Knee orth pos locking joint at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$360.79
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.
$1,655.00
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.
$132.25 with Kaiser vs $546.25 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $132.25 | ↓ -63% |
| Kaiser | Medicaid|All Plans | $132.25 | ↓ -63% |
| Kaiser | Commercial|All Plans | $132.25 | ↓ -63% |
| BCBS - Anthem | Medicaid|All Plans | $138.00 | ↓ -62% |
| Partnership Health Plan | Medicaid|All Plans | $143.75 | ↓ -60% |
| Molina | Medicaid|All Plans | $149.50 | ↓ -59% |
| Health Net | Medicaid|All Plans | $161.00 | ↓ -55% |
| California Health & Wellness | Medicaid|All Plans | $161.00 | ↓ -55% |
| United | Medicaid|> 21 | $185.01 | ↓ -49% |
| United | Medicaid|< 21 | $185.01 | ↓ -49% |
| Hill Physicians | Medicaid|All Plans | $203.51 | ↓ -44% |
| Health Net | Commercial|EPPO | $207.00 | ↓ -43% |
| Cigna | Commercial|LocalPlus | $230.00 | ↓ -36% |
| Cigna | Commercial|All Other Plans | $304.75 | ↓ -16% |
| United | Commercial|HMO | $310.50 | ↓ -14% |
| United | Commercial|Non-Options PPO | $368.00 | ↑ +2% |
| Western Health Advantage | Commercial|All Plans | $373.75 | ↑ +4% |
| Health Net | Commercial|FFS | $379.50 | ↑ +5% |
| United | Commercial|All Other Plans | $396.75 | ↑ +10% |
| Healthsmart | Commercial|All Plans | $414.00 | ↑ +15% |
| First Health | Commercial|All Plans | $431.25 | ↑ +20% |
| BCBS - Anthem | Commercial|Connection EPO | $437.00 | ↑ +21% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $454.25 | ↑ +26% |
| Sutter Health | Commercial|All Plans | $460.00 | ↑ +27% |
| MultiPlan | Commercial|All Plans | $460.00 | ↑ +27% |
| Blue Shield CA | Commercial|Exchange | $465.75 | ↑ +29% |
| Aetna | Commercial|All Other Plans | $511.75 | ↑ +42% |
| Aetna | Commercial|HMO | $511.75 | ↑ +42% |
| Aetna | Commercial|PPO | $511.75 | ↑ +42% |
| Blue Shield CA | Commercial|All Other Plans | $517.50 | ↑ +43% |
| Blue Shield CA | Commercial|HMO | $517.50 | ↑ +43% |
| Blue Shield CA | Commercial|CalPers | $523.25 | ↑ +45% |
| BCBS - Anthem | Commercial|MCS | $546.25 | ↑ +51% |
| BCBS - Anthem | Commercial|All Other Plans | $546.25 | ↑ +51% |
Visitor-reported prices
Comments
Knee orth pos locking joint at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $476.64 | $132.25 – $517.50 |
| Arroyo Grande Hospital | Santa Maria | $256.38 | $185.01 – $587.02 |
| French Hospital | San Luis Obispo | $234.81 | $113.81 – $587.02 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,262.70 | $251.61 – $1,590.54 |
| St. Mary Medical Center | Long Beach | $926.65 | $166.51 – $2,155.00 |
| Community Hospital San Bernardino | San Bernardino | $842.61 | $185.01 – $2,155.00 |
| Glendale Memorial Hospital Health Center | Glendale | $702.53 | $40.00 – $2,133.45 |
| Mercy San Juan Medical Center | Carmichael | $453.47 | $63.25 – $488.75 |