Leg Vein Ultrasound (DVT study, both legs) at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$628.06
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.
$2,881.00
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.
$170.31 with Hill Physicians vs $22,221.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $170.31 | ↓ -73% |
| United | Medicaid|> 21 | $193.06 | ↓ -69% |
| United | Medicaid|< 21 | $193.06 | ↓ -69% |
| Hill Physicians | Medicare|All Plans | $213.88 | ↓ -66% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -52% |
| Molina | Medicaid|All Plans | $316.29 | ↓ -50% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↓ -49% |
| Humana | Commercial|All Plans | $317.64 | ↓ -49% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -49% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -49% |
| Molina | Medicare|All Plans | $317.64 | ↓ -49% |
| United | Medicare|All Plans | $317.64 | ↓ -49% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↓ -49% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -48% |
| Hill Physicians | Medicaid|All Plans | $336.68 | ↓ -46% |
| BrightHealth | Commercial|All Plans | $349.40 | ↓ -44% |
| BCBS - Anthem | Medicaid|All Plans | $458.51 | ↓ -27% |
| Prison Healthcare | Medicaid|All Plans | $476.46 | ↓ -24% |
| Health Net | Medicaid|All Plans | $710.08 | ↑ +13% |
| California Health & Wellness | Medicaid|All Plans | $710.08 | ↑ +13% |
| Cigna | Commercial|LocalPlus | $929.74 | ↑ +48% |
| Western Health Advantage | Commercial|All Plans | $1,008.35 | ↑ +61% |
| Partnership Health Plan | Medicaid|All Plans | $1,037.69 | ↑ +65% |
| Kaiser | Medicaid|All Plans | $1,181.21 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $1,239.74 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $1,805.06 | ↑ +187% |
| Healthsmart | Commercial|All Plans | $2,074.32 | ↑ +230% |
| First Health | Commercial|All Plans | $2,160.75 | ↑ +244% |
| BCBS - Anthem | Commercial|All Other Plans | $2,255.38 | ↑ +259% |
| Kaiser | Commercial|All Plans | $2,275.99 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $2,304.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,304.80 | ↑ +267% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +348% |
| BCBS - Anthem | Commercial|MCS | $2,881.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $2,881.00 | ↑ +359% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +725% |
| United | Commercial|HMO | $10,710.00 | ↑ +1605% |
| United | Commercial|All Other Plans | $22,221.00 | ↑ +3438% |
Visitor-reported prices
Comments
Leg Vein Ultrasound (DVT study, both legs) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $829.73 | $170.31 – $2,391.23 |
| St. John's Camarillo Hospital | Camarillo | $1,794.05 | $237.46 – $3,194.88 |
| Banner Lassen Medical Center | Susanville | $757.50 | $48.34 – $1,212.50 |
| Petaluma Valley Hospital | Petaluma | $1,355.07 | $321.54 – $1,039.84 |
| Arroyo Grande Hospital | Santa Maria | $775.54 | $193.06 – $1,537.62 |
| Mark Twain Medical Center | San Andreas | $4,227.11 | $193.06 – $1,721.86 |
| French Hospital | San Luis Obispo | $1,060.36 | $193.06 – $1,324.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $851.45 | $193.06 – $1,836.00 |