Mayo avwpr vw factor activity at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$9.38
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.
$43.00
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.
$15.05 with Western Health Advantage vs $91.13 with Cigna — 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $15.05 | ↑ +60% |
| Kaiser | Medicaid|All Plans | $17.63 | ↑ +88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $20.21 | ↑ +115% |
| Blue Shield CA | Commercial|Exchange | $21.50 | ↑ +129% |
| United | Medicaid|< 21 | $24.68 | ↑ +163% |
| Partnership Health Plan | Medicaid|All Plans | $24.68 | ↑ +163% |
| United | Medicaid|> 21 | $24.68 | ↑ +163% |
| Hill Physicians | Medicaid|All Plans | $27.15 | ↑ +189% |
| BCBS - Anthem | Medicare|All Other Plans | $29.10 | ↑ +210% |
| Blue Shield CA | Commercial|HMO | $29.24 | ↑ +212% |
| Humana | Commercial|All Plans | $30.86 | ↑ +229% |
| Aetna | Medicare|All Plans | $30.86 | ↑ +229% |
| Molina | Medicare|All Plans | $30.86 | ↑ +229% |
| United | Medicare|All Plans | $30.86 | ↑ +229% |
| Kaiser | Medicare|All Plans | $30.86 | ↑ +229% |
| Blue Shield CA | Medicare|HMO | $30.86 | ↑ +229% |
| Blue Shield CA | Medicare|PPO | $30.86 | ↑ +229% |
| Hill Physicians | Commercial|All Plans | $30.86 | ↑ +229% |
| Hill Physicians | Medicare|All Plans | $30.86 | ↑ +229% |
| Healthsmart | Commercial|All Plans | $30.96 | ↑ +230% |
| Blue Shield CA | Commercial|CalPers | $31.39 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $31.39 | ↑ +235% |
| BCBS - Anthem | Medicare|Imperial | $31.79 | ↑ +239% |
| First Health | Commercial|All Plans | $32.25 | ↑ +244% |
| BrightHealth | Commercial|All Plans | $33.95 | ↑ +262% |
| Kaiser | Commercial|All Plans | $33.97 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $34.40 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $34.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $34.40 | ↑ +267% |
| United | Commercial|All Other Plans | $37.03 | ↑ +295% |
| United | Commercial|HMO | $37.03 | ↑ +295% |
| United | Commercial|Non-Options PPO | $37.03 | ↑ +295% |
| Aetna | Commercial|PPO | $43.00 | ↑ +358% |
| California Health & Wellness | Medicaid|All Plans | $43.00 | ↑ +358% |
| Aetna | Commercial|All Other Plans | $43.00 | ↑ +358% |
| BCBS - Anthem | Commercial|MCS | $43.00 | ↑ +358% |
| Molina | Medicaid|All Plans | $43.00 | ↑ +358% |
| BCBS - Anthem | Medicaid|All Plans | $43.00 | ↑ +358% |
| Aetna | Commercial|HMO | $43.00 | ↑ +358% |
| BCBS - Anthem | Commercial|All Other Plans | $43.00 | ↑ +358% |
| Health Net | Medicaid|All Plans | $43.00 | ↑ +358% |
| Prison Healthcare | Medicaid|All Plans | $46.29 | ↑ +393% |
| Cigna | Commercial|LocalPlus | $68.34 | ↑ +629% |
| Cigna | Commercial|All Other Plans | $91.13 | ↑ +872% |
Visitor-reported prices
Comments
Mayo avwpr vw factor activity at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $12.39 | $15.05 – $68.34 |
| St. John's Camarillo Hospital | Camarillo | $18.84 | $11.61 – $81.88 |
| Banner Lassen Medical Center | Susanville | $67.94 | $6.17 – $110.58 |
| Petaluma Valley Hospital | Petaluma | $130.05 | $30.24 – $178.83 |
| Arroyo Grande Hospital | Santa Maria | $72.34 | $21.50 – $79.52 |
| French Hospital | San Luis Obispo | $66.25 | $11.61 – $93.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $56.48 | $21.50 – $88.69 |
| Bakersfield Memorial Hospital | Bakersfield | $55.87 | $21.50 – $88.69 |