Njx px nfrosgrm &/urtrgrm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$595.58
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.
?
What you pay up front if you don't use insurance.
$2,732.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$152.53 with Hill Physicians vs $6,582.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $152.53 | ↓ -74% |
| United | Medicaid|> 21 | $475.05 | ↓ -20% |
| United | Medicaid|< 21 | $475.05 | ↓ -20% |
| Hill Physicians | Medicaid|All Plans | $522.55 | ↓ -12% |
| Hill Physicians | Medicare|All Plans | $690.64 | ↑ +16% |
| BCBS - Anthem | Medicare|All Other Plans | $827.12 | ↑ +39% |
| Blue Shield CA | Medicare|PPO | $877.12 | ↑ +47% |
| Blue Shield CA | Medicare|HMO | $877.12 | ↑ +47% |
| Kaiser | Medicare|All Plans | $877.12 | ↑ +47% |
| Molina | Medicare|All Plans | $877.12 | ↑ +47% |
| United | Medicare|All Plans | $877.12 | ↑ +47% |
| Aetna | Medicare|All Plans | $877.12 | ↑ +47% |
| Humana | Commercial|All Plans | $877.12 | ↑ +47% |
| Molina | Medicaid|All Plans | $893.09 | ↑ +50% |
| BCBS - Anthem | Medicaid|All Plans | $902.60 | ↑ +52% |
| BCBS - Anthem | Medicare|Imperial | $903.43 | ↑ +52% |
| Western Health Advantage | Commercial|All Plans | $922.95 | ↑ +55% |
| BrightHealth | Commercial|All Plans | $964.83 | ↑ +62% |
| Kaiser | Medicaid|All Plans | $1,081.17 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $1,102.12 | ↑ +85% |
| Health Net | Medicaid|All Plans | $1,102.12 | ↑ +85% |
| Prison Healthcare | Medicaid|All Plans | $1,315.68 | ↑ +121% |
| Healthsmart | Commercial|All Plans | $1,898.64 | ↑ +219% |
| First Health | Commercial|All Plans | $1,977.75 | ↑ +232% |
| Partnership Health Plan | Medicaid|All Plans | $2,042.72 | ↑ +243% |
| Kaiser | Commercial|All Plans | $2,083.23 | ↑ +250% |
| MultiPlan | Commercial|All Plans | $2,109.60 | ↑ +254% |
| Sutter Health | Commercial|All Plans | $2,109.60 | ↑ +254% |
| United | Commercial|Non-Options PPO | $2,637.00 | ↑ +343% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +456% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +510% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +662% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +740% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +740% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +740% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +926% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +1005% |
Visitor-reported prices
Comments
Njx px nfrosgrm &/urtrgrm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $786.82 | $152.53 – $2,188.71 |
| St. John's Camarillo Hospital | Camarillo | $740.66 | $456.57 – $1,569.60 |
| Arroyo Grande Hospital | Santa Maria | $1,116.66 | $475.05 – $2,556.82 |
| French Hospital | San Luis Obispo | $1,036.06 | $475.05 – $2,556.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $795.43 | $475.05 – $901.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,038.25 | $475.05 – $1,693.76 |
| Providence St Joseph Hospital Eureka | Eureka | $4,250.34 | $896.84 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,188.35 | $407.40 – $1,629.60 |