Nm radiopharmaceutical therapy oral administration at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$546.31
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.
$2,506.00
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.
$57.57 with Hill Physicians vs $2,004.80 with MultiPlan — 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 | $57.57 | ↓ -89% |
| United | Medicaid|> 21 | $119.11 | ↓ -78% |
| United | Medicaid|< 21 | $119.11 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $131.02 | ↓ -76% |
| Hill Physicians | Medicare|All Plans | $145.80 | ↓ -73% |
| Aetna | Commercial|PPO | $187.54 | ↓ -66% |
| Aetna | Commercial|HMO | $187.54 | ↓ -66% |
| Aetna | Commercial|All Other Plans | $187.54 | ↓ -66% |
| Molina | Medicaid|All Plans | $223.93 | ↓ -59% |
| BCBS - Anthem | Medicaid|All Plans | $226.31 | ↓ -59% |
| California Health & Wellness | Medicaid|All Plans | $276.34 | ↓ -49% |
| Health Net | Medicaid|All Plans | $276.34 | ↓ -49% |
| BCBS - Anthem | Medicare|All Other Plans | $277.74 | ↓ -49% |
| Blue Shield CA | Medicare|PPO | $294.53 | ↓ -46% |
| Humana | Commercial|All Plans | $294.53 | ↓ -46% |
| Blue Shield CA | Medicare|HMO | $294.53 | ↓ -46% |
| Aetna | Medicare|All Plans | $294.53 | ↓ -46% |
| Molina | Medicare|All Plans | $294.53 | ↓ -46% |
| Kaiser | Medicare|All Plans | $294.53 | ↓ -46% |
| United | Medicare|All Plans | $294.53 | ↓ -46% |
| BCBS - Anthem | Medicare|Imperial | $303.37 | ↓ -44% |
| BrightHealth | Commercial|All Plans | $323.98 | ↓ -41% |
| Prison Healthcare | Medicaid|All Plans | $441.79 | ↓ -19% |
| Partnership Health Plan | Medicaid|All Plans | $512.17 | ↓ -6% |
| United | Commercial|Non-Options PPO | $561.65 | ↑ +3% |
| United | Commercial|HMO | $561.65 | ↑ +3% |
| United | Commercial|All Other Plans | $561.65 | ↑ +3% |
| Western Health Advantage | Commercial|All Plans | $877.10 | ↑ +61% |
| Cigna | Commercial|LocalPlus | $1,022.37 | ↑ +87% |
| Kaiser | Medicaid|All Plans | $1,027.46 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $1,038.14 | ↑ +90% |
| BCBS - Anthem | Commercial|All Other Plans | $1,297.13 | ↑ +137% |
| Cigna | Commercial|All Other Plans | $1,363.26 | ↑ +150% |
| Healthsmart | Commercial|All Plans | $1,804.32 | ↑ +230% |
| First Health | Commercial|All Plans | $1,879.50 | ↑ +244% |
| BCBS - Anthem | Commercial|MCS | $1,880.41 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,979.74 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $2,004.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,004.80 | ↑ +267% |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $721.73 | $57.57 – $2,079.98 |
| St. John's Camarillo Hospital | Camarillo | $554.07 | $176.30 – $1,224.93 |
| Banner Lassen Medical Center | Susanville | $726.40 | $44.83 – $1,010.74 |
| Arroyo Grande Hospital | Santa Maria | $1,580.18 | $119.11 – $3,147.76 |
| Mark Twain Medical Center | San Andreas | $853.82 | $119.11 – $592.90 |
| French Hospital | San Luis Obispo | $1,259.11 | $119.11 – $1,398.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $634.41 | $119.11 – $1,368.00 |
| Bakersfield Memorial Hospital | Bakersfield | $627.57 | $119.11 – $1,350.90 |