Oph Ultrasound dx ant sgm Ultrasound uni/bi at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$120.99
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.
$555.00
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.
$47.30 with Hill Physicians vs $586.59 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 | $47.30 | ↓ -61% |
| Hill Physicians | Medicare|All Plans | $84.98 | ↓ -30% |
| United | Medicaid|> 21 | $95.29 | ↓ -21% |
| United | Medicaid|< 21 | $95.29 | ↓ -21% |
| Hill Physicians | Medicaid|All Plans | $104.82 | ↓ -13% |
| Molina | Medicaid|All Plans | $124.89 | ↑ +3% |
| BCBS - Anthem | Medicare|All Other Plans | $131.77 | ↑ +9% |
| Kaiser | Medicare|All Plans | $139.74 | ↑ +15% |
| Humana | Commercial|All Plans | $139.74 | ↑ +15% |
| Aetna | Medicare|All Plans | $139.74 | ↑ +15% |
| Molina | Medicare|All Plans | $139.74 | ↑ +15% |
| United | Medicare|All Plans | $139.74 | ↑ +15% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↑ +15% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↑ +15% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↑ +19% |
| BrightHealth | Commercial|All Plans | $153.71 | ↑ +27% |
| BCBS - Anthem | Medicaid|All Plans | $181.05 | ↑ +50% |
| Aetna | Commercial|HMO | $185.21 | ↑ +53% |
| Aetna | Commercial|PPO | $185.21 | ↑ +53% |
| Aetna | Commercial|All Other Plans | $185.21 | ↑ +53% |
| Western Health Advantage | Commercial|All Plans | $194.25 | ↑ +61% |
| Prison Healthcare | Medicaid|All Plans | $209.61 | ↑ +73% |
| California Health & Wellness | Medicaid|All Plans | $221.07 | ↑ +83% |
| Health Net | Medicaid|All Plans | $221.07 | ↑ +83% |
| Kaiser | Medicaid|All Plans | $227.55 | ↑ +88% |
| United | Commercial|All Other Plans | $245.18 | ↑ +103% |
| United | Commercial|HMO | $245.18 | ↑ +103% |
| United | Commercial|Non-Options PPO | $245.18 | ↑ +103% |
| Healthsmart | Commercial|All Plans | $399.60 | ↑ +230% |
| Partnership Health Plan | Medicaid|All Plans | $409.73 | ↑ +239% |
| First Health | Commercial|All Plans | $416.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $438.45 | ↑ +262% |
| Cigna | Commercial|LocalPlus | $439.91 | ↑ +264% |
| BCBS - Anthem | Commercial|Connection EPO | $444.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $444.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $444.00 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $555.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $555.00 | ↑ +359% |
| Cigna | Commercial|All Other Plans | $586.59 | ↑ +385% |
Visitor-reported prices
Comments
Oph Ultrasound dx ant sgm Ultrasound uni/bi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $159.84 | $47.30 – $460.65 |
| Mercy San Juan Medical Center | Carmichael | $152.07 | $47.30 – $460.65 |
| St. Bernardine Medical Center | San Bernardino | $128.21 | $22.33 – $569.81 |
| Mercy Hospital of Folsom | Folsom | $215.90 | $47.30 – $455.10 |
| Woodland Memorial Hospital | Woodland | $152.07 | $61.05 – $555.00 |
| Petaluma Valley Hospital | Petaluma | not published | $140.89 – $358.32 |
| Queen of The Valley Medical Center | Napa | not published | $148.44 – $452.83 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $134.46 – $513.51 |