Perq rplcmt g-tube req revsn gstrst trk at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$117.72
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.
$540.00
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.
$87.38 with Hill Physicians vs $6,582.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $87.38 | ↓ -26% |
| Western Health Advantage | Commercial|All Plans | $180.95 | ↑ +54% |
| Kaiser | Medicaid|All Plans | $211.97 | ↑ +80% |
| BCBS - Anthem | Medicare|All Other Plans | $301.38 | ↑ +156% |
| United | Medicaid|> 21 | $303.05 | ↑ +157% |
| United | Medicaid|< 21 | $303.05 | ↑ +157% |
| Molina | Medicare|All Plans | $319.60 | ↑ +171% |
| United | Medicare|All Plans | $319.60 | ↑ +171% |
| Blue Shield CA | Medicare|HMO | $319.60 | ↑ +171% |
| Kaiser | Medicare|All Plans | $319.60 | ↑ +171% |
| Aetna | Medicare|All Plans | $319.60 | ↑ +171% |
| Blue Shield CA | Medicare|PPO | $319.60 | ↑ +171% |
| Humana | Commercial|All Plans | $319.60 | ↑ +171% |
| BCBS - Anthem | Medicare|Imperial | $329.19 | ↑ +180% |
| Hill Physicians | Medicaid|All Plans | $333.35 | ↑ +183% |
| BrightHealth | Commercial|All Plans | $351.56 | ↑ +199% |
| Healthsmart | Commercial|All Plans | $372.24 | ↑ +216% |
| First Health | Commercial|All Plans | $387.75 | ↑ +229% |
| Hill Physicians | Medicare|All Plans | $395.78 | ↑ +236% |
| Kaiser | Commercial|All Plans | $408.43 | ↑ +247% |
| MultiPlan | Commercial|All Plans | $413.60 | ↑ +251% |
| Sutter Health | Commercial|All Plans | $413.60 | ↑ +251% |
| Prison Healthcare | Medicaid|All Plans | $479.40 | ↑ +307% |
| California Health & Wellness | Medicaid|All Plans | $517.00 | ↑ +339% |
| Partnership Health Plan | Medicaid|All Plans | $517.00 | ↑ +339% |
| BCBS - Anthem | Medicaid|All Plans | $517.00 | ↑ +339% |
| Health Net | Medicaid|All Plans | $517.00 | ↑ +339% |
| United | Commercial|Non-Options PPO | $517.00 | ↑ +339% |
| Molina | Medicaid|All Plans | $517.00 | ↑ +339% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +2288% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +2984% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +3756% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +4149% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +4149% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +4149% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +4303% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +5491% |
Visitor-reported prices
Comments
Perq rplcmt g-tube req revsn gstrst trk at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $155.52 | $87.38 – $517.00 |
| St. John's Camarillo Hospital | Camarillo | $387.20 | $238.68 – $689.52 |
| Petaluma Valley Hospital | Petaluma | $435.54 | $336.70 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | $523.45 | $303.05 – $1,198.54 |
| Mark Twain Medical Center | San Andreas | $157.85 | $61.32 – $237.00 |
| French Hospital | San Luis Obispo | $479.42 | $303.05 – $1,198.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $306.45 | $303.05 – $730.35 |
| Bakersfield Memorial Hospital | Bakersfield | $293.24 | $303.05 – $730.35 |