Nuclear rx intracav admin at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$423.80
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.
$1,944.00
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.
$58.50 with Hill Physicians vs $1,932.94 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 | $58.50 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $145.06 | ↓ -66% |
| United | Medicaid|> 21 | $148.93 | ↓ -65% |
| United | Medicaid|< 21 | $148.93 | ↓ -65% |
| Hill Physicians | Medicaid|All Plans | $163.82 | ↓ -61% |
| Molina | Medicaid|All Plans | $195.20 | ↓ -54% |
| Aetna | Commercial|All Other Plans | $231.94 | ↓ -45% |
| Aetna | Commercial|HMO | $231.94 | ↓ -45% |
| Aetna | Commercial|PPO | $231.94 | ↓ -45% |
| BCBS - Anthem | Medicare|All Other Plans | $277.74 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $282.97 | ↓ -33% |
| Aetna | Medicare|All Plans | $294.53 | ↓ -31% |
| Humana | Commercial|All Plans | $294.53 | ↓ -31% |
| Molina | Medicare|All Plans | $294.53 | ↓ -31% |
| Blue Shield CA | Medicare|PPO | $294.53 | ↓ -31% |
| United | Medicare|All Plans | $294.53 | ↓ -31% |
| Blue Shield CA | Medicare|HMO | $294.53 | ↓ -31% |
| Kaiser | Medicare|All Plans | $294.53 | ↓ -31% |
| BCBS - Anthem | Medicare|Imperial | $303.37 | ↓ -28% |
| BrightHealth | Commercial|All Plans | $323.98 | ↓ -24% |
| California Health & Wellness | Medicaid|All Plans | $345.52 | ↓ -18% |
| Health Net | Medicaid|All Plans | $345.52 | ↓ -18% |
| Prison Healthcare | Medicaid|All Plans | $441.79 | ↑ +4% |
| United | Commercial|Non-Options PPO | $561.65 | ↑ +33% |
| United | Commercial|HMO | $561.65 | ↑ +33% |
| United | Commercial|All Other Plans | $561.65 | ↑ +33% |
| Partnership Health Plan | Medicaid|All Plans | $640.42 | ↑ +51% |
| Western Health Advantage | Commercial|All Plans | $680.40 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $797.04 | ↑ +88% |
| Cigna | Commercial|LocalPlus | $1,022.37 | ↑ +141% |
| BCBS - Anthem | Commercial|Connection EPO | $1,067.14 | ↑ +152% |
| BCBS - Anthem | Commercial|All Other Plans | $1,333.37 | ↑ +215% |
| Cigna | Commercial|All Other Plans | $1,363.26 | ↑ +222% |
| Healthsmart | Commercial|All Plans | $1,399.68 | ↑ +230% |
| First Health | Commercial|All Plans | $1,458.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,535.76 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,555.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,555.20 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $1,932.94 | ↑ +356% |
Visitor-reported prices
Comments
Nuclear rx intracav admin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $559.88 | $58.50 – $1,613.52 |
| Dominican Hospital | Santa Cruz | $345.60 | $148.93 – $4,133.90 |
| Mercy San Juan Medical Center | Carmichael | $532.66 | $58.50 – $1,613.52 |
| Mercy Hospital of Folsom | Folsom | $756.22 | $58.50 – $1,594.08 |
| Woodland Memorial Hospital | Woodland | $532.66 | $148.93 – $1,944.00 |
| Petaluma Valley Hospital | Petaluma | not published | $314.45 – $614.75 |
| Queen of The Valley Medical Center | Napa | not published | $331.30 – $776.89 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $300.11 – $881.00 |