Myelogphy 2/> spine regions at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$745.35
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.
$3,419.00
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.
$96.65 with Hill Physicians vs $3,854.60 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 | $96.65 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $160.23 | ↓ -79% |
| United | Medicaid|< 21 | $161.97 | ↓ -78% |
| United | Medicaid|> 21 | $161.97 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $178.17 | ↓ -76% |
| Molina | Medicaid|All Plans | $212.29 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $375.77 | ↓ -50% |
| Health Net | Medicaid|All Plans | $375.77 | ↓ -50% |
| BCBS - Anthem | Medicaid|All Plans | $386.23 | ↓ -48% |
| Aetna | Commercial|PPO | $513.52 | ↓ -31% |
| Aetna | Commercial|All Other Plans | $513.52 | ↓ -31% |
| Aetna | Commercial|HMO | $513.52 | ↓ -31% |
| Partnership Health Plan | Medicaid|All Plans | $696.48 | ↓ -7% |
| BCBS - Anthem | Medicare|All Other Plans | $979.04 | ↑ +31% |
| Humana | Commercial|All Plans | $1,038.22 | ↑ +39% |
| United | Medicare|All Plans | $1,038.22 | ↑ +39% |
| Molina | Medicare|All Plans | $1,038.22 | ↑ +39% |
| Aetna | Medicare|All Plans | $1,038.22 | ↑ +39% |
| Blue Shield CA | Medicare|PPO | $1,038.22 | ↑ +39% |
| Blue Shield CA | Medicare|HMO | $1,038.22 | ↑ +39% |
| Kaiser | Medicare|All Plans | $1,038.22 | ↑ +39% |
| BCBS - Anthem | Medicare|Imperial | $1,069.37 | ↑ +43% |
| BrightHealth | Commercial|All Plans | $1,142.04 | ↑ +53% |
| Western Health Advantage | Commercial|All Plans | $1,196.65 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,401.79 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $1,557.33 | ↑ +109% |
| United | Commercial|Non-Options PPO | $1,609.16 | ↑ +116% |
| United | Commercial|All Other Plans | $1,609.16 | ↑ +116% |
| United | Commercial|HMO | $1,609.16 | ↑ +116% |
| BCBS - Anthem | Commercial|Connection EPO | $2,460.27 | ↑ +230% |
| Healthsmart | Commercial|All Plans | $2,461.68 | ↑ +230% |
| First Health | Commercial|All Plans | $2,564.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $2,701.01 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $2,735.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,735.20 | ↑ +267% |
| Cigna | Commercial|LocalPlus | $2,890.74 | ↑ +288% |
| BCBS - Anthem | Commercial|All Other Plans | $3,074.05 | ↑ +312% |
| BCBS - Anthem | Commercial|MCS | $3,419.00 | ↑ +359% |
| Cigna | Commercial|All Other Plans | $3,854.60 | ↑ +417% |
Visitor-reported prices
Comments
Myelogphy 2/> spine regions at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $984.68 | $96.65 – $2,890.74 |
| St. John's Camarillo Hospital | Camarillo | $752.05 | $245.04 – $3,463.45 |
| Banner Lassen Medical Center | Susanville | $1,491.09 | $158.01 – $2,204.81 |
| Mark Twain Medical Center | San Andreas | $2,516.15 | $161.97 – $931.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,362.69 | $161.97 – $3,751.09 |
| Bakersfield Memorial Hospital | Bakersfield | $1,348.00 | $161.97 – $3,751.09 |
| St. Joseph's Medical Center Stockton | Stockton | $1,016.95 | $161.97 – $1,609.16 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,656.48 | $853.64 – $1,865.27 |