Removal central venous device tunneled w/port/pump central/peripheral insertion at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,617.56
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.
$7,420.00
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.
$183.71 with United vs $14,393.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $183.71 | ↓ -89% |
| United | Medicaid|> 21 | $183.71 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $188.82 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $222.08 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $237.93 | ↓ -85% |
| Molina | Medicaid|All Plans | $300.97 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $304.17 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $468.38 | ↓ -71% |
| Health Net | Medicaid|All Plans | $468.38 | ↓ -71% |
| Partnership Health Plan | Medicaid|All Plans | $688.39 | ↓ -57% |
| BCBS - Anthem | Medicare|All Other Plans | $1,925.02 | ↑ +19% |
| Kaiser | Medicare|All Plans | $2,041.38 | ↑ +26% |
| Humana | Commercial|All Plans | $2,041.38 | ↑ +26% |
| Aetna | Medicare|All Plans | $2,041.38 | ↑ +26% |
| Molina | Medicare|All Plans | $2,041.38 | ↑ +26% |
| United | Medicare|All Plans | $2,041.38 | ↑ +26% |
| Blue Shield CA | Medicare|PPO | $2,041.38 | ↑ +26% |
| Blue Shield CA | Medicare|HMO | $2,041.38 | ↑ +26% |
| BCBS - Anthem | Medicare|Imperial | $2,102.62 | ↑ +30% |
| BrightHealth | Commercial|All Plans | $2,245.52 | ↑ +39% |
| Western Health Advantage | Commercial|All Plans | $2,493.05 | ↑ +54% |
| Kaiser | Medicaid|All Plans | $2,920.43 | ↑ +81% |
| Prison Healthcare | Medicaid|All Plans | $3,062.07 | ↑ +89% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +105% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +209% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +209% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +209% |
| Healthsmart | Commercial|All Plans | $5,128.56 | ↑ +217% |
| First Health | Commercial|All Plans | $5,342.25 | ↑ +230% |
| Kaiser | Commercial|All Plans | $5,627.17 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $5,698.40 | ↑ +252% |
| Sutter Health | Commercial|All Plans | $5,698.40 | ↑ +252% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +278% |
| United | Commercial|Non-Options PPO | $7,123.00 | ↑ +340% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +391% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +514% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +790% |
Visitor-reported prices
Comments
Removal central venous device tunneled w/port/pump central/peripheral insertion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,136.96 | $183.71 – $5,912.09 |
| St. John's Camarillo Hospital | Camarillo | $1,173.84 | $225.96 – $3,734.50 |
| Petaluma Valley Hospital | Petaluma | $3,012.57 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $1,778.34 | $183.71 – $3,558.38 |
| Mark Twain Medical Center | San Andreas | $1,808.86 | $183.71 – $2,277.52 |
| French Hospital | San Luis Obispo | $1,658.16 | $183.71 – $2,641.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,313.25 | $183.71 – $9,300.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,266.75 | $183.71 – $1,973.80 |