Orthosis lso rigd frm hyperex at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$611.49
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.
?
What you pay up front if you don't use insurance.
$2,805.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$324.66 with United vs $2,047.25 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $324.66 | ↓ -47% |
| United | Medicaid|> 21 | $324.66 | ↓ -47% |
| Hill Physicians | Medicaid|All Plans | $357.13 | ↓ -42% |
| Kaiser | Medicaid|All Plans | $495.65 | ↓ -19% |
| Kaiser | Medicare|All Plans | $495.65 | ↓ -19% |
| Kaiser | Commercial|All Plans | $495.65 | ↓ -19% |
| BCBS - Anthem | Medicaid|All Plans | $517.20 | ↓ -15% |
| Partnership Health Plan | Medicaid|All Plans | $538.75 | ↓ -12% |
| Molina | Medicaid|All Plans | $560.30 | ↓ -8% |
| California Health & Wellness | Medicaid|All Plans | $603.40 | ↓ -1% |
| Health Net | Medicaid|All Plans | $603.40 | ↓ -1% |
| Health Net | Commercial|EPPO | $775.80 | ↑ +27% |
| Cigna | Commercial|LocalPlus | $862.00 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $1,142.15 | ↑ +87% |
| United | Commercial|HMO | $1,163.70 | ↑ +90% |
| United | Commercial|Non-Options PPO | $1,379.20 | ↑ +126% |
| Western Health Advantage | Commercial|All Plans | $1,400.75 | ↑ +129% |
| Health Net | Commercial|FFS | $1,422.30 | ↑ +133% |
| United | Commercial|All Other Plans | $1,486.95 | ↑ +143% |
| Healthsmart | Commercial|All Plans | $1,551.60 | ↑ +154% |
| First Health | Commercial|All Plans | $1,616.25 | ↑ +164% |
| BCBS - Anthem | Commercial|Connection EPO | $1,637.80 | ↑ +168% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,702.45 | ↑ +178% |
| Sutter Health | Commercial|All Plans | $1,724.00 | ↑ +182% |
| MultiPlan | Commercial|All Plans | $1,724.00 | ↑ +182% |
| Blue Shield CA | Commercial|Exchange | $1,745.55 | ↑ +185% |
| Aetna | Commercial|All Other Plans | $1,917.95 | ↑ +214% |
| Aetna | Commercial|HMO | $1,917.95 | ↑ +214% |
| Aetna | Commercial|PPO | $1,917.95 | ↑ +214% |
| Blue Shield CA | Commercial|All Other Plans | $1,939.50 | ↑ +217% |
| Blue Shield CA | Commercial|HMO | $1,939.50 | ↑ +217% |
| Blue Shield CA | Commercial|CalPers | $1,961.05 | ↑ +221% |
| BCBS - Anthem | Commercial|MCS | $2,047.25 | ↑ +235% |
| BCBS - Anthem | Commercial|All Other Plans | $2,047.25 | ↑ +235% |
Visitor-reported prices
Comments
Orthosis lso rigd frm hyperex at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $807.84 | $324.66 – $1,939.50 |
| St. John's Camarillo Hospital | Camarillo | $1,272.39 | $411.60 – $1,337.70 |
| Petaluma Valley Hospital | Petaluma | $1,419.84 | not published |
| Arroyo Grande Hospital | Santa Maria | $955.30 | $324.66 – $2,187.36 |
| French Hospital | San Luis Obispo | $874.95 | $324.66 – $2,187.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $706.76 | $324.66 – $1,318.50 |
| Bakersfield Memorial Hospital | Bakersfield | $699.14 | $324.66 – $1,421.05 |
| Queen of The Valley Medical Center | Napa | $1,415.40 | not published |