Plastic mod low ext pad/line at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$163.50
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.
$750.00
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.
$103.81 with United vs $546.25 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 | $103.81 | ↓ -37% |
| United | Medicaid|< 21 | $103.81 | ↓ -37% |
| Hill Physicians | Medicaid|All Plans | $114.19 | ↓ -30% |
| Kaiser | Commercial|All Plans | $132.25 | ↓ -19% |
| Kaiser | Medicaid|All Plans | $132.25 | ↓ -19% |
| Kaiser | Medicare|All Plans | $132.25 | ↓ -19% |
| Molina | Medicaid|All Plans | $136.06 | ↓ -17% |
| BCBS - Anthem | Medicaid|All Plans | $138.00 | ↓ -16% |
| Partnership Health Plan | Medicaid|All Plans | $143.75 | ↓ -12% |
| California Health & Wellness | Medicaid|All Plans | $161.00 | ↓ -2% |
| Health Net | Medicaid|All Plans | $161.00 | ↓ -2% |
| Health Net | Commercial|EPPO | $207.00 | ↑ +27% |
| Cigna | Commercial|LocalPlus | $230.00 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $304.75 | ↑ +86% |
| United | Commercial|HMO | $310.50 | ↑ +90% |
| United | Commercial|Non-Options PPO | $368.00 | ↑ +125% |
| Western Health Advantage | Commercial|All Plans | $373.75 | ↑ +129% |
| Health Net | Commercial|FFS | $379.50 | ↑ +132% |
| United | Commercial|All Other Plans | $396.75 | ↑ +143% |
| Healthsmart | Commercial|All Plans | $414.00 | ↑ +153% |
| First Health | Commercial|All Plans | $431.25 | ↑ +164% |
| BCBS - Anthem | Commercial|Connection EPO | $437.00 | ↑ +167% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $454.25 | ↑ +178% |
| Sutter Health | Commercial|All Plans | $460.00 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $460.00 | ↑ +181% |
| Blue Shield CA | Commercial|Exchange | $465.75 | ↑ +185% |
| Aetna | Commercial|All Other Plans | $511.75 | ↑ +213% |
| Aetna | Commercial|HMO | $511.75 | ↑ +213% |
| Aetna | Commercial|PPO | $511.75 | ↑ +213% |
| Blue Shield CA | Commercial|All Other Plans | $517.50 | ↑ +217% |
| Blue Shield CA | Commercial|HMO | $517.50 | ↑ +217% |
| Blue Shield CA | Commercial|CalPers | $523.25 | ↑ +220% |
| BCBS - Anthem | Commercial|MCS | $546.25 | ↑ +234% |
| BCBS - Anthem | Commercial|All Other Plans | $546.25 | ↑ +234% |
Visitor-reported prices
Comments
Plastic mod low ext pad/line at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $216.00 | $103.81 – $517.50 |
| St. John's Camarillo Hospital | Camarillo | $261.05 | $143.04 – $464.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $246.72 | $103.81 – $598.50 |
| Bakersfield Memorial Hospital | Bakersfield | $244.06 | $103.81 – $645.05 |
| St. Joseph's Medical Center Stockton | Stockton | $156.41 | $103.81 – $532.00 |
| Mercy Medical Center Merced | Merced | $136.99 | $61.18 – $255.36 |
| St. Mary Medical Center | Long Beach | $322.50 | $93.43 – $575.00 |
| Community Hospital San Bernardino | San Bernardino | $293.25 | $103.81 – $575.00 |