Kidney imaging morphology at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,101.99
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.
$5,055.00
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.
$111.73 with United vs $4,044.00 with MultiPlan — 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 | $111.73 | ↓ -90% |
| United | Medicaid|> 21 | $111.73 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $122.90 | ↓ -89% |
| Molina | Medicaid|All Plans | $146.43 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $151.79 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $188.45 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $212.29 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $259.21 | ↓ -76% |
| Health Net | Medicaid|All Plans | $259.21 | ↓ -76% |
| Partnership Health Plan | Medicaid|All Plans | $480.42 | ↓ -56% |
| BCBS - Anthem | Medicare|All Other Plans | $497.94 | ↓ -55% |
| Aetna | Commercial|HMO | $526.40 | ↓ -52% |
| Aetna | Commercial|PPO | $526.40 | ↓ -52% |
| Aetna | Commercial|All Other Plans | $526.40 | ↓ -52% |
| Molina | Medicare|All Plans | $528.04 | ↓ -52% |
| Humana | Commercial|All Plans | $528.04 | ↓ -52% |
| Aetna | Medicare|All Plans | $528.04 | ↓ -52% |
| United | Medicare|All Plans | $528.04 | ↓ -52% |
| Blue Shield CA | Medicare|PPO | $528.04 | ↓ -52% |
| Blue Shield CA | Medicare|HMO | $528.04 | ↓ -52% |
| Kaiser | Medicare|All Plans | $528.04 | ↓ -52% |
| BCBS - Anthem | Medicare|Imperial | $543.88 | ↓ -51% |
| BrightHealth | Commercial|All Plans | $580.84 | ↓ -47% |
| Prison Healthcare | Medicaid|All Plans | $792.06 | ↓ -28% |
| United | Commercial|All Other Plans | $848.52 | ↓ -23% |
| United | Commercial|Non-Options PPO | $848.52 | ↓ -23% |
| United | Commercial|HMO | $848.52 | ↓ -23% |
| BCBS - Anthem | Commercial|Connection EPO | $1,152.62 | ↑ +5% |
| BCBS - Anthem | Commercial|All Other Plans | $1,440.17 | ↑ +31% |
| Cigna | Commercial|LocalPlus | $1,523.13 | ↑ +38% |
| Western Health Advantage | Commercial|All Plans | $1,769.25 | ↑ +61% |
| Cigna | Commercial|All Other Plans | $2,030.99 | ↑ +84% |
| Kaiser | Medicaid|All Plans | $2,072.55 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $2,087.77 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $3,639.60 | ↑ +230% |
| First Health | Commercial|All Plans | $3,791.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,993.45 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $4,044.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $4,044.00 | ↑ +267% |
Visitor-reported prices
Comments
Kidney imaging morphology at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,455.84 | $111.73 – $4,195.65 |
| Banner Lassen Medical Center | Susanville | $403.27 | $80.37 – $582.97 |
| Mark Twain Medical Center | San Andreas | $2,864.47 | $111.73 – $1,986.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $327.60 | $111.73 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $324.07 | $111.73 – $1,976.45 |
| St. Joseph's Medical Center Stockton | Stockton | $2,458.14 | $111.73 – $6,856.02 |
| Mercy Medical Center Merced | Merced | $556.20 | $111.73 – $508.00 |
| Dominican Hospital | Santa Cruz | $2,960.10 | $111.73 – $6,158.70 |