MRI cardiac morph & func wwo IV cont at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,040.48
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.
$9,360.00
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.
$273.51 with Hill Physicians vs $9,360.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $273.51 | ↓ -87% |
| United | Medicaid|< 21 | $361.03 | ↓ -82% |
| United | Medicaid|> 21 | $361.03 | ↓ -82% |
| Hill Physicians | Medicaid|All Plans | $397.13 | ↓ -81% |
| BCBS - Anthem | Medicare|All Other Plans | $442.55 | ↓ -78% |
| Hill Physicians | Medicare|All Plans | $450.23 | ↓ -78% |
| Humana | Commercial|All Plans | $469.30 | ↓ -77% |
| Molina | Medicare|All Plans | $469.30 | ↓ -77% |
| United | Medicare|All Plans | $469.30 | ↓ -77% |
| Blue Shield CA | Medicare|PPO | $469.30 | ↓ -77% |
| Blue Shield CA | Medicare|HMO | $469.30 | ↓ -77% |
| Aetna | Medicare|All Plans | $469.30 | ↓ -77% |
| Kaiser | Medicare|All Plans | $469.30 | ↓ -77% |
| BCBS - Anthem | Medicare|Imperial | $483.38 | ↓ -76% |
| BrightHealth | Commercial|All Plans | $516.23 | ↓ -75% |
| Molina | Medicaid|All Plans | $678.74 | ↓ -67% |
| BCBS - Anthem | Medicaid|All Plans | $685.96 | ↓ -66% |
| Prison Healthcare | Medicaid|All Plans | $703.95 | ↓ -66% |
| United | Commercial|All Other Plans | $828.27 | ↓ -59% |
| United | Commercial|HMO | $828.27 | ↓ -59% |
| United | Commercial|Non-Options PPO | $828.27 | ↓ -59% |
| California Health & Wellness | Medicaid|All Plans | $837.59 | ↓ -59% |
| Health Net | Medicaid|All Plans | $837.59 | ↓ -59% |
| Aetna | Commercial|HMO | $1,257.26 | ↓ -38% |
| Aetna | Commercial|All Other Plans | $1,257.26 | ↓ -38% |
| Aetna | Commercial|PPO | $1,257.26 | ↓ -38% |
| Partnership Health Plan | Medicaid|All Plans | $1,552.43 | ↓ -24% |
| Western Health Advantage | Commercial|All Plans | $3,276.00 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $3,837.60 | ↑ +88% |
| Cigna | Commercial|LocalPlus | $5,397.00 | ↑ +164% |
| BCBS - Anthem | Commercial|Connection EPO | $5,932.54 | ↑ +191% |
| Healthsmart | Commercial|All Plans | $6,739.20 | ↑ +230% |
| First Health | Commercial|All Plans | $7,020.00 | ↑ +244% |
| Cigna | Commercial|All Other Plans | $7,195.00 | ↑ +253% |
| Kaiser | Commercial|All Plans | $7,394.40 | ↑ +262% |
| BCBS - Anthem | Commercial|All Other Plans | $7,412.57 | ↑ +263% |
| Sutter Health | Commercial|All Plans | $7,488.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $7,488.00 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $9,360.00 | ↑ +359% |
Visitor-reported prices
Comments
MRI cardiac morph & func wwo IV cont at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,695.68 | $273.51 – $7,768.80 |
| St. John's Camarillo Hospital | Camarillo | $544.44 | $335.61 – $1,243.00 |
| Arroyo Grande Hospital | Santa Maria | $2,199.07 | $361.03 – $4,605.02 |
| French Hospital | San Luis Obispo | $1,754.20 | $361.03 – $2,111.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $467.46 | $361.03 – $1,356.00 |
| Bakersfield Memorial Hospital | Bakersfield | $462.42 | $361.03 – $1,356.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,442.07 | $361.03 – $3,659.66 |
| Santa Rosa Memorial Hospital | Santa Rosa | $525.30 | $485.45 – $3,674.38 |