Radphm lcl tmr spect/ct 2+ areas/2+ days at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$894.46
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.
$4,103.00
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.
$613.94 with Hill Physicians vs $7,040.70 with Cigna — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $613.94 | ↓ -31% |
| United | Medicaid|< 21 | $631.33 | ↓ -29% |
| United | Medicaid|> 21 | $631.33 | ↓ -29% |
| Hill Physicians | Medicaid|All Plans | $694.46 | ↓ -22% |
| Hill Physicians | Medicare|All Plans | $780.49 | ↓ -13% |
| Molina | Medicaid|All Plans | $1,186.90 | ↑ +33% |
| BCBS - Anthem | Medicaid|All Plans | $1,199.53 | ↑ +34% |
| Western Health Advantage | Commercial|All Plans | $1,436.05 | ↑ +61% |
| California Health & Wellness | Medicaid|All Plans | $1,464.69 | ↑ +64% |
| Health Net | Medicaid|All Plans | $1,464.69 | ↑ +64% |
| BCBS - Anthem | Medicare|All Other Plans | $1,617.74 | ↑ +81% |
| Kaiser | Medicaid|All Plans | $1,682.23 | ↑ +88% |
| Humana | Commercial|All Plans | $1,715.53 | ↑ +92% |
| Aetna | Medicare|All Plans | $1,715.53 | ↑ +92% |
| Molina | Medicare|All Plans | $1,715.53 | ↑ +92% |
| United | Medicare|All Plans | $1,715.53 | ↑ +92% |
| Kaiser | Medicare|All Plans | $1,715.53 | ↑ +92% |
| Blue Shield CA | Medicare|HMO | $1,715.53 | ↑ +92% |
| Blue Shield CA | Medicare|PPO | $1,715.53 | ↑ +92% |
| BCBS - Anthem | Medicare|Imperial | $1,767.00 | ↑ +98% |
| BrightHealth | Commercial|All Plans | $1,887.08 | ↑ +111% |
| Aetna | Commercial|PPO | $2,223.39 | ↑ +149% |
| Aetna | Commercial|All Other Plans | $2,223.39 | ↑ +149% |
| Aetna | Commercial|HMO | $2,223.39 | ↑ +149% |
| Prison Healthcare | Medicaid|All Plans | $2,573.30 | ↑ +188% |
| Partnership Health Plan | Medicaid|All Plans | $2,714.72 | ↑ +204% |
| United | Commercial|HMO | $2,938.37 | ↑ +229% |
| United | Commercial|Non-Options PPO | $2,938.37 | ↑ +229% |
| United | Commercial|All Other Plans | $2,938.37 | ↑ +229% |
| Healthsmart | Commercial|All Plans | $2,954.16 | ↑ +230% |
| First Health | Commercial|All Plans | $3,077.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,241.37 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $3,282.40 | ↑ +267% |
| BCBS - Anthem | Commercial|Connection EPO | $3,282.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $3,282.40 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $4,103.00 | ↑ +359% |
| BCBS - Anthem | Commercial|All Other Plans | $4,103.00 | ↑ +359% |
| Cigna | Commercial|LocalPlus | $5,280.13 | ↑ +490% |
| Cigna | Commercial|All Other Plans | $7,040.70 | ↑ +687% |
Visitor-reported prices
Comments
Radphm lcl tmr spect/ct 2+ areas/2+ days at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,181.67 | $613.94 – $5,280.13 |
| St. John's Camarillo Hospital | Camarillo | $1,446.28 | $891.54 – $6,326.24 |
| Banner Lassen Medical Center | Susanville | $1,158.82 | $261.10 – $1,675.19 |
| Mercy Hospitals – Bakersfield | Bakersfield | $974.25 | $631.33 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $963.75 | $631.33 – $6,851.62 |
| St. Joseph's Medical Center Stockton | Stockton | $1,214.81 | $459.27 – $2,187.00 |
| Mercy Medical Center Merced | Merced | $884.26 | $309.00 – $1,717.00 |
| Dominican Hospital | Santa Cruz | $3,679.20 | $631.33 – $21,349.91 |