MRI orbit/face/neck without contrast at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,386.05
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.
$6,358.00
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.
$185.83 with Hill Physicians vs $7,195.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $185.83 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $276.91 | ↓ -80% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -78% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↓ -77% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -77% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -77% |
| Molina | Medicare|All Plans | $317.64 | ↓ -77% |
| United | Medicare|All Plans | $317.64 | ↓ -77% |
| Humana | Commercial|All Plans | $317.64 | ↓ -77% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↓ -77% |
| United | Medicaid|> 21 | $319.83 | ↓ -77% |
| United | Medicaid|< 21 | $319.83 | ↓ -77% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -76% |
| BrightHealth | Commercial|All Plans | $349.40 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $351.81 | ↓ -75% |
| Molina | Medicaid|All Plans | $419.18 | ↓ -70% |
| Prison Healthcare | Medicaid|All Plans | $476.46 | ↓ -66% |
| United | Commercial|HMO | $517.79 | ↓ -63% |
| United | Commercial|Non-Options PPO | $517.79 | ↓ -63% |
| United | Commercial|All Other Plans | $517.79 | ↓ -63% |
| Health Net | Medicaid|All Plans | $742.01 | ↓ -46% |
| California Health & Wellness | Medicaid|All Plans | $742.01 | ↓ -46% |
| Aetna | Commercial|PPO | $1,257.26 | ↓ -9% |
| Aetna | Commercial|All Other Plans | $1,257.26 | ↓ -9% |
| Aetna | Commercial|HMO | $1,257.26 | ↓ -9% |
| Partnership Health Plan | Medicaid|All Plans | $1,375.26 | ↓ -1% |
| BCBS - Anthem | Medicaid|All Plans | $1,389.34 | ↑ +0% |
| Western Health Advantage | Commercial|All Plans | $2,225.30 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $2,606.78 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $3,300.00 | ↑ +138% |
| BCBS - Anthem | Commercial|All Other Plans | $4,125.00 | ↑ +198% |
| Healthsmart | Commercial|All Plans | $4,577.76 | ↑ +230% |
| First Health | Commercial|All Plans | $4,768.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $5,022.82 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $5,086.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $5,086.40 | ↑ +267% |
| Cigna | Commercial|LocalPlus | $5,397.00 | ↑ +289% |
| BCBS - Anthem | Commercial|MCS | $5,981.00 | ↑ +332% |
| Cigna | Commercial|All Other Plans | $7,195.00 | ↑ +419% |
Visitor-reported prices
Comments
MRI orbit/face/neck without contrast at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,831.11 | $185.83 – $5,397.00 |
| St. John's Camarillo Hospital | Camarillo | $1,903.99 | $307.13 – $3,390.66 |
| Banner Lassen Medical Center | Susanville | $2,237.84 | $48.34 – $3,749.05 |
| Petaluma Valley Hospital | Petaluma | $5,864.49 | $321.54 – $2,585.29 |
| Arroyo Grande Hospital | Santa Maria | $1,892.19 | $307.13 – $3,292.80 |
| Mark Twain Medical Center | San Andreas | $6,612.72 | $319.83 – $2,445.10 |
| French Hospital | San Luis Obispo | $1,386.12 | $238.68 – $2,111.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $908.21 | $307.13 – $1,958.40 |