% |
| Prison Healthcare | Medicaid|All Plans | $63,198.18 | ↑ +1634% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $4,815.08 | $882.95 – $16,719.00 |
| St. John's Camarillo Hospital | Camarillo | $38,936.45 | $1,263.26 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $48,695.70 | $1,027.04 – $108,086.16 |
| French Hospital | San Luis Obispo | $45,510.03 | $1,027.04 – $108,086.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42,654.25 | $1,027.04 – $91,976.80 |
| Bakersfield Memorial Hospital | Bakersfield | $42,194.36 | $1,027.04 – $90,827.09 |
| Queen of The Valley Medical Center | Napa | $72,027.81 | $9,256.00 – $126,547.00 |
| Providence St Joseph Hospital Eureka | Eureka | $37,077.00 | $11,046.00 – $126,547.00 |