Mopath procedure level 6 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$135.27
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.
$620.50
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.
$154.70 with Western Health Advantage vs $889.88 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 | $154.70 | ↑ +14% |
| Kaiser | Medicaid|All Plans | $181.22 | ↑ +34% |
| BCBS - Anthem | Medicare|All Other Plans | $284.17 | ↑ +110% |
| Humana | Commercial|All Plans | $301.35 | ↑ +123% |
| Aetna | Medicare|All Plans | $301.35 | ↑ +123% |
| Molina | Medicare|All Plans | $301.35 | ↑ +123% |
| United | Medicare|All Plans | $301.35 | ↑ +123% |
| United | Medicaid|< 21 | $301.35 | ↑ +123% |
| United | Medicaid|> 21 | $301.35 | ↑ +123% |
| Kaiser | Medicare|All Plans | $301.35 | ↑ +123% |
| Blue Shield CA | Medicare|HMO | $301.35 | ↑ +123% |
| Blue Shield CA | Medicare|PPO | $301.35 | ↑ +123% |
| Partnership Health Plan | Medicaid|All Plans | $301.35 | ↑ +123% |
| Hill Physicians | Commercial|All Plans | $301.35 | ↑ +123% |
| Hill Physicians | Medicare|All Plans | $301.35 | ↑ +123% |
| BCBS - Anthem | Medicare|Imperial | $310.39 | ↑ +129% |
| Healthsmart | Commercial|All Plans | $318.24 | ↑ +135% |
| Aetna | Commercial|All Other Plans | $328.44 | ↑ +143% |
| Aetna | Commercial|HMO | $328.44 | ↑ +143% |
| Aetna | Commercial|PPO | $328.44 | ↑ +143% |
| BrightHealth | Commercial|All Plans | $331.49 | ↑ +145% |
| Hill Physicians | Medicaid|All Plans | $331.49 | ↑ +145% |
| First Health | Commercial|All Plans | $331.50 | ↑ +145% |
| Kaiser | Commercial|All Plans | $349.18 | ↑ +158% |
| Sutter Health | Commercial|All Plans | $353.60 | ↑ +161% |
| MultiPlan | Commercial|All Plans | $353.60 | ↑ +161% |
| BCBS - Anthem | Commercial|Connection EPO | $353.60 | ↑ +161% |
| United | Commercial|HMO | $361.62 | ↑ +167% |
| United | Commercial|Non-Options PPO | $361.62 | ↑ +167% |
| United | Commercial|All Other Plans | $361.62 | ↑ +167% |
| BCBS - Anthem | Medicaid|All Plans | $442.00 | ↑ +227% |
| BCBS - Anthem | Commercial|MCS | $442.00 | ↑ +227% |
| Molina | Medicaid|All Plans | $442.00 | ↑ +227% |
| Health Net | Medicaid|All Plans | $442.00 | ↑ +227% |
| BCBS - Anthem | Commercial|All Other Plans | $442.00 | ↑ +227% |
| California Health & Wellness | Medicaid|All Plans | $442.00 | ↑ +227% |
| Prison Healthcare | Medicaid|All Plans | $452.02 | ↑ +234% |
| Cigna | Commercial|LocalPlus | $667.36 | ↑ +393% |
| Cigna | Commercial|All Other Plans | $889.88 | ↑ +558% |
Visitor-reported prices
Comments
Mopath procedure level 6 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $178.71 | $154.70 – $667.36 |
| St. John's Camarillo Hospital | Camarillo | $277.40 | $171.00 – $799.58 |
| Banner Lassen Medical Center | Susanville | $342.77 | $60.27 – $497.23 |
| Arroyo Grande Hospital | Santa Maria | $742.76 | $72.77 – $776.47 |
| Mark Twain Medical Center | San Andreas | $421.81 | $202.99 – $367.50 |
| French Hospital | San Luis Obispo | $680.28 | $39.30 – $912.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $287.99 | $153.63 – $865.99 |
| Bakersfield Memorial Hospital | Bakersfield | $284.89 | $153.63 – $865.99 |