Prgrmg eval implantable dfb at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$81.32
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.
?
What you pay up front if you don't use insurance.
$373.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$42.43 with Hill Physicians vs $23,178.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $42.43 | ↓ -48% |
| BCBS - Anthem | Medicare|All Other Plans | $46.21 | ↓ -43% |
| Humana | Commercial|All Plans | $49.00 | ↓ -40% |
| Aetna | Medicare|All Plans | $49.00 | ↓ -40% |
| Molina | Medicare|All Plans | $49.00 | ↓ -40% |
| United | Medicare|All Plans | $49.00 | ↓ -40% |
| Kaiser | Medicare|All Plans | $49.00 | ↓ -40% |
| Blue Shield CA | Medicare|HMO | $49.00 | ↓ -40% |
| Blue Shield CA | Medicare|PPO | $49.00 | ↓ -40% |
| BCBS - Anthem | Medicare|Imperial | $50.47 | ↓ -38% |
| BrightHealth | Commercial|All Plans | $53.90 | ↓ -34% |
| United | Medicaid|> 21 | $62.35 | ↓ -23% |
| United | Medicaid|< 21 | $62.35 | ↓ -23% |
| Hill Physicians | Medicaid|All Plans | $68.58 | ↓ -16% |
| Prison Healthcare | Medicaid|All Plans | $73.50 | ↓ -10% |
| Hill Physicians | Medicare|All Plans | $85.23 | ↑ +5% |
| Molina | Medicaid|All Plans | $117.22 | ↑ +44% |
| BCBS - Anthem | Medicaid|All Plans | $118.47 | ↑ +46% |
| Western Health Advantage | Commercial|All Plans | $130.55 | ↑ +61% |
| California Health & Wellness | Medicaid|All Plans | $144.65 | ↑ +78% |
| Health Net | Medicaid|All Plans | $144.65 | ↑ +78% |
| Kaiser | Medicaid|All Plans | $152.93 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $268.11 | ↑ +230% |
| Healthsmart | Commercial|All Plans | $268.56 | ↑ +230% |
| BCBS - Anthem | Commercial|Connection EPO | $277.14 | ↑ +241% |
| First Health | Commercial|All Plans | $279.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $294.67 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $298.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $298.40 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $346.28 | ↑ +326% |
| BCBS - Anthem | Commercial|MCS | $373.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $373.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +3357% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +6274% |
| United | Commercial|HMO | $11,514.00 | ↑ +14059% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +28402% |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $107.43 | $42.43 – $309.59 |
| Bakersfield Memorial Hospital | Bakersfield | $33.77 | $46.00 – $92.00 |
| St. Joseph's Medical Center Stockton | Stockton | $38.22 | $27.30 – $130.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $184.11 | $51.93 – $171.65 |
| Mercy Medical Center Merced | Merced | $50.47 | $47.38 – $98.00 |
| St. Mary Medical Center | Long Beach | $113.52 | $47.38 – $311.75 |
| Community Hospital San Bernardino | San Bernardino | $41.45 | $47.38 – $8,268.00 |
| Glendale Memorial Hospital Health Center | Glendale | $40.43 | $30.50 – $97.60 |