Plcmnt stent transcath ctrl dialysis seg add-on at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,770.90
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.
$26,472.00
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.
$196.51 with Hill Physicians vs $26,472.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $196.51 | ↓ -97% |
| Hill Physicians | Medicare|All Plans | $2,030.62 | ↓ -65% |
| United | Medicaid|> 21 | $2,482.12 | ↓ -57% |
| United | Medicaid|< 21 | $2,482.12 | ↓ -57% |
| Hill Physicians | Medicaid|All Plans | $2,730.33 | ↓ -53% |
| Molina | Medicaid|All Plans | $4,666.39 | ↓ -19% |
| BCBS - Anthem | Medicaid|All Plans | $4,716.03 | ↓ -18% |
| Aetna | Commercial|HMO | $5,002.00 | ↓ -13% |
| Aetna | Commercial|PPO | $5,002.00 | ↓ -13% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↓ -13% |
| California Health & Wellness | Medicaid|All Plans | $5,758.52 | ↓ -0% |
| Health Net | Medicaid|All Plans | $5,758.52 | ↓ -0% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +38% |
| Western Health Advantage | Commercial|All Plans | $9,265.20 | ↑ +61% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +72% |
| Partnership Health Plan | Medicaid|All Plans | $10,673.12 | ↑ +85% |
| Kaiser | Medicaid|All Plans | $10,853.52 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +149% |
| Healthsmart | Commercial|All Plans | $19,059.84 | ↑ +230% |
| First Health | Commercial|All Plans | $19,854.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $20,912.88 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $21,177.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $21,177.60 | ↑ +267% |
| United | Commercial|Non-Options PPO | $26,472.00 | ↑ +359% |
Visitor-reported prices
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Plcmnt stent transcath ctrl dialysis seg add-on at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,623.94 | $196.51 – $21,971.76 |
| St. John's Camarillo Hospital | Camarillo | $6,038.27 | $3,722.22 – $10,753.08 |
| Arroyo Grande Hospital | Santa Maria | $6,195.30 | $2,482.12 – $14,185.50 |
| French Hospital | San Luis Obispo | $5,674.20 | $2,482.12 – $14,185.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,322.99 | $1,961.30 – $3,566.00 |
| Bakersfield Memorial Hospital | Bakersfield | $10,066.08 | $2,482.12 – $27,153.72 |
| Providence St Joseph Hospital Eureka | Eureka | $3,427.71 | $2,699.00 – $21,319.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,054.72 | $725.97 – $3,457.00 |