Prep bk ptb thermopls molded at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,958.26
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.
$13,570.00
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.
$1,585.33 with United vs $12,891.50 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 | $1,585.33 | ↓ -46% |
| United | Medicaid|< 21 | $1,585.33 | ↓ -46% |
| Hill Physicians | Medicaid|All Plans | $1,743.86 | ↓ -41% |
| Molina | Medicaid|All Plans | $2,077.81 | ↓ -30% |
| BCBS - Anthem | Medicaid|All Plans | $3,012.13 | ↑ +2% |
| Kaiser | Commercial|All Plans | $3,121.10 | ↑ +6% |
| Kaiser | Medicare|All Plans | $3,121.10 | ↑ +6% |
| Kaiser | Medicaid|All Plans | $3,121.10 | ↑ +6% |
| Partnership Health Plan | Medicaid|All Plans | $3,392.50 | ↑ +15% |
| California Health & Wellness | Medicaid|All Plans | $3,677.97 | ↑ +24% |
| Health Net | Medicaid|All Plans | $3,677.97 | ↑ +24% |
| Health Net | Commercial|EPPO | $4,885.20 | ↑ +65% |
| Cigna | Commercial|LocalPlus | $5,428.00 | ↑ +83% |
| Cigna | Commercial|All Other Plans | $7,192.10 | ↑ +143% |
| United | Commercial|HMO | $7,327.80 | ↑ +148% |
| United | Commercial|Non-Options PPO | $8,684.80 | ↑ +194% |
| Western Health Advantage | Commercial|All Plans | $8,820.50 | ↑ +198% |
| Health Net | Commercial|FFS | $8,956.20 | ↑ +203% |
| United | Commercial|All Other Plans | $9,363.30 | ↑ +217% |
| Healthsmart | Commercial|All Plans | $9,770.40 | ↑ +230% |
| First Health | Commercial|All Plans | $10,177.50 | ↑ +244% |
| BCBS - Anthem | Commercial|Connection EPO | $10,313.20 | ↑ +249% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10,720.30 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $10,856.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $10,856.00 | ↑ +267% |
| Blue Shield CA | Commercial|Exchange | $10,991.70 | ↑ +272% |
| Aetna | Commercial|All Other Plans | $12,077.30 | ↑ +308% |
| Aetna | Commercial|HMO | $12,077.30 | ↑ +308% |
| Aetna | Commercial|PPO | $12,077.30 | ↑ +308% |
| Blue Shield CA | Commercial|All Other Plans | $12,213.00 | ↑ +313% |
| Blue Shield CA | Commercial|HMO | $12,213.00 | ↑ +313% |
| Blue Shield CA | Commercial|CalPers | $12,348.70 | ↑ +317% |
| BCBS - Anthem | Commercial|MCS | $12,891.50 | ↑ +336% |
| BCBS - Anthem | Commercial|All Other Plans | $12,891.50 | ↑ +336% |
Visitor-reported prices
Comments
Prep bk ptb thermopls molded at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,908.16 | $1,585.33 – $12,213.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $10,345.85 | $2,156.05 – $13,032.04 |
| Mercy San Juan Medical Center | Carmichael | $3,718.18 | $1,492.70 – $11,534.50 |
| Mercy Medical Center Redding | Redding | $5,538.98 | $2,403.50 – $10,925.00 |
| Mercy Hospital of Folsom | Folsom | $5,278.73 | $1,492.70 – $13,027.20 |
| Woodland Memorial Hospital | Woodland | $3,718.18 | $1,492.70 – $13,570.00 |
| St. Elizabeth Community Hospital | Red Bluff | $6,380.20 | $2,267.02 – $10,706.50 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $2,819.42 – $5,215.93 |