Penile vascular study at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$429.03
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.
$1,968.00
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.
$64.87 with Hill Physicians vs $22,221.00 with United — 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 | $64.87 | ↓ -85% |
| Hill Physicians | Medicare|All Plans | $129.64 | ↓ -70% |
| BCBS - Anthem | Medicare|All Other Plans | $131.77 | ↓ -69% |
| Humana | Commercial|All Plans | $139.74 | ↓ -67% |
| Aetna | Medicare|All Plans | $139.74 | ↓ -67% |
| Molina | Medicare|All Plans | $139.74 | ↓ -67% |
| United | Medicare|All Plans | $139.74 | ↓ -67% |
| Kaiser | Medicare|All Plans | $139.74 | ↓ -67% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↓ -67% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↓ -67% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↓ -66% |
| BrightHealth | Commercial|All Plans | $153.71 | ↓ -64% |
| United | Medicaid|< 21 | $190.05 | ↓ -56% |
| United | Medicaid|> 21 | $190.05 | ↓ -56% |
| Prison Healthcare | Medicaid|All Plans | $209.61 | ↓ -51% |
| Molina | Medicaid|All Plans | $311.37 | ↓ -27% |
| Hill Physicians | Medicaid|All Plans | $331.43 | ↓ -23% |
| Cigna | Commercial|LocalPlus | $439.91 | ↑ +3% |
| BCBS - Anthem | Medicaid|All Plans | $451.38 | ↑ +5% |
| Cigna | Commercial|All Other Plans | $586.59 | ↑ +37% |
| Western Health Advantage | Commercial|All Plans | $688.80 | ↑ +61% |
| California Health & Wellness | Medicaid|All Plans | $699.02 | ↑ +63% |
| Health Net | Medicaid|All Plans | $699.02 | ↑ +63% |
| Kaiser | Medicaid|All Plans | $806.88 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $1,021.53 | ↑ +138% |
| Healthsmart | Commercial|All Plans | $1,416.96 | ↑ +230% |
| First Health | Commercial|All Plans | $1,476.00 | ↑ +244% |
| BCBS - Anthem | Commercial|Connection EPO | $1,509.23 | ↑ +252% |
| Kaiser | Commercial|All Plans | $1,554.72 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,574.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,574.40 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $1,885.74 | ↑ +340% |
| United | Commercial|Non-Options PPO | $1,968.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $1,968.00 | ↑ +359% |
| United | Commercial|HMO | $10,710.00 | ↑ +2396% |
| United | Commercial|All Other Plans | $22,221.00 | ↑ +5079% |
Visitor-reported prices
Comments
Penile vascular study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $566.79 | $64.87 – $1,633.44 |
| Banner Lassen Medical Center | Susanville | $472.68 | $21.27 – $756.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $341.32 | $135.12 – $736.00 |
| Bakersfield Memorial Hospital | Bakersfield | $337.64 | $135.12 – $726.80 |
| St. Joseph's Medical Center Stockton | Stockton | $267.84 | $95.76 – $456.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $166.26 | $145.47 – $934.76 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $225.60 | $114.29 – $248.76 |
| Mercy Medical Center Merced | Merced | $473.80 | $135.12 – $920.00 |