Pr tube thoracostomy w/connection to drainage open at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,173.50
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.
$5,383.00
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.
$150.17 with Hill Physicians vs $7,197.00 with Health Net — 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 | $150.17 | ↓ -87% |
| United | Medicaid|< 21 | $150.81 | ↓ -87% |
| United | Medicaid|> 21 | $150.81 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $158.75 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $182.30 | ↓ -84% |
| Molina | Medicaid|All Plans | $247.07 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $249.70 | ↓ -79% |
| California Health & Wellness | Medicaid|All Plans | $384.49 | ↓ -67% |
| Health Net | Medicaid|All Plans | $384.49 | ↓ -67% |
| Partnership Health Plan | Medicaid|All Plans | $565.11 | ↓ -52% |
| Western Health Advantage | Commercial|All Plans | $1,037.05 | ↓ -12% |
| Kaiser | Medicaid|All Plans | $1,214.83 | ↑ +4% |
| BCBS - Anthem | Medicare|All Other Plans | $1,925.02 | ↑ +64% |
| United | Medicare|All Plans | $2,041.38 | ↑ +74% |
| Molina | Medicare|All Plans | $2,041.38 | ↑ +74% |
| Blue Shield CA | Medicare|HMO | $2,041.38 | ↑ +74% |
| Humana | Commercial|All Plans | $2,041.38 | ↑ +74% |
| Kaiser | Medicare|All Plans | $2,041.38 | ↑ +74% |
| Aetna | Medicare|All Plans | $2,041.38 | ↑ +74% |
| Blue Shield CA | Medicare|PPO | $2,041.38 | ↑ +74% |
| BCBS - Anthem | Medicare|Imperial | $2,102.62 | ↑ +79% |
| Healthsmart | Commercial|All Plans | $2,133.36 | ↑ +82% |
| First Health | Commercial|All Plans | $2,222.25 | ↑ +89% |
| BrightHealth | Commercial|All Plans | $2,245.52 | ↑ +91% |
| Kaiser | Commercial|All Plans | $2,340.77 | ↑ +99% |
| Sutter Health | Commercial|All Plans | $2,370.40 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $2,370.40 | ↑ +102% |
| United | Commercial|Non-Options PPO | $2,963.00 | ↑ +152% |
| Prison Healthcare | Medicaid|All Plans | $3,062.07 | ↑ +161% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +209% |
| Health Net | Commercial|EPPO | $3,902.00 | ↑ +233% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +287% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +461% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +497% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +497% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +497% |
| Health Net | Commercial|FFS | $7,197.00 | ↑ +513% |
Visitor-reported prices
Comments
Pr tube thoracostomy w/connection to drainage open at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,550.31 | $150.17 – $2,459.29 |
| St. John's Camarillo Hospital | Camarillo | $607.95 | $185.50 – $2,776.00 |
| Petaluma Valley Hospital | Petaluma | $2,519.91 | $1,921.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,121.79 | $150.81 – $2,127.58 |
| Mark Twain Medical Center | San Andreas | $305.03 | $118.49 – $448.84 |
| French Hospital | San Luis Obispo | $851.04 | $150.81 – $1,794.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,669.13 | $150.81 – $3,599.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,651.14 | $150.81 – $3,554.21 |