Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$170.48
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.
$782.00
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.
$35.26 with Hill Physicians vs $7,150.00 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 | $35.26 | ↓ -79% |
| United | Medicaid|> 21 | $48.32 | ↓ -72% |
| United | Medicaid|< 21 | $48.32 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $58.74 | ↓ -66% |
| Molina | Medicaid|All Plans | $79.17 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $80.01 | ↓ -53% |
| Hill Physicians | Medicare|All Plans | $108.69 | ↓ -36% |
| California Health & Wellness | Medicaid|All Plans | $123.89 | ↓ -27% |
| Health Net | Medicaid|All Plans | $123.89 | ↓ -27% |
| Partnership Health Plan | Medicaid|All Plans | $181.07 | ↑ +6% |
| Western Health Advantage | Commercial|All Plans | $221.90 | ↑ +30% |
| BCBS - Anthem | Medicare|All Other Plans | $246.23 | ↑ +44% |
| Kaiser | Medicaid|All Plans | $259.94 | ↑ +52% |
| Humana | Commercial|All Plans | $261.11 | ↑ +53% |
| Aetna | Medicare|All Plans | $261.11 | ↑ +53% |
| Molina | Medicare|All Plans | $261.11 | ↑ +53% |
| United | Medicare|All Plans | $261.11 | ↑ +53% |
| Kaiser | Medicare|All Plans | $261.11 | ↑ +53% |
| Blue Shield CA | Medicare|HMO | $261.11 | ↑ +53% |
| Blue Shield CA | Medicare|PPO | $261.11 | ↑ +53% |
| BCBS - Anthem | Medicare|Imperial | $268.94 | ↑ +58% |
| BrightHealth | Commercial|All Plans | $287.22 | ↑ +68% |
| Prison Healthcare | Medicaid|All Plans | $391.67 | ↑ +130% |
| Healthsmart | Commercial|All Plans | $456.48 | ↑ +168% |
| First Health | Commercial|All Plans | $475.50 | ↑ +179% |
| Kaiser | Commercial|All Plans | $500.86 | ↑ +194% |
| Cigna | Commercial|LocalPlus | $506.22 | ↑ +197% |
| MultiPlan | Commercial|All Plans | $507.20 | ↑ +198% |
| Sutter Health | Commercial|All Plans | $507.20 | ↑ +198% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $513.89 | ↑ +201% |
| Blue Shield CA | Commercial|Exchange | $582.92 | ↑ +242% |
| BCBS - Anthem | Commercial|MCS | $634.00 | ↑ +272% |
| BCBS - Anthem | Commercial|Connection EPO | $634.00 | ↑ +272% |
| BCBS - Anthem | Commercial|All Other Plans | $634.00 | ↑ +272% |
| United | Commercial|Non-Options PPO | $634.00 | ↑ +272% |
| Cigna | Commercial|All Other Plans | $674.96 | ↑ +296% |
| Blue Shield CA | Commercial|HMO | $690.30 | ↑ +305% |
| Blue Shield CA | Commercial|All Other Plans | $690.30 | ↑ +305% |
| Blue Shield CA | Commercial|CalPers | $697.97 | ↑ +309% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +1549% |
| United | Commercial|HMO | $2,842.00 | ↑ +1567% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +2834% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +2834% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +2834% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +2940% |
| United | Commercial|All Other Plans | $7,150.00 | ↑ +4094% |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $225.22 | $35.26 – $526.22 |
| St. John's Camarillo Hospital | Camarillo | $239.15 | $32.27 – $453.26 |
| Banner Lassen Medical Center | Susanville | $180.08 | $39.74 – $250.26 |
| Petaluma Valley Hospital | Petaluma | $1,052.64 | $270.38 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $215.72 | $48.32 – $447.86 |
| Mark Twain Medical Center | San Andreas | $368.97 | $48.32 – $377.30 |
| French Hospital | San Luis Obispo | $197.57 | $48.32 – $447.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $187.36 | $48.32 – $401.80 |