Perq nl/pl lithotrp cplx>2cm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$6,833.65
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.
$31,347.00
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.
$725.85 with United vs $31,347.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $725.85 | ↓ -89% |
| United | Medicaid|> 21 | $725.85 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $1,126.23 | ↓ -84% |
| Molina | Medicaid|All Plans | $1,189.18 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $1,258.61 | ↓ -82% |
| Hill Physicians | Medicare|All Plans | $1,318.98 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $1,723.91 | ↓ -75% |
| Health Net | Medicaid|All Plans | $2,654.52 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $2,654.52 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $3,901.46 | ↓ -43% |
| Health Net | Commercial|EPPO | $8,865.00 | ↑ +30% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +43% |
| Western Health Advantage | Commercial|All Plans | $10,971.45 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $11,459.03 | ↑ +68% |
| Aetna | Commercial|PPO | $11,708.00 | ↑ +71% |
| Aetna | Commercial|All Other Plans | $11,708.00 | ↑ +71% |
| Aetna | Commercial|HMO | $11,708.00 | ↑ +71% |
| Humana | Commercial|All Plans | $12,151.68 | ↑ +78% |
| Aetna | Medicare|All Plans | $12,151.68 | ↑ +78% |
| Molina | Medicare|All Plans | $12,151.68 | ↑ +78% |
| United | Medicare|All Plans | $12,151.68 | ↑ +78% |
| Kaiser | Medicare|All Plans | $12,151.68 | ↑ +78% |
| Blue Shield CA | Medicare|HMO | $12,151.68 | ↑ +78% |
| Blue Shield CA | Medicare|PPO | $12,151.68 | ↑ +78% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +79% |
| BCBS - Anthem | Medicare|Imperial | $12,516.23 | ↑ +83% |
| Kaiser | Medicaid|All Plans | $12,852.27 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $13,366.85 | ↑ +96% |
| Health Net | Commercial|FFS | $16,347.00 | ↑ +139% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +159% |
| Prison Healthcare | Medicaid|All Plans | $18,227.52 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $22,569.84 | ↑ +230% |
| First Health | Commercial|All Plans | $23,510.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $24,764.13 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $25,077.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $25,077.60 | ↑ +267% |
| United | Commercial|Non-Options PPO | $31,347.00 | ↑ +359% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $9,027.94 | $725.85 – $26,018.01 |
| St. John's Camarillo Hospital | Camarillo | $4,698.43 | $892.80 – $21,454.00 |
| Arroyo Grande Hospital | Santa Maria | $8,562.14 | $725.85 – $19,604.90 |
| Mark Twain Medical Center | San Andreas | $2,317.02 | $725.85 – $3,409.42 |
| French Hospital | San Luis Obispo | $10,729.83 | $725.85 – $25,547.62 |
| Dominican Hospital | Santa Cruz | $7,845.75 | $725.85 – $39,764.43 |
| California Hospital Medical Center | Los Angeles | $6,432.56 | $725.85 – $13,088.87 |
| Mercy San Juan Medical Center | Carmichael | $8,589.08 | $725.85 – $26,018.01 |