Mopath procedure level 8 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$898.91
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.
$4,123.40
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.
$798.03 with BCBS - Anthem vs $4,123.40 with BCBS - Anthem — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $798.03 | ↓ -11% |
| Humana | Commercial|All Plans | $846.27 | ↓ -6% |
| Hill Physicians | Medicare|All Plans | $846.27 | ↓ -6% |
| Kaiser | Medicare|All Plans | $846.27 | ↓ -6% |
| Partnership Health Plan | Medicaid|All Plans | $846.27 | ↓ -6% |
| Molina | Medicare|All Plans | $846.27 | ↓ -6% |
| United | Medicare|All Plans | $846.27 | ↓ -6% |
| United | Medicaid|< 21 | $846.27 | ↓ -6% |
| United | Medicaid|> 21 | $846.27 | ↓ -6% |
| Blue Shield CA | Medicare|PPO | $846.27 | ↓ -6% |
| Blue Shield CA | Medicare|HMO | $846.27 | ↓ -6% |
| Aetna | Medicare|All Plans | $846.27 | ↓ -6% |
| Hill Physicians | Commercial|All Plans | $846.27 | ↓ -6% |
| BCBS - Anthem | Medicare|Imperial | $871.66 | ↓ -3% |
| BrightHealth | Commercial|All Plans | $930.90 | ↑ +4% |
| Hill Physicians | Medicaid|All Plans | $930.90 | ↑ +4% |
| United | Commercial|All Other Plans | $1,015.52 | ↑ +13% |
| United | Commercial|Non-Options PPO | $1,015.52 | ↑ +13% |
| United | Commercial|HMO | $1,015.52 | ↑ +13% |
| Prison Healthcare | Medicaid|All Plans | $1,269.40 | ↑ +41% |
| Western Health Advantage | Commercial|All Plans | $1,443.19 | ↑ +61% |
| Molina | Medicaid|All Plans | $1,590.99 | ↑ +77% |
| BCBS - Anthem | Medicaid|All Plans | $1,607.91 | ↑ +79% |
| Kaiser | Medicaid|All Plans | $1,690.60 | ↑ +88% |
| Cigna | Commercial|LocalPlus | $1,874.12 | ↑ +108% |
| Health Net | Medicaid|All Plans | $1,963.35 | ↑ +118% |
| California Health & Wellness | Medicaid|All Plans | $1,963.35 | ↑ +118% |
| Aetna | Commercial|HMO | $2,252.16 | ↑ +151% |
| Aetna | Commercial|All Other Plans | $2,252.16 | ↑ +151% |
| Aetna | Commercial|PPO | $2,252.16 | ↑ +151% |
| Cigna | Commercial|All Other Plans | $2,499.01 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $2,968.85 | ↑ +230% |
| First Health | Commercial|All Plans | $3,092.55 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,257.49 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $3,298.72 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $3,298.72 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $3,298.72 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $4,123.40 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $4,123.40 | ↑ +359% |
Visitor-reported prices
Comments
Mopath procedure level 8 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,187.54 | $798.03 – $3,422.43 |
| Banner Lassen Medical Center | Susanville | $153.71 | $112.34 – $1,396.35 |
| Arroyo Grande Hospital | Santa Maria | $556.40 | $72.77 – $2,180.52 |
| French Hospital | San Luis Obispo | $509.60 | $39.30 – $2,563.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $242.39 | $153.63 – $2,431.90 |
| Bakersfield Memorial Hospital | Bakersfield | $239.78 | $153.63 – $2,431.90 |
| St. Joseph's Behavioral Health Center | Stockton | $373.06 | $30.73 – $245.81 |
| St. Joseph's Medical Center Stockton | Stockton | $192.09 | $64.53 – $307.26 |