Perq transcath closure pda at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,563.58
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.
$25,521.00
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.
$565.27 with United vs $35,395.39 with Prison Healthcare — 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 | $565.27 | ↓ -90% |
| United | Medicaid|> 21 | $565.27 | ↓ -90% |
| Hill Physicians | Commercial|All Plans | $621.36 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $621.80 | ↓ -89% |
| Hill Physicians | Medicare|All Plans | $662.92 | ↓ -88% |
| Molina | Medicaid|All Plans | $1,062.71 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $1,073.99 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $1,311.43 | ↓ -76% |
| Health Net | Medicaid|All Plans | $1,311.43 | ↓ -76% |
| Partnership Health Plan | Medicaid|All Plans | $2,430.66 | ↓ -56% |
| Western Health Advantage | Commercial|All Plans | $8,932.35 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $10,463.61 | ↑ +88% |
| Health Net | Commercial|EPPO | $12,309.00 | ↑ +121% |
| BCBS - Anthem | Commercial|Connection EPO | $15,038.00 | ↑ +170% |
| Healthsmart | Commercial|All Plans | $18,375.12 | ↑ +230% |
| BCBS - Anthem | Commercial|All Other Plans | $18,798.00 | ↑ +238% |
| First Health | Commercial|All Plans | $19,140.75 | ↑ +244% |
| Aetna | Commercial|PPO | $19,156.00 | ↑ +244% |
| Aetna | Commercial|HMO | $19,156.00 | ↑ +244% |
| Aetna | Commercial|All Other Plans | $19,156.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $20,161.59 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $20,416.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $20,416.80 | ↑ +267% |
| BCBS - Anthem | Medicare|All Other Plans | $22,251.90 | ↑ +300% |
| Health Net | Commercial|FFS | $22,699.00 | ↑ +308% |
| Blue Shield CA | Medicare|HMO | $23,596.93 | ↑ +324% |
| Molina | Medicare|All Plans | $23,596.93 | ↑ +324% |
| Humana | Commercial|All Plans | $23,596.93 | ↑ +324% |
| Kaiser | Medicare|All Plans | $23,596.93 | ↑ +324% |
| United | Medicare|All Plans | $23,596.93 | ↑ +324% |
| Blue Shield CA | Medicare|PPO | $23,596.93 | ↑ +324% |
| Aetna | Medicare|All Plans | $23,596.93 | ↑ +324% |
| BCBS - Anthem | Medicare|Imperial | $24,304.84 | ↑ +337% |
| United | Commercial|Non-Options PPO | $25,521.00 | ↑ +359% |
| BrightHealth | Commercial|All Plans | $25,956.62 | ↑ +367% |
| BCBS - Anthem | Commercial|MCS | $27,257.00 | ↑ +390% |
| Prison Healthcare | Medicaid|All Plans | $35,395.39 | ↑ +536% |
Visitor-reported prices
Comments
Perq transcath closure pda at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,350.05 | $565.27 – $23,596.93 |
| Arroyo Grande Hospital | Santa Maria | $13,118.20 | $565.26 – $30,037.00 |
| French Hospital | San Luis Obispo | $12,014.80 | $565.26 – $30,037.00 |
| St Jude Medical Center | Fullerton | $18,377.76 | $15,005.00 – $43,618.46 |
| Providence St Joseph Hospital Orange | Orange | $15,582.72 | $14,032.00 – $43,618.46 |
| Mercy San Juan Medical Center | Carmichael | $6,992.76 | $565.27 – $29,496.16 |
| Mercy Hospital of Folsom | Folsom | $9,927.67 | $565.27 – $23,596.93 |
| Woodland Memorial Hospital | Woodland | $6,992.76 | $565.27 – $25,521.00 |