Mayo nickel at Mercy General Hospital

4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$5.82

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$26.67

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$9.34 with Western Health Advantage vs $72.37 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 →

Payer
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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
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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 $9.34 ↑ +60%
Kaiser Medicaid|All Plans $10.94 ↑ +88%
Blue Shield CA Commercial|ACO Trio CalPers $12.54 ↑ +115%
Blue Shield CA Commercial|Exchange $13.34 ↑ +129%
Blue Shield CA Commercial|HMO $18.14 ↑ +212%
Healthsmart Commercial|All Plans $19.21 ↑ +230%
Blue Shield CA Commercial|CalPers $19.47 ↑ +235%
Blue Shield CA Commercial|All Other Plans $19.47 ↑ +235%
First Health Commercial|All Plans $20.01 ↑ +244%
Kaiser Commercial|All Plans $21.07 ↑ +262%
MultiPlan Commercial|All Plans $21.34 ↑ +267%
BCBS - Anthem Commercial|Connection EPO $21.34 ↑ +267%
Sutter Health Commercial|All Plans $21.34 ↑ +267%
Partnership Health Plan Medicaid|All Plans $21.79 ↑ +274%
BCBS - Anthem Medicare|All Other Plans $23.11 ↑ +297%
Humana Commercial|All Plans $24.51 ↑ +321%
Aetna Medicare|All Plans $24.51 ↑ +321%
Molina Medicare|All Plans $24.51 ↑ +321%
United Medicare|All Plans $24.51 ↑ +321%
Kaiser Medicare|All Plans $24.51 ↑ +321%
Blue Shield CA Medicare|HMO $24.51 ↑ +321%
Blue Shield CA Medicare|PPO $24.51 ↑ +321%
Hill Physicians Commercial|All Plans $24.51 ↑ +321%
Hill Physicians Medicare|All Plans $24.51 ↑ +321%
BCBS - Anthem Medicare|Imperial $25.25 ↑ +334%
BCBS - Anthem Commercial|MCS $26.67 ↑ +358%
United Medicaid|> 21 $26.67 ↑ +358%
United Medicaid|< 21 $26.67 ↑ +358%
United Commercial|Non-Options PPO $26.67 ↑ +358%
United Commercial|HMO $26.67 ↑ +358%
Aetna Commercial|All Other Plans $26.67 ↑ +358%
United Commercial|All Other Plans $26.67 ↑ +358%
Molina Medicaid|All Plans $26.67 ↑ +358%
Aetna Commercial|PPO $26.67 ↑ +358%
Aetna Commercial|HMO $26.67 ↑ +358%
BCBS - Anthem Medicaid|All Plans $26.67 ↑ +358%
California Health & Wellness Medicaid|All Plans $26.67 ↑ +358%
Hill Physicians Medicaid|All Plans $26.67 ↑ +358%
BCBS - Anthem Commercial|All Other Plans $26.67 ↑ +358%
Health Net Medicaid|All Plans $26.67 ↑ +358%
BrightHealth Commercial|All Plans $26.96 ↑ +363%
Prison Healthcare Medicaid|All Plans $36.77 ↑ +532%
Cigna Commercial|LocalPlus $54.27 ↑ +832%
Cigna Commercial|All Other Plans $72.37 ↑ +1143%

Visitor-reported prices

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Mayo nickel at other California hospitals

Hospital City Cash price Negotiated range
Methodist Hospital of Sacramento Sacramento $7.69 $9.34 – $54.27
Arroyo Grande Hospital Santa Maria $6.04 $7.06 – $63.15
Mark Twain Medical Center San Andreas $9.40 $7.64 – $14.11
French Hospital San Luis Obispo $5.54 $3.81 – $74.23
Sierra Nevada Memorial Hospital Grass Valley $14.54 $17.87 – $26.67
Mercy San Juan Medical Center Carmichael $7.31 $2.94 – $54.27
Mercy Hospital of Folsom Folsom $10.38 $2.94 – $54.27
Woodland Memorial Hospital Woodland $7.31 $2.94 – $26.67

All California hospitals for this procedure →