Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,009.56
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.
$4,631.00
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.
$298.36 with United vs $14,393.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $298.36 | ↓ -70% |
| United | Medicaid|< 21 | $298.36 | ↓ -70% |
| Hill Physicians | Commercial|All Plans | $327.36 | ↓ -68% |
| Hill Physicians | Medicaid|All Plans | $360.48 | ↓ -64% |
| Molina | Medicaid|All Plans | $488.56 | ↓ -52% |
| BCBS - Anthem | Medicaid|All Plans | $494.00 | ↓ -51% |
| Health Net | Medicaid|All Plans | $760.29 | ↓ -25% |
| California Health & Wellness | Medicaid|All Plans | $760.29 | ↓ -25% |
| Partnership Health Plan | Medicaid|All Plans | $1,117.44 | ↑ +11% |
| Hill Physicians | Medicare|All Plans | $1,176.70 | ↑ +17% |
| Western Health Advantage | Commercial|All Plans | $1,620.85 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,898.71 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $3,334.32 | ↑ +230% |
| First Health | Commercial|All Plans | $3,473.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,658.49 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $3,704.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $3,704.80 | ↑ +267% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +286% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +310% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +310% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +310% |
| United | Medicare|All Plans | $4,136.13 | ↑ +310% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +310% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +310% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +310% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +322% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +351% |
| United | Commercial|Non-Options PPO | $4,631.00 | ↑ +359% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +515% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +687% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +693% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +693% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +693% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +883% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +890% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +1326% |
Visitor-reported prices
Comments
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,333.73 | $298.36 – $4,136.13 |
| St. John's Camarillo Hospital | Camarillo | $3,729.57 | $366.98 – $7,477.22 |
| Petaluma Valley Hospital | Petaluma | $6,031.26 | $4,129.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $4,615.98 | $298.36 – $10,145.94 |
| Mark Twain Medical Center | San Andreas | $634.04 | $246.29 – $932.96 |
| French Hospital | San Luis Obispo | $4,143.05 | $298.36 – $10,251.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,029.81 | $298.36 – $8,689.60 |
| Bakersfield Memorial Hospital | Bakersfield | $3,534.58 | $298.36 – $7,608.49 |