Non-card vasc flow imaging at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$407.01
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.
$1,867.00
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.
$165.25 with Hill Physicians vs $2,030.99 with Cigna — 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 | $165.25 | ↓ -59% |
| United | Medicaid|> 21 | $173.32 | ↓ -57% |
| United | Medicaid|< 21 | $173.32 | ↓ -57% |
| Hill Physicians | Medicaid|All Plans | $190.65 | ↓ -53% |
| Hill Physicians | Medicare|All Plans | $224.95 | ↓ -45% |
| Molina | Medicaid|All Plans | $227.16 | ↓ -44% |
| BCBS - Anthem | Medicaid|All Plans | $329.31 | ↓ -19% |
| California Health & Wellness | Medicaid|All Plans | $402.10 | ↓ -1% |
| Health Net | Medicaid|All Plans | $402.10 | ↓ -1% |
| BCBS - Anthem | Medicare|All Other Plans | $497.94 | ↑ +22% |
| Aetna | Commercial|All Other Plans | $506.54 | ↑ +24% |
| Aetna | Commercial|PPO | $506.54 | ↑ +24% |
| Aetna | Commercial|HMO | $506.54 | ↑ +24% |
| Kaiser | Medicare|All Plans | $528.04 | ↑ +30% |
| Humana | Commercial|All Plans | $528.04 | ↑ +30% |
| Aetna | Medicare|All Plans | $528.04 | ↑ +30% |
| Molina | Medicare|All Plans | $528.04 | ↑ +30% |
| United | Medicare|All Plans | $528.04 | ↑ +30% |
| Blue Shield CA | Medicare|PPO | $528.04 | ↑ +30% |
| Blue Shield CA | Medicare|HMO | $528.04 | ↑ +30% |
| BCBS - Anthem | Medicare|Imperial | $543.88 | ↑ +34% |
| BrightHealth | Commercial|All Plans | $580.84 | ↑ +43% |
| Western Health Advantage | Commercial|All Plans | $653.45 | ↑ +61% |
| Partnership Health Plan | Medicaid|All Plans | $745.27 | ↑ +83% |
| BCBS - Anthem | Commercial|Connection EPO | $749.18 | ↑ +84% |
| Kaiser | Medicaid|All Plans | $765.47 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $792.06 | ↑ +95% |
| United | Commercial|All Other Plans | $848.52 | ↑ +108% |
| United | Commercial|HMO | $848.52 | ↑ +108% |
| United | Commercial|Non-Options PPO | $848.52 | ↑ +108% |
| BCBS - Anthem | Commercial|All Other Plans | $936.08 | ↑ +130% |
| Healthsmart | Commercial|All Plans | $1,344.24 | ↑ +230% |
| BCBS - Anthem | Commercial|MCS | $1,357.00 | ↑ +233% |
| First Health | Commercial|All Plans | $1,400.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,474.93 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $1,493.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $1,493.60 | ↑ +267% |
| Cigna | Commercial|LocalPlus | $1,523.13 | ↑ +274% |
| Cigna | Commercial|All Other Plans | $2,030.99 | ↑ +399% |
Visitor-reported prices
Comments
Non-card vasc flow imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $537.70 | $165.25 – $1,549.61 |
| St. John's Camarillo Hospital | Camarillo | $536.12 | $262.21 – $1,824.90 |
| Mark Twain Medical Center | San Andreas | $2,805.20 | $173.32 – $1,945.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $586.56 | $173.32 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $580.23 | $173.32 – $1,976.45 |
| St. Joseph's Medical Center Stockton | Stockton | $437.77 | $156.66 – $746.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $572.22 | $464.01 – $589.01 |
| Mercy Medical Center Merced | Merced | $879.62 | $173.32 – $783.00 |