Ndl round specialty proguide at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$42.51
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.
$195.00
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.
$14.95 with Kaiser vs $61.75 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 |
|---|---|---|---|
| Kaiser | Commercial|All Plans | $14.95 | ↓ -65% |
| Kaiser | Medicare|All Plans | $14.95 | ↓ -65% |
| Kaiser | Medicaid|All Plans | $14.95 | ↓ -65% |
| BCBS - Anthem | Medicaid|All Plans | $15.60 | ↓ -63% |
| Partnership Health Plan | Medicaid|All Plans | $16.25 | ↓ -62% |
| Molina | Medicaid|All Plans | $16.90 | ↓ -60% |
| Health Net | Medicaid|All Plans | $18.20 | ↓ -57% |
| California Health & Wellness | Medicaid|All Plans | $18.20 | ↓ -57% |
| Health Net | Commercial|EPPO | $23.40 | ↓ -45% |
| Cigna | Commercial|LocalPlus | $26.00 | ↓ -39% |
| Cigna | Commercial|All Other Plans | $34.45 | ↓ -19% |
| United | Commercial|HMO | $35.10 | ↓ -17% |
| United | Commercial|Non-Options PPO | $41.60 | ↓ -2% |
| Western Health Advantage | Commercial|All Plans | $42.25 | ↓ -1% |
| Health Net | Commercial|FFS | $42.90 | ↑ +1% |
| United | Commercial|All Other Plans | $44.85 | ↑ +6% |
| Healthsmart | Commercial|All Plans | $46.80 | ↑ +10% |
| First Health | Commercial|All Plans | $48.75 | ↑ +15% |
| BCBS - Anthem | Commercial|Connection EPO | $49.40 | ↑ +16% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $51.35 | ↑ +21% |
| Sutter Health | Commercial|All Plans | $52.00 | ↑ +22% |
| MultiPlan | Commercial|All Plans | $52.00 | ↑ +22% |
| Blue Shield CA | Commercial|Exchange | $52.65 | ↑ +24% |
| Aetna | Commercial|HMO | $57.85 | ↑ +36% |
| Aetna | Commercial|PPO | $57.85 | ↑ +36% |
| Aetna | Commercial|All Other Plans | $57.85 | ↑ +36% |
| Blue Shield CA | Commercial|All Other Plans | $58.50 | ↑ +38% |
| Blue Shield CA | Commercial|HMO | $58.50 | ↑ +38% |
| Blue Shield CA | Commercial|CalPers | $59.15 | ↑ +39% |
| BCBS - Anthem | Commercial|All Other Plans | $61.75 | ↑ +45% |
| BCBS - Anthem | Commercial|MCS | $61.75 | ↑ +45% |
Visitor-reported prices
Comments
Ndl round specialty proguide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $56.16 | $14.95 – $58.50 |
| St. John's Camarillo Hospital | Camarillo | $29.79 | $18.36 – $53.04 |
| Banner Lassen Medical Center | Susanville | $274.01 | $68.06 – $161.02 |
| Petaluma Valley Hospital | Petaluma | $3,057.20 | not published |
| Queen of The Valley Medical Center | Napa | $2,902.16 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $2,563.01 | not published |
| Healdsburg Hospital | Healdsburg | $1,986.45 | not published |
| Redwood Memorial Hospital | Fortuna | $2,563.01 | not published |