Neurolysis celiac plexus at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$805.08
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.
$3,693.00
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.
$135.43 with United vs $7,197.00 with Health Net — 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 | $135.43 | ↓ -83% |
| United | Medicaid|> 21 | $135.43 | ↓ -83% |
| Hill Physicians | Commercial|All Plans | $165.61 | ↓ -79% |
| Molina | Medicaid|All Plans | $221.88 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $234.83 | ↓ -71% |
| BCBS - Anthem | Medicaid|All Plans | $321.65 | ↓ -60% |
| Hill Physicians | Medicare|All Plans | $384.10 | ↓ -52% |
| California Health & Wellness | Medicaid|All Plans | $495.27 | ↓ -38% |
| Health Net | Medicaid|All Plans | $495.27 | ↓ -38% |
| Partnership Health Plan | Medicaid|All Plans | $727.94 | ↓ -10% |
| BCBS - Anthem | Medicare|All Other Plans | $1,103.24 | ↑ +37% |
| Kaiser | Medicare|All Plans | $1,169.93 | ↑ +45% |
| Humana | Commercial|All Plans | $1,169.93 | ↑ +45% |
| Aetna | Medicare|All Plans | $1,169.93 | ↑ +45% |
| Molina | Medicare|All Plans | $1,169.93 | ↑ +45% |
| United | Medicare|All Plans | $1,169.93 | ↑ +45% |
| Blue Shield CA | Medicare|PPO | $1,169.93 | ↑ +45% |
| Blue Shield CA | Medicare|HMO | $1,169.93 | ↑ +45% |
| BCBS - Anthem | Medicare|Imperial | $1,205.03 | ↑ +50% |
| BrightHealth | Commercial|All Plans | $1,286.92 | ↑ +60% |
| Western Health Advantage | Commercial|All Plans | $1,292.55 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,514.13 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $1,754.89 | ↑ +118% |
| Healthsmart | Commercial|All Plans | $2,658.96 | ↑ +230% |
| First Health | Commercial|All Plans | $2,769.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $2,917.47 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $2,954.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,954.40 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +351% |
| United | Commercial|Non-Options PPO | $3,693.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $3,902.00 | ↑ +385% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +464% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +718% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +770% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +770% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +770% |
| Health Net | Commercial|FFS | $7,197.00 | ↑ +794% |
Visitor-reported prices
Comments
Neurolysis celiac plexus at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,063.59 | $135.43 – $3,065.19 |
| St. John's Camarillo Hospital | Camarillo | $1,474.31 | $166.58 – $2,625.48 |
| Arroyo Grande Hospital | Santa Maria | $2,313.77 | $135.43 – $5,095.02 |
| French Hospital | San Luis Obispo | $2,018.41 | $135.43 – $2,300.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $830.67 | $135.43 – $1,791.20 |
| Bakersfield Memorial Hospital | Bakersfield | $821.72 | $135.43 – $1,768.81 |
| St. Joseph's Medical Center Stockton | Stockton | $578.89 | $135.43 – $957.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,400.06 | $1,230.71 – $4,042.00 |