Plcmt sft tiss loc pq w/img ea addl lsn at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$442.33
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.
$2,029.00
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.
$41.83 with Hill Physicians vs $6,582.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $41.83 | ↓ -91% |
| Hill Physicians | Medicare|All Plans | $402.53 | ↓ -9% |
| United | Medicaid|> 21 | $430.75 | ↓ -3% |
| United | Medicaid|< 21 | $430.75 | ↓ -3% |
| Hill Physicians | Medicaid|All Plans | $473.82 | ↑ +7% |
| Western Health Advantage | Commercial|All Plans | $710.15 | ↑ +61% |
| Molina | Medicaid|All Plans | $809.81 | ↑ +83% |
| BCBS - Anthem | Medicaid|All Plans | $818.43 | ↑ +85% |
| Kaiser | Medicaid|All Plans | $831.89 | ↑ +88% |
| Health Net | Medicaid|All Plans | $999.34 | ↑ +126% |
| California Health & Wellness | Medicaid|All Plans | $999.34 | ↑ +126% |
| Healthsmart | Commercial|All Plans | $1,460.88 | ↑ +230% |
| First Health | Commercial|All Plans | $1,521.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,602.91 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $1,623.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $1,623.20 | ↑ +267% |
| Partnership Health Plan | Medicaid|All Plans | $1,852.23 | ↑ +319% |
| United | Commercial|Non-Options PPO | $2,029.00 | ↑ +359% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +721% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +926% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +1031% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +1031% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +1031% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +1388% |
Visitor-reported prices
Comments
Plcmt sft tiss loc pq w/img ea addl lsn at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $584.36 | $41.83 – $1,852.23 |
| St. John's Camarillo Hospital | Camarillo | $651.31 | $381.51 – $1,102.14 |
| Arroyo Grande Hospital | Santa Maria | $483.64 | $430.75 – $1,107.40 |
| French Hospital | San Luis Obispo | $409.64 | $242.19 – $879.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $626.62 | $430.75 – $1,503.21 |
| Bakersfield Memorial Hospital | Bakersfield | $619.87 | $430.75 – $1,672.11 |
| St. Joseph's Medical Center Stockton | Stockton | $472.76 | $163.80 – $780.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,017.12 | $1,200.00 – $5,357.00 |