Prgrmg eval implantable dfb at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$96.58
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.
$443.00
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.
$46.21 with BCBS - Anthem vs $23,178.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $46.21 | ↓ -52% |
| Hill Physicians | Commercial|All Plans | $46.55 | ↓ -52% |
| Humana | Commercial|All Plans | $49.00 | ↓ -49% |
| Aetna | Medicare|All Plans | $49.00 | ↓ -49% |
| Molina | Medicare|All Plans | $49.00 | ↓ -49% |
| United | Medicare|All Plans | $49.00 | ↓ -49% |
| Kaiser | Medicare|All Plans | $49.00 | ↓ -49% |
| Blue Shield CA | Medicare|HMO | $49.00 | ↓ -49% |
| Blue Shield CA | Medicare|PPO | $49.00 | ↓ -49% |
| BCBS - Anthem | Medicare|Imperial | $50.47 | ↓ -48% |
| BrightHealth | Commercial|All Plans | $53.90 | ↓ -44% |
| Prison Healthcare | Medicaid|All Plans | $73.50 | ↓ -24% |
| United | Medicaid|> 21 | $75.90 | ↓ -21% |
| United | Medicaid|< 21 | $75.90 | ↓ -21% |
| Hill Physicians | Medicaid|All Plans | $83.49 | ↓ -14% |
| Hill Physicians | Medicare|All Plans | $104.36 | ↑ +8% |
| Molina | Medicaid|All Plans | $142.69 | ↑ +48% |
| BCBS - Anthem | Medicaid|All Plans | $144.21 | ↑ +49% |
| Western Health Advantage | Commercial|All Plans | $155.05 | ↑ +61% |
| Health Net | Medicaid|All Plans | $176.09 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $176.09 | ↑ +82% |
| Kaiser | Medicaid|All Plans | $181.63 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $315.20 | ↑ +226% |
| Healthsmart | Commercial|All Plans | $318.96 | ↑ +230% |
| Partnership Health Plan | Medicaid|All Plans | $326.37 | ↑ +238% |
| First Health | Commercial|All Plans | $332.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $349.97 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $354.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $354.40 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $393.84 | ↑ +308% |
| BCBS - Anthem | Commercial|MCS | $443.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $443.00 | ↑ +359% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +2811% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +5267% |
| United | Commercial|HMO | $11,514.00 | ↑ +11822% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +23899% |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $127.59 | $46.21 – $367.69 |
| Santa Rosa Memorial Hospital | Santa Rosa | $430.95 | $51.93 – $195.22 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $157.92 | $40.80 – $88.80 |
| Dominican Hospital | Santa Cruz | $186.30 | $51.23 – $351.90 |
| St. Mary Medical Center | Long Beach | $122.55 | $47.38 – $379.50 |
| St Jude Medical Center | Fullerton | $53.28 | $40.80 – $88.80 |
| Community Hospital San Bernardino | San Bernardino | $41.45 | $47.38 – $8,268.00 |
| Providence St Joseph Hospital Orange | Orange | $313.44 | $40.80 – $88.80 |