Place slctv cath carotid/inom art excrn uni at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,351.90
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.
$24,550.00
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.
$237.90 with United vs $17,744.00 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 | $237.90 | ↓ -96% |
| United | Medicaid|< 21 | $237.90 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $261.69 | ↓ -95% |
| Hill Physicians | Commercial|All Plans | $270.07 | ↓ -95% |
| Molina | Medicaid|All Plans | $447.25 | ↓ -92% |
| Health Net | Medicaid|All Plans | $551.93 | ↓ -90% |
| California Health & Wellness | Medicaid|All Plans | $551.93 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $724.49 | ↓ -86% |
| Partnership Health Plan | Medicaid|All Plans | $1,022.97 | ↓ -81% |
| Hill Physicians | Medicare|All Plans | $1,404.30 | ↓ -74% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↓ -27% |
| Humana | Commercial|All Plans | $4,136.13 | ↓ -23% |
| Aetna | Medicare|All Plans | $4,136.13 | ↓ -23% |
| Molina | Medicare|All Plans | $4,136.13 | ↓ -23% |
| United | Medicare|All Plans | $4,136.13 | ↓ -23% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↓ -23% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↓ -23% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↓ -23% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↓ -20% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↓ -15% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +16% |
| Western Health Advantage | Commercial|All Plans | $6,210.40 | ↑ +16% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +31% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +31% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +31% |
| Kaiser | Medicaid|All Plans | $7,275.04 | ↑ +36% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +83% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +87% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +128% |
| Healthsmart | Commercial|All Plans | $12,775.68 | ↑ +139% |
| First Health | Commercial|All Plans | $13,308.00 | ↑ +149% |
| Kaiser | Commercial|All Plans | $14,017.76 | ↑ +162% |
| Sutter Health | Commercial|All Plans | $14,195.20 | ↑ +165% |
| MultiPlan | Commercial|All Plans | $14,195.20 | ↑ +165% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +231% |
| United | Commercial|Non-Options PPO | $17,744.00 | ↑ +232% |
Visitor-reported prices
Comments
Place slctv cath carotid/inom art excrn uni at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,070.40 | $237.90 – $14,727.52 |
| St. John's Camarillo Hospital | Camarillo | $5,033.94 | $359.92 – $8,964.54 |
| Arroyo Grande Hospital | Santa Maria | $11,387.80 | $237.90 – $12,097.12 |
| French Hospital | San Luis Obispo | $10,752.56 | $237.90 – $12,097.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,884.22 | $237.90 – $6,436.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,831.56 | $237.90 – $6,355.55 |
| Providence St Joseph Hospital Eureka | Eureka | $7,119.60 | $4,061.05 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,257.29 | $0.80 – $4,014.00 |