Nerobehav stas exam by psy/md f2f 1st hr at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$308.47
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.
$1,415.00
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.
$69.80 with United vs $23,178.00 with United — 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $69.80 | ↓ -77% |
| United | Medicaid|< 21 | $69.80 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $76.78 | ↓ -75% |
| Hill Physicians | Commercial|All Plans | $79.56 | ↓ -74% |
| Hill Physicians | Medicare|All Plans | $100.36 | ↓ -67% |
| BCBS - Anthem | Medicaid|All Plans | $106.78 | ↓ -65% |
| Molina | Medicaid|All Plans | $131.22 | ↓ -57% |
| Health Net | Medicaid|All Plans | $161.94 | ↓ -48% |
| California Health & Wellness | Medicaid|All Plans | $161.94 | ↓ -48% |
| Partnership Health Plan | Medicaid|All Plans | $300.14 | ↓ -3% |
| BCBS - Anthem | Medicare|All Other Plans | $385.89 | ↑ +25% |
| Western Health Advantage | Commercial|All Plans | $396.20 | ↑ +28% |
| Humana | Commercial|All Plans | $409.21 | ↑ +33% |
| Aetna | Medicare|All Plans | $409.21 | ↑ +33% |
| Molina | Medicare|All Plans | $409.21 | ↑ +33% |
| United | Medicare|All Plans | $409.21 | ↑ +33% |
| Kaiser | Medicare|All Plans | $409.21 | ↑ +33% |
| Blue Shield CA | Medicare|HMO | $409.21 | ↑ +33% |
| Blue Shield CA | Medicare|PPO | $409.21 | ↑ +33% |
| BCBS - Anthem | Medicare|Imperial | $421.49 | ↑ +37% |
| BrightHealth | Commercial|All Plans | $450.13 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $464.12 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $613.82 | ↑ +99% |
| Healthsmart | Commercial|All Plans | $815.04 | ↑ +164% |
| First Health | Commercial|All Plans | $849.00 | ↑ +175% |
| Kaiser | Commercial|All Plans | $894.28 | ↑ +190% |
| MultiPlan | Commercial|All Plans | $905.60 | ↑ +194% |
| Sutter Health | Commercial|All Plans | $905.60 | ↑ +194% |
| United | Commercial|Non-Options PPO | $1,132.00 | ↑ +267% |
| United | Commercial|HMO | $11,514.00 | ↑ +3633% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +7414% |
Visitor-reported prices
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Nerobehav stas exam by psy/md f2f 1st hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $407.52 | $69.80 – $939.56 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $159.84 | $236.06 – $513.77 |
| St Jude Medical Center | Fullerton | $214.08 | $236.06 – $513.77 |
| Providence St Joseph Hospital Orange | Orange | $191.04 | $236.06 – $513.77 |
| Mercy San Juan Medical Center | Carmichael | $387.71 | $69.80 – $939.56 |
| Mercy Hospital of Folsom | Folsom | $550.44 | $69.80 – $928.24 |
| Woodland Memorial Hospital | Woodland | $387.71 | $69.80 – $1,132.00 |
| Petaluma Valley Hospital | Petaluma | not published | $290.98 – $296.92 |