Plcmnt ureteral stent pq w/img new w/cath at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,092.59
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.
$9,599.00
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.
$334.55 with Hill Physicians vs $9,992.00 with Health Net — 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 | $334.55 | ↓ -84% |
| United | Medicaid|< 21 | $1,301.93 | ↓ -38% |
| United | Medicaid|> 21 | $1,301.93 | ↓ -38% |
| Hill Physicians | Medicaid|All Plans | $1,432.12 | ↓ -32% |
| Hill Physicians | Medicare|All Plans | $1,569.82 | ↓ -25% |
| Molina | Medicaid|All Plans | $2,447.63 | ↑ +17% |
| BCBS - Anthem | Medicaid|All Plans | $2,473.67 | ↑ +18% |
| California Health & Wellness | Medicaid|All Plans | $3,020.48 | ↑ +44% |
| Health Net | Medicaid|All Plans | $3,020.48 | ↑ +44% |
| Western Health Advantage | Commercial|All Plans | $3,359.65 | ↑ +61% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +74% |
| Kaiser | Medicaid|All Plans | $3,935.59 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $4,273.95 | ↑ +104% |
| United | Medicare|All Plans | $4,532.29 | ↑ +117% |
| Humana | Commercial|All Plans | $4,532.29 | ↑ +117% |
| Kaiser | Medicare|All Plans | $4,532.29 | ↑ +117% |
| Blue Shield CA | Medicare|HMO | $4,532.29 | ↑ +117% |
| Blue Shield CA | Medicare|PPO | $4,532.29 | ↑ +117% |
| Aetna | Medicare|All Plans | $4,532.29 | ↑ +117% |
| Molina | Medicare|All Plans | $4,532.29 | ↑ +117% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +117% |
| BCBS - Anthem | Medicare|Imperial | $4,668.26 | ↑ +123% |
| BrightHealth | Commercial|All Plans | $4,985.52 | ↑ +138% |
| Health Net | Commercial|EPPO | $5,418.00 | ↑ +159% |
| Partnership Health Plan | Medicaid|All Plans | $5,598.30 | ↑ +168% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +215% |
| Prison Healthcare | Medicaid|All Plans | $6,798.44 | ↑ +225% |
| Healthsmart | Commercial|All Plans | $6,911.28 | ↑ +230% |
| First Health | Commercial|All Plans | $7,199.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $7,583.21 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $7,679.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $7,679.20 | ↑ +267% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +282% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +282% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +282% |
| United | Commercial|Non-Options PPO | $9,599.00 | ↑ +359% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +377% |
Visitor-reported prices
Comments
Plcmnt ureteral stent pq w/img new w/cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,764.52 | $334.55 – $7,967.17 |
| St. John's Camarillo Hospital | Camarillo | $3,169.37 | $1,953.72 – $8,044.86 |
| Arroyo Grande Hospital | Santa Maria | $6,744.86 | $1,301.93 – $10,802.54 |
| French Hospital | San Luis Obispo | $6,266.52 | $1,301.93 – $10,802.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,180.43 | $1,301.93 – $6,008.80 |
| Bakersfield Memorial Hospital | Bakersfield | $4,135.36 | $1,301.93 – $5,933.69 |
| Providence St Joseph Hospital Eureka | Eureka | $5,805.84 | $4,533.71 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,206.93 | $1,301.93 – $8,867.04 |