Nm imaging pulmonary ventilation/perfusion at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,266.58
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.
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What you pay up front if you don't use insurance.
$5,810.00
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.
$276.68 with Hill Physicians vs $5,491.41 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $276.68 | ↓ -78% |
| United | Medicaid|> 21 | $290.93 | ↓ -77% |
| United | Medicaid|< 21 | $290.93 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $320.02 | ↓ -75% |
| Hill Physicians | Medicare|All Plans | $365.47 | ↓ -71% |
| Molina | Medicaid|All Plans | $546.95 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $552.75 | ↓ -56% |
| BCBS - Anthem | Medicare|All Other Plans | $667.02 | ↓ -47% |
| Health Net | Medicaid|All Plans | $674.96 | ↓ -47% |
| California Health & Wellness | Medicaid|All Plans | $674.96 | ↓ -47% |
| Blue Shield CA | Medicare|HMO | $707.34 | ↓ -44% |
| Humana | Commercial|All Plans | $707.34 | ↓ -44% |
| Aetna | Medicare|All Plans | $707.34 | ↓ -44% |
| Molina | Medicare|All Plans | $707.34 | ↓ -44% |
| United | Medicare|All Plans | $707.34 | ↓ -44% |
| Kaiser | Medicare|All Plans | $707.34 | ↓ -44% |
| Blue Shield CA | Medicare|PPO | $707.34 | ↓ -44% |
| BCBS - Anthem | Medicare|Imperial | $728.56 | ↓ -42% |
| BrightHealth | Commercial|All Plans | $778.07 | ↓ -39% |
| Aetna | Commercial|All Other Plans | $939.56 | ↓ -26% |
| Aetna | Commercial|HMO | $939.56 | ↓ -26% |
| Aetna | Commercial|PPO | $939.56 | ↓ -26% |
| Prison Healthcare | Medicaid|All Plans | $1,061.01 | ↓ -16% |
| United | Commercial|HMO | $1,101.15 | ↓ -13% |
| United | Commercial|Non-Options PPO | $1,101.15 | ↓ -13% |
| United | Commercial|All Other Plans | $1,101.15 | ↓ -13% |
| Partnership Health Plan | Medicaid|All Plans | $1,251.00 | ↓ -1% |
| Cigna | Commercial|LocalPlus | $1,977.25 | ↑ +56% |
| Western Health Advantage | Commercial|All Plans | $2,033.50 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $2,382.10 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $2,636.53 | ↑ +108% |
| BCBS - Anthem | Commercial|Connection EPO | $3,031.72 | ↑ +139% |
| BCBS - Anthem | Commercial|All Other Plans | $3,788.06 | ↑ +199% |
| Healthsmart | Commercial|All Plans | $4,183.20 | ↑ +230% |
| First Health | Commercial|All Plans | $4,357.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $4,589.90 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $4,648.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $4,648.00 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $5,491.41 | ↑ +334% |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,673.28 | $276.68 – $4,822.30 |
| St. John's Camarillo Hospital | Camarillo | $1,607.46 | $440.14 – $2,862.60 |
| Banner Lassen Medical Center | Susanville | $728.71 | $107.65 – $1,053.42 |
| Petaluma Valley Hospital | Petaluma | $2,117.01 | $731.71 – $1,746.48 |
| Arroyo Grande Hospital | Santa Maria | $1,938.84 | $290.92 – $3,860.22 |
| Mark Twain Medical Center | San Andreas | $5,373.29 | $290.93 – $4,394.32 |
| French Hospital | San Luis Obispo | $1,544.09 | $290.92 – $2,704.43 |
| Mercy Hospitals – Bakersfield | Bakersfield | $562.07 | $290.93 – $2,565.73 |