Palingen or palingen xplus at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,274.83
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.
$10,435.00
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.
$289.37 with Western Health Advantage vs $9,495.85 with Blue Shield CA — 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $289.37 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $382.14 | ↓ -83% |
| United | Medicaid|< 21 | $383.25 | ↓ -83% |
| Partnership Health Plan | Medicaid|All Plans | $383.25 | ↓ -83% |
| United | Medicaid|> 21 | $383.25 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $421.58 | ↓ -81% |
| Molina | Medicaid|All Plans | $720.51 | ↓ -68% |
| Cigna | Commercial|LocalPlus | $838.55 | ↓ -63% |
| Health Net | Medicaid|All Plans | $889.14 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $889.14 | ↓ -61% |
| United | Commercial|Non-Options PPO | $970.27 | ↓ -57% |
| Cigna | Commercial|All Other Plans | $1,118.30 | ↓ -51% |
| United | Commercial|HMO | $1,880.24 | ↓ -17% |
| United | Commercial|All Other Plans | $1,880.24 | ↓ -17% |
| BCBS - Anthem | Commercial|Connection EPO | $2,041.95 | ↓ -10% |
| Kaiser | Commercial|All Plans | $2,400.05 | ↑ +6% |
| Kaiser | Medicaid|All Plans | $2,400.05 | ↑ +6% |
| Kaiser | Medicare|All Plans | $2,400.05 | ↑ +6% |
| BCBS - Anthem | Medicaid|All Plans | $2,504.40 | ↑ +10% |
| BCBS - Anthem | Commercial|All Other Plans | $2,552.45 | ↑ +12% |
| BCBS - Anthem | Commercial|MCS | $3,703.22 | ↑ +63% |
| Health Net | Commercial|EPPO | $3,756.60 | ↑ +65% |
| Health Net | Commercial|FFS | $6,887.10 | ↑ +203% |
| Healthsmart | Commercial|All Plans | $7,513.20 | ↑ +230% |
| First Health | Commercial|All Plans | $7,826.25 | ↑ +244% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $8,243.65 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $8,348.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $8,348.00 | ↑ +267% |
| Blue Shield CA | Commercial|Exchange | $8,452.35 | ↑ +272% |
| Aetna | Commercial|HMO | $9,287.15 | ↑ +308% |
| Aetna | Commercial|PPO | $9,287.15 | ↑ +308% |
| Aetna | Commercial|All Other Plans | $9,287.15 | ↑ +308% |
| Blue Shield CA | Commercial|All Other Plans | $9,391.50 | ↑ +313% |
| Blue Shield CA | Commercial|HMO | $9,391.50 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $9,495.85 | ↑ +317% |
Visitor-reported prices
Comments
Palingen or palingen xplus at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | not published | $167.70 – $898.25 |
| Queen of The Valley Medical Center | Napa | not published | $176.69 – $972.31 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $160.06 – $1,159.81 |
| Healdsburg Hospital | Healdsburg | not published | $167.67 – $2,290.31 |
| Redwood Memorial Hospital | Fortuna | not published | $713.11 – $1,162.65 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $173.16 – $965.75 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $136.05 – $775.10 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $160.06 – $775.10 |