Plmt nephroureteral catheter at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,992.96
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.
?
What you pay up front if you don't use insurance.
$9,142.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$249.56 with Hill Physicians vs $9,142.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $249.56 | ↓ -87% |
| United | Medicaid|< 21 | $1,043.18 | ↓ -48% |
| United | Medicaid|> 21 | $1,043.18 | ↓ -48% |
| Hill Physicians | Medicaid|All Plans | $1,147.50 | ↓ -42% |
| Hill Physicians | Medicare|All Plans | $1,310.12 | ↓ -34% |
| Molina | Medicaid|All Plans | $1,961.18 | ↓ -2% |
| BCBS - Anthem | Medicaid|All Plans | $1,982.04 | ↓ -1% |
| California Health & Wellness | Medicaid|All Plans | $2,420.18 | ↑ +21% |
| Health Net | Medicaid|All Plans | $2,420.18 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $3,199.70 | ↑ +61% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +82% |
| Kaiser | Medicaid|All Plans | $3,748.22 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $4,273.95 | ↑ +114% |
| Partnership Health Plan | Medicaid|All Plans | $4,485.67 | ↑ +125% |
| Molina | Medicare|All Plans | $4,532.29 | ↑ +127% |
| Blue Shield CA | Medicare|PPO | $4,532.29 | ↑ +127% |
| Blue Shield CA | Medicare|HMO | $4,532.29 | ↑ +127% |
| Humana | Commercial|All Plans | $4,532.29 | ↑ +127% |
| Kaiser | Medicare|All Plans | $4,532.29 | ↑ +127% |
| Aetna | Medicare|All Plans | $4,532.29 | ↑ +127% |
| United | Medicare|All Plans | $4,532.29 | ↑ +127% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +128% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +131% |
| BCBS - Anthem | Medicare|Imperial | $4,668.26 | ↑ +134% |
| BrightHealth | Commercial|All Plans | $4,985.52 | ↑ +150% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +230% |
| Healthsmart | Commercial|All Plans | $6,582.24 | ↑ +230% |
| Prison Healthcare | Medicaid|All Plans | $6,798.44 | ↑ +241% |
| First Health | Commercial|All Plans | $6,856.50 | ↑ +244% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +251% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +251% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +251% |
| Kaiser | Commercial|All Plans | $7,222.18 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $7,313.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $7,313.60 | ↑ +267% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +325% |
| United | Commercial|Non-Options PPO | $9,142.00 | ↑ +359% |
Visitor-reported prices
Comments
Plmt nephroureteral catheter at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,632.90 | $249.56 – $7,587.86 |
| St. John's Camarillo Hospital | Camarillo | $2,127.37 | $1,311.39 – $8,044.86 |
| Arroyo Grande Hospital | Santa Maria | $4,689.17 | $1,043.18 – $5,621.28 |
| French Hospital | San Luis Obispo | $4,294.76 | $1,043.18 – $5,621.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,425.82 | $1,043.18 – $4,924.80 |
| Bakersfield Memorial Hospital | Bakersfield | $3,768.36 | $1,043.18 – $8,111.72 |
| Queen of The Valley Medical Center | Napa | $3,892.32 | $5,004.98 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,421.70 | $4,533.71 – $10,413.00 |