Interrog dev eval scrms ip at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$95.27
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.
$437.00
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.
$30.35 with BCBS - Anthem vs $23,178.00 with United — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $30.35 | ↓ -68% |
| Humana | Commercial|All Plans | $32.18 | ↓ -66% |
| Aetna | Medicare|All Plans | $32.18 | ↓ -66% |
| Molina | Medicare|All Plans | $32.18 | ↓ -66% |
| United | Medicare|All Plans | $32.18 | ↓ -66% |
| Kaiser | Medicare|All Plans | $32.18 | ↓ -66% |
| Blue Shield CA | Medicare|HMO | $32.18 | ↓ -66% |
| Blue Shield CA | Medicare|PPO | $32.18 | ↓ -66% |
| BCBS - Anthem | Medicare|Imperial | $33.15 | ↓ -65% |
| Hill Physicians | Commercial|All Plans | $34.21 | ↓ -64% |
| BrightHealth | Commercial|All Plans | $35.40 | ↓ -63% |
| United | Medicaid|> 21 | $36.33 | ↓ -62% |
| United | Medicaid|< 21 | $36.33 | ↓ -62% |
| Hill Physicians | Medicaid|All Plans | $39.96 | ↓ -58% |
| Prison Healthcare | Medicaid|All Plans | $48.27 | ↓ -49% |
| Hill Physicians | Medicare|All Plans | $52.19 | ↓ -45% |
| Molina | Medicaid|All Plans | $68.30 | ↓ -28% |
| BCBS - Anthem | Medicaid|All Plans | $69.03 | ↓ -28% |
| California Health & Wellness | Medicaid|All Plans | $84.29 | ↓ -12% |
| Health Net | Medicaid|All Plans | $84.29 | ↓ -12% |
| Western Health Advantage | Commercial|All Plans | $152.95 | ↑ +61% |
| Partnership Health Plan | Medicaid|All Plans | $156.22 | ↑ +64% |
| Kaiser | Medicaid|All Plans | $179.17 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $194.33 | ↑ +104% |
| BCBS - Anthem | Commercial|All Other Plans | $242.81 | ↑ +155% |
| Healthsmart | Commercial|All Plans | $314.64 | ↑ +230% |
| First Health | Commercial|All Plans | $327.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $345.23 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $349.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $349.60 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $351.99 | ↑ +269% |
| United | Commercial|Non-Options PPO | $437.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +2851% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +5340% |
| United | Commercial|HMO | $11,514.00 | ↑ +11986% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +24229% |
Visitor-reported prices
Comments
Interrog dev eval scrms ip at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $125.86 | $30.35 – $362.71 |
| Dominican Hospital | Santa Cruz | $89.55 | $33.65 – $169.15 |
| St. Mary Medical Center | Long Beach | $155.23 | $31.12 – $361.00 |
| Community Hospital San Bernardino | San Bernardino | $41.45 | $31.12 – $8,268.00 |
| Glendale Memorial Hospital Health Center | Glendale | $18.91 | $14.50 – $50.86 |
| Mercy San Juan Medical Center | Carmichael | $119.74 | $30.35 – $362.71 |
| St. Bernardine Medical Center | San Bernardino | $35.30 | $30.74 – $6,210.00 |
| Mercy Hospital of Folsom | Folsom | $170.00 | $30.35 – $358.34 |