Npsy fam hlth interv ea addl 15 min at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$84.15
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.
$386.00
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.
$21.94 with United vs $289.00 with United — 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 | $21.94 | ↓ -74% |
| United | Medicaid|< 21 | $21.94 | ↓ -74% |
| Hill Physicians | Commercial|All Plans | $23.42 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $24.13 | ↓ -71% |
| Hill Physicians | Medicare|All Plans | $26.32 | ↓ -69% |
| Molina | Medicaid|All Plans | $41.25 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $41.71 | ↓ -50% |
| Health Net | Medicaid|All Plans | $50.90 | ↓ -40% |
| California Health & Wellness | Medicaid|All Plans | $50.90 | ↓ -40% |
| Partnership Health Plan | Medicaid|All Plans | $94.34 | ↑ +12% |
| Western Health Advantage | Commercial|All Plans | $101.15 | ↑ +20% |
| Kaiser | Medicaid|All Plans | $118.49 | ↑ +41% |
| Healthsmart | Commercial|All Plans | $208.08 | ↑ +147% |
| First Health | Commercial|All Plans | $216.75 | ↑ +158% |
| Kaiser | Commercial|All Plans | $228.31 | ↑ +171% |
| Sutter Health | Commercial|All Plans | $231.20 | ↑ +175% |
| MultiPlan | Commercial|All Plans | $231.20 | ↑ +175% |
| United | Commercial|Non-Options PPO | $289.00 | ↑ +243% |
Visitor-reported prices
Comments
Npsy fam hlth interv ea addl 15 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $111.17 | $21.94 – $239.87 |
| Mercy San Juan Medical Center | Carmichael | $105.77 | $21.94 – $239.87 |
| Mercy Hospital of Folsom | Folsom | $150.16 | $21.94 – $236.98 |
| Woodland Memorial Hospital | Woodland | $105.77 | $21.94 – $289.00 |