Perq plmt bile duct stent at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,634.97
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.
$12,087.00
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.
$410.28 with Hill Physicians vs $12,087.00 with United — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $410.28 | ↓ -84% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +38% |
| Western Health Advantage | Commercial|All Plans | $4,230.45 | ↑ +61% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +72% |
| United | Medicaid|< 21 | $4,570.73 | ↑ +73% |
| United | Medicaid|> 21 | $4,570.73 | ↑ +73% |
| Kaiser | Medicaid|All Plans | $4,955.67 | ↑ +88% |
| Hill Physicians | Medicaid|All Plans | $5,027.80 | ↑ +91% |
| Hill Physicians | Medicare|All Plans | $5,178.52 | ↑ +97% |
| Health Net | Commercial|EPPO | $6,384.00 | ↑ +142% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +150% |
| BCBS - Anthem | Medicare|All Other Plans | $7,229.91 | ↑ +174% |
| Blue Shield CA | Medicare|HMO | $7,666.93 | ↑ +191% |
| Molina | Medicare|All Plans | $7,666.93 | ↑ +191% |
| United | Medicare|All Plans | $7,666.93 | ↑ +191% |
| Aetna | Medicare|All Plans | $7,666.93 | ↑ +191% |
| Blue Shield CA | Medicare|PPO | $7,666.93 | ↑ +191% |
| Humana | Commercial|All Plans | $7,666.93 | ↑ +191% |
| Kaiser | Medicare|All Plans | $7,666.93 | ↑ +191% |
| BCBS - Anthem | Medicare|Imperial | $7,896.94 | ↑ +200% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +204% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +204% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +204% |
| BrightHealth | Commercial|All Plans | $8,433.62 | ↑ +220% |
| Molina | Medicaid|All Plans | $8,592.97 | ↑ +226% |
| BCBS - Anthem | Medicaid|All Plans | $8,684.39 | ↑ +230% |
| Healthsmart | Commercial|All Plans | $8,702.64 | ↑ +230% |
| First Health | Commercial|All Plans | $9,065.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $9,548.73 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $9,669.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $9,669.60 | ↑ +267% |
| Health Net | Medicaid|All Plans | $10,604.09 | ↑ +302% |
| California Health & Wellness | Medicaid|All Plans | $10,604.09 | ↑ +302% |
| Prison Healthcare | Medicaid|All Plans | $11,500.40 | ↑ +336% |
| Health Net | Commercial|FFS | $11,775.00 | ↑ +347% |
| Partnership Health Plan | Medicaid|All Plans | $12,087.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $12,087.00 | ↑ +359% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,481.06 | $410.28 – $12,087.00 |
| St. John's Camarillo Hospital | Camarillo | $5,759.70 | $3,550.50 – $13,082.50 |
| Arroyo Grande Hospital | Santa Maria | $8,812.95 | $4,570.73 – $20,179.18 |
| French Hospital | San Luis Obispo | $7,836.48 | $4,570.73 – $19,591.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,458.53 | $4,570.73 – $11,770.40 |
| Bakersfield Memorial Hospital | Bakersfield | $5,694.01 | $4,570.73 – $11,623.27 |
| St. Joseph's Medical Center Stockton | Stockton | $7,085.70 | $2,530.29 – $11,289.70 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,989.28 | $5,357.00 – $14,384.78 |