Relocation skin pocket pm at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,673.12
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.
$12,262.00
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.
$341.61 with Hill Physicians vs $17,715.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $341.61 | ↓ -87% |
| United | Medicaid|< 21 | $352.89 | ↓ -87% |
| United | Medicaid|> 21 | $352.89 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $353.73 | ↓ -87% |
| Molina | Medicaid|All Plans | $578.14 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $611.90 | ↓ -77% |
| BCBS - Anthem | Medicaid|All Plans | $838.11 | ↓ -69% |
| California Health & Wellness | Medicaid|All Plans | $1,290.55 | ↓ -52% |
| Health Net | Medicaid|All Plans | $1,290.55 | ↓ -52% |
| Partnership Health Plan | Medicaid|All Plans | $1,896.76 | ↓ -29% |
| BCBS - Anthem | Medicare|All Other Plans | $2,266.77 | ↓ -15% |
| Humana | Commercial|All Plans | $2,403.79 | ↓ -10% |
| United | Medicare|All Plans | $2,403.79 | ↓ -10% |
| Molina | Medicare|All Plans | $2,403.79 | ↓ -10% |
| Aetna | Medicare|All Plans | $2,403.79 | ↓ -10% |
| Blue Shield CA | Medicare|PPO | $2,403.79 | ↓ -10% |
| Blue Shield CA | Medicare|HMO | $2,403.79 | ↓ -10% |
| Kaiser | Medicare|All Plans | $2,403.79 | ↓ -10% |
| BCBS - Anthem | Medicare|Imperial | $2,475.90 | ↓ -7% |
| BrightHealth | Commercial|All Plans | $2,644.17 | ↓ -1% |
| Prison Healthcare | Medicaid|All Plans | $3,605.68 | ↑ +35% |
| Western Health Advantage | Commercial|All Plans | $4,291.70 | ↑ +61% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +72% |
| Kaiser | Medicaid|All Plans | $5,027.42 | ↑ +88% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +162% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +162% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +162% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +217% |
| Healthsmart | Commercial|All Plans | $8,828.64 | ↑ +230% |
| First Health | Commercial|All Plans | $9,196.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $9,686.98 | ↑ +262% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +266% |
| Sutter Health | Commercial|All Plans | $9,809.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $9,809.60 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +357% |
| United | Commercial|Non-Options PPO | $12,262.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +563% |
Visitor-reported prices
Comments
Relocation skin pocket pm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,531.46 | $341.61 – $10,177.46 |
| St. John's Camarillo Hospital | Camarillo | $1,630.68 | $434.05 – $4,331.90 |
| Arroyo Grande Hospital | Santa Maria | $2,448.16 | $352.89 – $5,605.60 |
| French Hospital | San Luis Obispo | $2,281.44 | $352.89 – $5,703.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,744.72 | $352.89 – $3,755.66 |
| Queen of The Valley Medical Center | Napa | $11,834.04 | $2,929.57 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,933.41 | $2,653.72 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,661.10 | $352.89 – $4,746.00 |