Plethysmography lung volumes/airway resistance at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$181.16
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.
$831.00
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.
$48.09 with United vs $831.00 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 | $48.09 | ↓ -73% |
| United | Medicaid|< 21 | $48.09 | ↓ -73% |
| Hill Physicians | Commercial|All Plans | $50.09 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $52.90 | ↓ -71% |
| Hill Physicians | Medicare|All Plans | $58.97 | ↓ -67% |
| Molina | Medicaid|All Plans | $90.41 | ↓ -50% |
| BCBS - Anthem | Medicaid|All Plans | $91.37 | ↓ -50% |
| Health Net | Medicaid|All Plans | $111.57 | ↓ -38% |
| California Health & Wellness | Medicaid|All Plans | $111.57 | ↓ -38% |
| Partnership Health Plan | Medicaid|All Plans | $206.79 | ↑ +14% |
| Western Health Advantage | Commercial|All Plans | $290.85 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $340.71 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $385.89 | ↑ +113% |
| Humana | Commercial|All Plans | $409.21 | ↑ +126% |
| Kaiser | Medicare|All Plans | $409.21 | ↑ +126% |
| United | Medicare|All Plans | $409.21 | ↑ +126% |
| Blue Shield CA | Medicare|HMO | $409.21 | ↑ +126% |
| Blue Shield CA | Medicare|PPO | $409.21 | ↑ +126% |
| Molina | Medicare|All Plans | $409.21 | ↑ +126% |
| Aetna | Medicare|All Plans | $409.21 | ↑ +126% |
| BCBS - Anthem | Commercial|Connection EPO | $409.36 | ↑ +126% |
| BCBS - Anthem | Medicare|Imperial | $421.49 | ↑ +133% |
| BrightHealth | Commercial|All Plans | $450.13 | ↑ +148% |
| BCBS - Anthem | Commercial|All Other Plans | $511.49 | ↑ +182% |
| Healthsmart | Commercial|All Plans | $598.32 | ↑ +230% |
| Prison Healthcare | Medicaid|All Plans | $613.82 | ↑ +239% |
| First Health | Commercial|All Plans | $623.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $656.49 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $664.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $664.80 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $741.48 | ↑ +309% |
| United | Commercial|Non-Options PPO | $831.00 | ↑ +359% |
Visitor-reported prices
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Plethysmography lung volumes/airway resistance at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $239.33 | $48.09 – $689.73 |
| St. John's Camarillo Hospital | Camarillo | $374.49 | $72.75 – $702.96 |
| Petaluma Valley Hospital | Petaluma | $1,080.69 | $235.82 – $513.13 |
| Arroyo Grande Hospital | Santa Maria | $396.33 | $48.09 – $517.44 |
| Mark Twain Medical Center | San Andreas | $567.44 | $48.09 – $735.98 |
| French Hospital | San Luis Obispo | $363.00 | $48.09 – $907.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $113.53 | $48.09 – $306.00 |
| Bakersfield Memorial Hospital | Bakersfield | $112.31 | $48.09 – $306.00 |