Pr incision & drainage abscess simple/single at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$143.67
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.
$659.00
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.
$48.70 with United vs $14,393.00 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 | $48.70 | ↓ -66% |
| United | Medicaid|> 21 | $48.70 | ↓ -66% |
| Molina | Medicaid|All Plans | $79.79 | ↓ -44% |
| Hill Physicians | Medicaid|All Plans | $84.45 | ↓ -41% |
| Hill Physicians | Commercial|All Plans | $113.83 | ↓ -21% |
| BCBS - Anthem | Medicaid|All Plans | $115.67 | ↓ -19% |
| Hill Physicians | Medicare|All Plans | $132.27 | ↓ -8% |
| California Health & Wellness | Medicaid|All Plans | $178.11 | ↑ +24% |
| Health Net | Medicaid|All Plans | $178.11 | ↑ +24% |
| Western Health Advantage | Commercial|All Plans | $228.90 | ↑ +59% |
| BCBS - Anthem | Medicare|All Other Plans | $246.23 | ↑ +71% |
| Humana | Commercial|All Plans | $261.11 | ↑ +82% |
| Aetna | Medicare|All Plans | $261.11 | ↑ +82% |
| Molina | Medicare|All Plans | $261.11 | ↑ +82% |
| United | Medicare|All Plans | $261.11 | ↑ +82% |
| Kaiser | Medicare|All Plans | $261.11 | ↑ +82% |
| Blue Shield CA | Medicare|HMO | $261.11 | ↑ +82% |
| Blue Shield CA | Medicare|PPO | $261.11 | ↑ +82% |
| Partnership Health Plan | Medicaid|All Plans | $261.77 | ↑ +82% |
| Kaiser | Medicaid|All Plans | $268.14 | ↑ +87% |
| BCBS - Anthem | Medicare|Imperial | $268.94 | ↑ +87% |
| BrightHealth | Commercial|All Plans | $287.22 | ↑ +100% |
| Prison Healthcare | Medicaid|All Plans | $391.67 | ↑ +173% |
| Healthsmart | Commercial|All Plans | $470.88 | ↑ +228% |
| First Health | Commercial|All Plans | $490.50 | ↑ +241% |
| Kaiser | Commercial|All Plans | $516.66 | ↑ +260% |
| MultiPlan | Commercial|All Plans | $523.20 | ↑ +264% |
| Sutter Health | Commercial|All Plans | $523.20 | ↑ +264% |
| United | Commercial|Non-Options PPO | $654.00 | ↑ +355% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +1857% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +3382% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +3382% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +3382% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +3508% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +5427% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +6809% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +9918% |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $189.80 | $48.70 – $542.82 |
| St. John's Camarillo Hospital | Camarillo | $183.43 | $59.90 – $453.26 |
| Petaluma Valley Hospital | Petaluma | $851.19 | $270.38 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $323.57 | $48.70 – $740.88 |
| Mark Twain Medical Center | San Andreas | $179.16 | $48.70 – $251.86 |
| French Hospital | San Luis Obispo | $305.37 | $48.70 – $763.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $247.83 | $48.70 – $534.40 |
| Bakersfield Memorial Hospital | Bakersfield | $245.16 | $48.70 – $464.52 |