Pq biliary strict dil s&i at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$422.71
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.
$1,939.00
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.
$189.58 with United vs $1,939.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $189.58 | ↓ -55% |
| United | Medicaid|< 21 | $189.58 | ↓ -55% |
| Hill Physicians | Medicaid|All Plans | $208.54 | ↓ -51% |
| Molina | Medicaid|All Plans | $248.48 | ↓ -41% |
| Aetna | Commercial|PPO | $281.66 | ↓ -33% |
| Aetna | Commercial|All Other Plans | $281.66 | ↓ -33% |
| Aetna | Commercial|HMO | $281.66 | ↓ -33% |
| BCBS - Anthem | Medicaid|All Plans | $360.20 | ↓ -15% |
| California Health & Wellness | Medicaid|All Plans | $439.83 | ↑ +4% |
| Health Net | Medicaid|All Plans | $439.83 | ↑ +4% |
| Western Health Advantage | Commercial|All Plans | $678.65 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $794.99 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $815.21 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $1,396.08 | ↑ +230% |
| First Health | Commercial|All Plans | $1,454.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,531.81 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,551.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,551.20 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $1,551.20 | ↑ +267% |
| United | Commercial|Non-Options PPO | $1,939.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $1,939.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $1,939.00 | ↑ +359% |
Visitor-reported prices
Comments
Pq biliary strict dil s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $558.44 | $189.58 – $1,609.37 |
| St. John's Camarillo Hospital | Camarillo | $1,386.71 | $265.26 – $2,469.48 |
| Arroyo Grande Hospital | Santa Maria | $984.40 | $189.58 – $2,254.00 |
| French Hospital | San Luis Obispo | $901.60 | $189.58 – $2,254.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,132.30 | $189.58 – $2,441.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,120.09 | $189.58 – $3,021.48 |
| St. Joseph's Medical Center Stockton | Stockton | $2,152.38 | $189.58 – $6,149.64 |
| Mercy Medical Center Merced | Merced | $1,633.58 | $189.58 – $3,140.28 |