Prq card stent w/angio addl at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$7,907.95
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.
$36,275.00
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.
$1,919.63 with BCBS - Anthem vs $36,275.00 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 | Medicaid|All Plans | $1,919.63 | ↓ -76% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↓ -37% |
| Aetna | Commercial|PPO | $5,002.00 | ↓ -37% |
| Aetna | Commercial|HMO | $5,002.00 | ↓ -37% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +24% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +54% |
| Western Health Advantage | Commercial|All Plans | $12,696.25 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $14,872.75 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +124% |
| California Health & Wellness | Medicaid|All Plans | $18,137.50 | ↑ +129% |
| Health Net | Medicaid|All Plans | $18,137.50 | ↑ +129% |
| Healthsmart | Commercial|All Plans | $26,118.00 | ↑ +230% |
| First Health | Commercial|All Plans | $27,206.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $28,657.25 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $29,020.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $29,020.00 | ↑ +267% |
| United | Commercial|Non-Options PPO | $36,275.00 | ↑ +359% |
Visitor-reported prices
Comments
Prq card stent w/angio addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $10,447.20 | $1,919.63 – $35,912.25 |
| St. John's Camarillo Hospital | Camarillo | $10,305.71 | $6,352.83 – $18,352.62 |
| Bakersfield Memorial Hospital | Bakersfield | $9,509.71 | $1,333.64 – $25,652.88 |
| Queen of The Valley Medical Center | Napa | $19,179.57 | $7,745.00 – $24,453.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,592.88 | $9,008.00 – $24,039.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,836.07 | $7,025.76 – $28,103.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $22,529.25 | $4,812.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,896.96 | $9,718.00 – $11,117.00 |