Manipulation chest wall demonstration/evaluation subsequent at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$82.41
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.
$378.00
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.
$20.84 with United 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $20.84 | ↓ -75% |
| United | Medicaid|< 21 | $20.84 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $22.92 | ↓ -72% |
| Molina | Medicaid|All Plans | $27.32 | ↓ -67% |
| BCBS - Anthem | Medicaid|All Plans | $31.88 | ↓ -61% |
| Hill Physicians | Medicare|All Plans | $35.81 | ↓ -57% |
| Hill Physicians | Commercial|All Plans | $42.99 | ↓ -48% |
| California Health & Wellness | Medicaid|All Plans | $48.35 | ↓ -41% |
| Health Net | Medicaid|All Plans | $48.35 | ↓ -41% |
| Partnership Health Plan | Medicaid|All Plans | $89.61 | ↑ +9% |
| Western Health Advantage | Commercial|All Plans | $132.30 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $154.98 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↑ +94% |
| Humana | Commercial|All Plans | $169.39 | ↑ +106% |
| Aetna | Medicare|All Plans | $169.39 | ↑ +106% |
| Molina | Medicare|All Plans | $169.39 | ↑ +106% |
| United | Medicare|All Plans | $169.39 | ↑ +106% |
| Kaiser | Medicare|All Plans | $169.39 | ↑ +106% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↑ +106% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↑ +106% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↑ +112% |
| BCBS - Anthem | Commercial|Connection EPO | $176.30 | ↑ +114% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +126% |
| BCBS - Anthem | Commercial|All Other Plans | $220.28 | ↑ +167% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $238.14 | ↑ +189% |
| Blue Shield CA | Commercial|Exchange | $245.70 | ↑ +198% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +208% |
| Healthsmart | Commercial|All Plans | $272.16 | ↑ +230% |
| First Health | Commercial|All Plans | $283.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $298.62 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $302.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $302.40 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $319.33 | ↑ +287% |
| Blue Shield CA | Commercial|HMO | $340.20 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $340.20 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $343.98 | ↑ +317% |
| United | Commercial|Non-Options PPO | $378.00 | ↑ +359% |
| Cigna | Commercial|LocalPlus | $1,867.00 | ↑ +2166% |
| Cigna | Commercial|All Other Plans | $2,488.00 | ↑ +2919% |
| United | Commercial|HMO | $11,514.00 | ↑ +13872% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +28025% |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $108.87 | $20.84 – $1,867.00 |
| St. John's Camarillo Hospital | Camarillo | $88.48 | $28.87 – $291.44 |
| Banner Lassen Medical Center | Susanville | $69.36 | $19.30 – $138.71 |
| Petaluma Valley Hospital | Petaluma | $439.62 | $101.56 – $182.96 |
| Arroyo Grande Hospital | Santa Maria | $41.52 | $15.75 – $746.00 |
| Mark Twain Medical Center | San Andreas | $89.25 | $20.84 – $131.32 |
| French Hospital | San Luis Obispo | $38.42 | $15.75 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $135.05 | $20.84 – $320.32 |