Pacemaker leadless 19.5f 32.2mm ra at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$16,089.49
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.
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What you pay up front if you don't use insurance.
$73,805.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$8,918.25 with Kaiser vs $36,836.25 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 |
|---|---|---|---|
| Kaiser | Medicaid|All Plans | $8,918.25 | ↓ -45% |
| Kaiser | Medicare|All Plans | $8,918.25 | ↓ -45% |
| Kaiser | Commercial|All Plans | $8,918.25 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $9,306.00 | ↓ -42% |
| Partnership Health Plan | Medicaid|All Plans | $9,693.75 | ↓ -40% |
| Molina | Medicaid|All Plans | $10,081.50 | ↓ -37% |
| California Health & Wellness | Medicaid|All Plans | $10,857.00 | ↓ -33% |
| Health Net | Medicaid|All Plans | $10,857.00 | ↓ -33% |
| Health Net | Commercial|EPPO | $13,959.00 | ↓ -13% |
| Cigna | Commercial|LocalPlus | $15,510.00 | ↓ -4% |
| Cigna | Commercial|All Other Plans | $20,550.75 | ↑ +28% |
| United | Commercial|HMO | $20,938.50 | ↑ +30% |
| United | Commercial|Non-Options PPO | $24,816.00 | ↑ +54% |
| Western Health Advantage | Commercial|All Plans | $25,203.75 | ↑ +57% |
| Health Net | Commercial|FFS | $25,591.50 | ↑ +59% |
| United | Commercial|All Other Plans | $26,754.75 | ↑ +66% |
| Healthsmart | Commercial|All Plans | $27,918.00 | ↑ +74% |
| First Health | Commercial|All Plans | $29,081.25 | ↑ +81% |
| BCBS - Anthem | Commercial|Connection EPO | $29,469.00 | ↑ +83% |
| MultiPlan | Commercial|All Plans | $31,020.00 | ↑ +93% |
| Sutter Health | Commercial|All Plans | $31,020.00 | ↑ +93% |
| BCBS - Anthem | Commercial|MCS | $36,836.25 | ↑ +129% |
| BCBS - Anthem | Commercial|All Other Plans | $36,836.25 | ↑ +129% |
Visitor-reported prices
Comments
Pacemaker leadless 19.5f 32.2mm ra at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $21,255.84 | $8,918.25 – $32,183.25 |
| St. John's Camarillo Hospital | Camarillo | $49,197.04 | $7,408.80 – $24,078.60 |
| Petaluma Valley Hospital | Petaluma | $73,929.60 | not published |
| Arroyo Grande Hospital | Santa Maria | $48,075.10 | $7,100.10 – $30,252.60 |
| French Hospital | San Luis Obispo | $44,031.40 | $5,865.30 – $30,252.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $46,302.66 | $31,201.25 – $99,844.00 |
| Bakersfield Memorial Hospital | Bakersfield | $45,803.44 | $31,201.25 – $98,595.95 |
| Queen of The Valley Medical Center | Napa | $73,929.60 | not published |