Insertion subcutaneous cardiac rhythm monitor at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$6,005.90
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.
$27,550.00
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.
$83.69 with Hill Physicians vs $17,715.00 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 | $83.69 | ↓ -99% |
| Western Health Advantage | Commercial|All Plans | $4,721.85 | ↓ -21% |
| United | Medicaid|< 21 | $4,836.92 | ↓ -19% |
| United | Medicaid|> 21 | $4,836.92 | ↓ -19% |
| Aetna | Commercial|PPO | $5,002.00 | ↓ -17% |
| Aetna | Commercial|HMO | $5,002.00 | ↓ -17% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↓ -17% |
| Hill Physicians | Medicaid|All Plans | $5,320.61 | ↓ -11% |
| Kaiser | Medicaid|All Plans | $5,531.31 | ↓ -8% |
| Hill Physicians | Medicare|All Plans | $5,602.91 | ↓ -7% |
| Health Net | Commercial|EPPO | $8,865.00 | ↑ +48% |
| Molina | Medicaid|All Plans | $9,093.41 | ↑ +51% |
| BCBS - Anthem | Medicaid|All Plans | $9,190.15 | ↑ +53% |
| Healthsmart | Commercial|All Plans | $9,713.52 | ↑ +62% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +63% |
| First Health | Commercial|All Plans | $10,118.25 | ↑ +68% |
| BCBS - Anthem | Medicare|All Other Plans | $10,255.57 | ↑ +71% |
| Kaiser | Commercial|All Plans | $10,657.89 | ↑ +77% |
| Sutter Health | Commercial|All Plans | $10,792.80 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $10,792.80 | ↑ +80% |
| Molina | Medicare|All Plans | $10,875.47 | ↑ +81% |
| United | Medicare|All Plans | $10,875.47 | ↑ +81% |
| Humana | Commercial|All Plans | $10,875.47 | ↑ +81% |
| Kaiser | Medicare|All Plans | $10,875.47 | ↑ +81% |
| Blue Shield CA | Medicare|HMO | $10,875.47 | ↑ +81% |
| Blue Shield CA | Medicare|PPO | $10,875.47 | ↑ +81% |
| Aetna | Medicare|All Plans | $10,875.47 | ↑ +81% |
| BCBS - Anthem | Medicare|Imperial | $11,201.73 | ↑ +87% |
| Health Net | Medicaid|All Plans | $11,221.65 | ↑ +87% |
| California Health & Wellness | Medicaid|All Plans | $11,221.65 | ↑ +87% |
| BrightHealth | Commercial|All Plans | $11,963.02 | ↑ +99% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +103% |
| United | Commercial|Non-Options PPO | $13,491.00 | ↑ +125% |
| Partnership Health Plan | Medicaid|All Plans | $13,491.00 | ↑ +125% |
| Prison Healthcare | Medicaid|All Plans | $16,313.20 | ↑ +172% |
| Health Net | Commercial|FFS | $16,347.00 | ↑ +172% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +195% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,934.40 | $83.69 – $13,491.00 |
| St. John's Camarillo Hospital | Camarillo | $15,199.04 | $7,317.77 – $27,066.78 |
| Arroyo Grande Hospital | Santa Maria | $8,516.78 | $4,836.92 – $18,914.98 |
| French Hospital | San Luis Obispo | $7,956.43 | $4,836.92 – $18,914.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $8,648.76 | $4,836.92 – $18,649.60 |
| Bakersfield Memorial Hospital | Bakersfield | $8,555.51 | $4,836.92 – $18,416.48 |
| Queen of The Valley Medical Center | Napa | $14,083.14 | $7,745.00 – $46,622.00 |
| Providence St Joseph Hospital Eureka | Eureka | $9,209.58 | $9,008.00 – $46,622.00 |