Place cath xtrnl carotid at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,695.61
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.
$7,778.00
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.
$88.61 with United vs $17,715.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $88.61 | ↓ -95% |
| United | Medicaid|< 21 | $88.61 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $97.47 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $114.59 | ↓ -93% |
| Molina | Medicaid|All Plans | $166.59 | ↓ -90% |
| Health Net | Medicaid|All Plans | $205.58 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $205.58 | ↓ -88% |
| Hill Physicians | Medicare|All Plans | $261.83 | ↓ -85% |
| Partnership Health Plan | Medicaid|All Plans | $381.02 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $738.87 | ↓ -56% |
| Western Health Advantage | Commercial|All Plans | $2,637.25 | ↑ +56% |
| Kaiser | Medicaid|All Plans | $3,089.35 | ↑ +82% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +195% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +195% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +195% |
| Healthsmart | Commercial|All Plans | $5,425.20 | ↑ +220% |
| First Health | Commercial|All Plans | $5,651.25 | ↑ +233% |
| Kaiser | Commercial|All Plans | $5,952.65 | ↑ +251% |
| Sutter Health | Commercial|All Plans | $6,028.00 | ↑ +256% |
| MultiPlan | Commercial|All Plans | $6,028.00 | ↑ +256% |
| United | Commercial|Non-Options PPO | $7,535.00 | ↑ +344% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +476% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +621% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +945% |
Visitor-reported prices
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Place cath xtrnl carotid at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,240.07 | $88.61 – $6,254.05 |
| St. John's Camarillo Hospital | Camarillo | $2,866.28 | $134.06 – $5,104.32 |
| Petaluma Valley Hospital | Petaluma | $712.98 | $588.14 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | $5,283.24 | $88.61 – $12,097.12 |
| French Hospital | San Luis Obispo | $4,838.85 | $88.61 – $12,097.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,899.52 | $88.61 – $4,556.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,879.04 | $88.61 – $5,068.80 |
| Queen of The Valley Medical Center | Napa | $13,158.00 | $793.66 – $7,745.00 |