Pt prgrm for implt neurostim at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,749.45
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.
$8,025.00
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.
$1,091.35 with Kaiser vs $4,507.75 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 |
|---|---|---|---|
| Kaiser | Commercial|All Plans | $1,091.35 | ↓ -38% |
| Kaiser | Medicare|All Plans | $1,091.35 | ↓ -38% |
| Kaiser | Medicaid|All Plans | $1,091.35 | ↓ -38% |
| BCBS - Anthem | Medicaid|All Plans | $1,138.80 | ↓ -35% |
| Partnership Health Plan | Medicaid|All Plans | $1,186.25 | ↓ -32% |
| Molina | Medicaid|All Plans | $1,233.70 | ↓ -29% |
| Health Net | Medicaid|All Plans | $1,328.60 | ↓ -24% |
| California Health & Wellness | Medicaid|All Plans | $1,328.60 | ↓ -24% |
| Health Net | Commercial|EPPO | $1,708.20 | ↓ -2% |
| Cigna | Commercial|LocalPlus | $1,898.00 | ↑ +8% |
| Cigna | Commercial|All Other Plans | $2,514.85 | ↑ +44% |
| United | Commercial|HMO | $2,562.30 | ↑ +46% |
| United | Commercial|Non-Options PPO | $3,036.80 | ↑ +74% |
| Western Health Advantage | Commercial|All Plans | $3,084.25 | ↑ +76% |
| Health Net | Commercial|FFS | $3,131.70 | ↑ +79% |
| United | Commercial|All Other Plans | $3,274.05 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $3,416.40 | ↑ +95% |
| First Health | Commercial|All Plans | $3,558.75 | ↑ +103% |
| BCBS - Anthem | Commercial|Connection EPO | $3,606.20 | ↑ +106% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,748.55 | ↑ +114% |
| Sutter Health | Commercial|All Plans | $3,796.00 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $3,796.00 | ↑ +117% |
| Blue Shield CA | Commercial|Exchange | $3,843.45 | ↑ +120% |
| Aetna | Commercial|HMO | $4,223.05 | ↑ +141% |
| Aetna | Commercial|PPO | $4,223.05 | ↑ +141% |
| Aetna | Commercial|All Other Plans | $4,223.05 | ↑ +141% |
| Blue Shield CA | Commercial|All Other Plans | $4,270.50 | ↑ +144% |
| Blue Shield CA | Commercial|HMO | $4,270.50 | ↑ +144% |
| Blue Shield CA | Commercial|CalPers | $4,317.95 | ↑ +147% |
| BCBS - Anthem | Commercial|All Other Plans | $4,507.75 | ↑ +158% |
| BCBS - Anthem | Commercial|MCS | $4,507.75 | ↑ +158% |
Visitor-reported prices
Comments
Pt prgrm for implt neurostim at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,311.20 | $1,091.35 – $4,270.50 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $4,704.57 | $1,451.28 – $5,926.06 |
| Sierra Nevada Memorial Hospital | Grass Valley | $4,101.67 | $1,881.50 – $7,375.48 |
| Sequoia Hospital | Redwood City | $2,738.74 | $27.50 – $7,524.00 |
| St. Mary Medical Center | Long Beach | $3,450.75 | $1,605.00 – $8,025.00 |
| Community Hospital San Bernardino | San Bernardino | $3,137.78 | $1,685.25 – $8,025.00 |
| Glendale Memorial Hospital Health Center | Glendale | $2,616.15 | $40.00 – $7,944.75 |
| Mercy San Juan Medical Center | Carmichael | $2,198.85 | $521.95 – $4,033.25 |