M/phmtrc alys ishquant/semiq at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$61.04
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.
?
What you pay up front if you don't use insurance.
$280.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$98.00 with Western Health Advantage vs $1,028.04 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $98.00 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $114.80 | ↑ +88% |
| United | Commercial|Non-Options PPO | $178.99 | ↑ +193% |
| United | Commercial|All Other Plans | $178.99 | ↑ +193% |
| United | Commercial|HMO | $178.99 | ↑ +193% |
| United | Medicaid|> 21 | $192.08 | ↑ +215% |
| United | Medicaid|< 21 | $192.08 | ↑ +215% |
| Partnership Health Plan | Medicaid|All Plans | $192.08 | ↑ +215% |
| Healthsmart | Commercial|All Plans | $201.60 | ↑ +230% |
| First Health | Commercial|All Plans | $210.00 | ↑ +244% |
| Hill Physicians | Medicaid|All Plans | $211.29 | ↑ +246% |
| BCBS - Anthem | Medicare|All Other Plans | $212.34 | ↑ +248% |
| Kaiser | Commercial|All Plans | $221.20 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $224.00 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $224.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $224.00 | ↑ +267% |
| Aetna | Medicare|All Plans | $225.18 | ↑ +269% |
| Humana | Commercial|All Plans | $225.18 | ↑ +269% |
| Molina | Medicare|All Plans | $225.18 | ↑ +269% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +269% |
| Blue Shield CA | Medicare|PPO | $225.18 | ↑ +269% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +269% |
| United | Medicare|All Plans | $225.18 | ↑ +269% |
| BCBS - Anthem | Medicare|Imperial | $231.94 | ↑ +280% |
| BrightHealth | Commercial|All Plans | $247.70 | ↑ +306% |
| Molina | Medicaid|All Plans | $280.00 | ↑ +359% |
| Aetna | Commercial|HMO | $280.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $280.00 | ↑ +359% |
| BCBS - Anthem | Medicaid|All Plans | $280.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $280.00 | ↑ +359% |
| Aetna | Commercial|PPO | $280.00 | ↑ +359% |
| Aetna | Commercial|All Other Plans | $280.00 | ↑ +359% |
| Hill Physicians | Medicare|All Plans | $280.00 | ↑ +359% |
| Health Net | Medicaid|All Plans | $280.00 | ↑ +359% |
| California Health & Wellness | Medicaid|All Plans | $280.00 | ↑ +359% |
| Hill Physicians | Commercial|All Plans | $280.00 | ↑ +359% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +453% |
| Cigna | Commercial|LocalPlus | $770.97 | ↑ +1163% |
| Cigna | Commercial|All Other Plans | $1,028.04 | ↑ +1584% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $80.64 | $98.00 – $770.97 |
| St. John's Camarillo Hospital | Camarillo | $220.76 | $70.20 – $923.72 |
| Banner Lassen Medical Center | Susanville | $109.30 | $34.27 – $316.93 |
| Arroyo Grande Hospital | Santa Maria | $2,354.00 | $22.50 – $897.01 |
| Mark Twain Medical Center | San Andreas | $229.47 | $72.44 – $274.40 |
| French Hospital | San Luis Obispo | $2,156.00 | $12.15 – $1,054.51 |
| Mercy Hospitals – Bakersfield | Bakersfield | $103.88 | $125.00 – $1,000.43 |
| Bakersfield Memorial Hospital | Bakersfield | $102.76 | $125.00 – $1,000.43 |