Npsy indiv hlth intrv ea addl 15 min at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$49.93
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.
$229.00
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.
$20.11 with United vs $226.00 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 | $20.11 | ↓ -60% |
| United | Medicaid|< 21 | $20.11 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $21.19 | ↓ -58% |
| Hill Physicians | Medicaid|All Plans | $22.12 | ↓ -56% |
| Hill Physicians | Medicare|All Plans | $23.76 | ↓ -52% |
| Molina | Medicaid|All Plans | $37.81 | ↓ -24% |
| BCBS - Anthem | Medicaid|All Plans | $38.21 | ↓ -23% |
| Health Net | Medicaid|All Plans | $46.66 | ↓ -7% |
| California Health & Wellness | Medicaid|All Plans | $46.66 | ↓ -7% |
| Western Health Advantage | Commercial|All Plans | $79.10 | ↑ +58% |
| Partnership Health Plan | Medicaid|All Plans | $86.47 | ↑ +73% |
| Kaiser | Medicaid|All Plans | $92.66 | ↑ +86% |
| Healthsmart | Commercial|All Plans | $162.72 | ↑ +226% |
| First Health | Commercial|All Plans | $169.50 | ↑ +239% |
| Kaiser | Commercial|All Plans | $178.54 | ↑ +258% |
| Sutter Health | Commercial|All Plans | $180.80 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $180.80 | ↑ +262% |
| United | Commercial|Non-Options PPO | $226.00 | ↑ +353% |
Visitor-reported prices
Comments
Npsy indiv hlth intrv ea addl 15 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $65.96 | $20.11 – $187.58 |
| St. Joseph's Medical Center Stockton | Stockton | $38.52 | $20.11 – $110.04 |
| St. Mary Medical Center | Long Beach | $117.82 | $18.10 – $274.00 |
| Mercy San Juan Medical Center | Carmichael | $62.75 | $20.11 – $187.58 |
| Mercy Hospital of Folsom | Folsom | $89.09 | $20.11 – $185.32 |
| Woodland Memorial Hospital | Woodland | $62.75 | $20.11 – $226.00 |