Pq dr cath chg w cont s&i at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$836.03
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.
$3,835.00
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.
$63.75 with Hill Physicians vs $3,652.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $63.75 | ↓ -92% |
| United | Medicaid|> 21 | $97.15 | ↓ -88% |
| United | Medicaid|< 21 | $97.15 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $106.87 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $112.75 | ↓ -87% |
| Molina | Medicaid|All Plans | $127.33 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $184.59 | ↓ -78% |
| California Health & Wellness | Medicaid|All Plans | $225.39 | ↓ -73% |
| Health Net | Medicaid|All Plans | $225.39 | ↓ -73% |
| Aetna | Commercial|HMO | $272.84 | ↓ -67% |
| Aetna | Commercial|PPO | $272.84 | ↓ -67% |
| Aetna | Commercial|All Other Plans | $272.84 | ↓ -67% |
| Partnership Health Plan | Medicaid|All Plans | $417.75 | ↓ -50% |
| BCBS - Anthem | Commercial|Connection EPO | $792.20 | ↓ -5% |
| BCBS - Anthem | Commercial|All Other Plans | $989.84 | ↑ +18% |
| Western Health Advantage | Commercial|All Plans | $1,278.20 | ↑ +53% |
| BCBS - Anthem | Commercial|MCS | $1,434.93 | ↑ +72% |
| Kaiser | Medicaid|All Plans | $1,497.32 | ↑ +79% |
| Healthsmart | Commercial|All Plans | $2,629.44 | ↑ +215% |
| First Health | Commercial|All Plans | $2,739.00 | ↑ +228% |
| Kaiser | Commercial|All Plans | $2,885.08 | ↑ +245% |
| Sutter Health | Commercial|All Plans | $2,921.60 | ↑ +249% |
| MultiPlan | Commercial|All Plans | $2,921.60 | ↑ +249% |
| United | Commercial|Non-Options PPO | $3,652.00 | ↑ +337% |
Visitor-reported prices
Comments
Pq dr cath chg w cont s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,104.48 | $63.75 – $3,031.16 |
| St. John's Camarillo Hospital | Camarillo | $309.23 | $146.97 – $550.68 |
| Arroyo Grande Hospital | Santa Maria | $977.98 | $97.15 – $2,239.30 |
| French Hospital | San Luis Obispo | $895.72 | $97.15 – $2,239.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,532.23 | $97.15 – $1,261.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,515.71 | $97.15 – $3,968.91 |
| Providence St Joseph Hospital Eureka | Eureka | $1,885.98 | $654.01 – $654.01 |
| St. Joseph's Medical Center Stockton | Stockton | $926.99 | $97.15 – $1,270.92 |