Microsatellite instability at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$103.55
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.
$475.00
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.
$166.25 with Western Health Advantage vs $1,029.26 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 | $166.25 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $194.75 | ↑ +88% |
| United | Medicaid|> 21 | $256.67 | ↑ +148% |
| Partnership Health Plan | Medicaid|All Plans | $256.67 | ↑ +148% |
| United | Medicaid|< 21 | $256.67 | ↑ +148% |
| Hill Physicians | Medicaid|All Plans | $282.34 | ↑ +173% |
| BCBS - Anthem | Medicare|All Other Plans | $328.69 | ↑ +217% |
| Healthsmart | Commercial|All Plans | $342.00 | ↑ +230% |
| Humana | Commercial|All Plans | $348.56 | ↑ +237% |
| Aetna | Medicare|All Plans | $348.56 | ↑ +237% |
| Molina | Medicare|All Plans | $348.56 | ↑ +237% |
| United | Medicare|All Plans | $348.56 | ↑ +237% |
| Kaiser | Medicare|All Plans | $348.56 | ↑ +237% |
| Blue Shield CA | Medicare|HMO | $348.56 | ↑ +237% |
| Blue Shield CA | Medicare|PPO | $348.56 | ↑ +237% |
| Hill Physicians | Commercial|All Plans | $348.56 | ↑ +237% |
| Hill Physicians | Medicare|All Plans | $348.56 | ↑ +237% |
| First Health | Commercial|All Plans | $356.25 | ↑ +244% |
| BCBS - Anthem | Medicare|Imperial | $359.02 | ↑ +247% |
| Kaiser | Commercial|All Plans | $375.25 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $380.00 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $380.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $380.00 | ↑ +267% |
| BrightHealth | Commercial|All Plans | $383.42 | ↑ +270% |
| United | Commercial|HMO | $418.27 | ↑ +304% |
| United | Commercial|All Other Plans | $418.27 | ↑ +304% |
| United | Commercial|Non-Options PPO | $418.27 | ↑ +304% |
| Aetna | Commercial|PPO | $426.28 | ↑ +312% |
| Aetna | Commercial|HMO | $426.28 | ↑ +312% |
| Aetna | Commercial|All Other Plans | $426.28 | ↑ +312% |
| Health Net | Medicaid|All Plans | $475.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $475.00 | ↑ +359% |
| BCBS - Anthem | Medicaid|All Plans | $475.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $475.00 | ↑ +359% |
| California Health & Wellness | Medicaid|All Plans | $475.00 | ↑ +359% |
| Molina | Medicaid|All Plans | $475.00 | ↑ +359% |
| Prison Healthcare | Medicaid|All Plans | $522.84 | ↑ +405% |
| Cigna | Commercial|LocalPlus | $771.89 | ↑ +645% |
| Cigna | Commercial|All Other Plans | $1,029.26 | ↑ +894% |
Visitor-reported prices
Comments
Microsatellite instability at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $136.80 | $166.25 – $771.89 |
| St. John's Camarillo Hospital | Camarillo | $213.75 | $67.42 – $924.82 |
| Banner Lassen Medical Center | Susanville | $253.01 | $69.71 – $437.47 |
| Arroyo Grande Hospital | Santa Maria | $203.30 | $124.85 – $898.08 |
| French Hospital | San Luis Obispo | $186.20 | $67.42 – $1,055.77 |
| Mercy Hospitals – Bakersfield | Bakersfield | $172.52 | $232.50 – $1,001.62 |
| Bakersfield Memorial Hospital | Bakersfield | $170.66 | $232.50 – $1,001.62 |
| St. Joseph's Medical Center Stockton | Stockton | $136.71 | $97.65 – $465.00 |