Manipulation chest wall initial demonstration/evaluation at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$120.34
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.
$552.00
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.
$23.17 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Medicare|All Plans | $23.17 | ↓ -81% |
| Hill Physicians | Commercial|All Plans | $28.03 | ↓ -77% |
| United | Medicaid|< 21 | $35.46 | ↓ -71% |
| United | Medicaid|> 21 | $35.46 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $39.01 | ↓ -68% |
| Molina | Medicaid|All Plans | $46.47 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $54.23 | ↓ -55% |
| Health Net | Medicaid|All Plans | $82.27 | ↓ -32% |
| California Health & Wellness | Medicaid|All Plans | $82.27 | ↓ -32% |
| Partnership Health Plan | Medicaid|All Plans | $152.48 | ↑ +27% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↑ +33% |
| Humana | Commercial|All Plans | $169.39 | ↑ +41% |
| United | Medicare|All Plans | $169.39 | ↑ +41% |
| Molina | Medicare|All Plans | $169.39 | ↑ +41% |
| Aetna | Medicare|All Plans | $169.39 | ↑ +41% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↑ +41% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↑ +41% |
| Kaiser | Medicare|All Plans | $169.39 | ↑ +41% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↑ +45% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +55% |
| Western Health Advantage | Commercial|All Plans | $193.20 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $226.32 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +111% |
| BCBS - Anthem | Commercial|Connection EPO | $285.82 | ↑ +138% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $347.76 | ↑ +189% |
| BCBS - Anthem | Commercial|All Other Plans | $357.12 | ↑ +197% |
| Blue Shield CA | Commercial|Exchange | $358.80 | ↑ +198% |
| Healthsmart | Commercial|All Plans | $397.44 | ↑ +230% |
| First Health | Commercial|All Plans | $414.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $436.08 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $441.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $441.60 | ↑ +267% |
| Blue Shield CA | Commercial|HMO | $496.80 | ↑ +313% |
| Blue Shield CA | Commercial|All Other Plans | $496.80 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $502.32 | ↑ +317% |
| BCBS - Anthem | Commercial|MCS | $517.71 | ↑ +330% |
| United | Commercial|Non-Options PPO | $552.00 | ↑ +359% |
| Cigna | Commercial|LocalPlus | $1,867.00 | ↑ +1451% |
| Cigna | Commercial|All Other Plans | $2,488.00 | ↑ +1967% |
| United | Commercial|HMO | $11,514.00 | ↑ +9468% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +19160% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $158.98 | $23.17 – $1,867.00 |
| St. John's Camarillo Hospital | Camarillo | $260.18 | $40.03 – $594.00 |
| Banner Lassen Medical Center | Susanville | $53.84 | $25.78 – $107.67 |
| Petaluma Valley Hospital | Petaluma | $534.48 | $164.65 – $182.96 |
| Arroyo Grande Hospital | Santa Maria | $42.80 | $26.80 – $746.00 |
| Mark Twain Medical Center | San Andreas | $185.82 | $35.46 – $273.42 |
| French Hospital | San Luis Obispo | $64.29 | $26.80 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $306.82 | $35.46 – $727.76 |