Removal cerclage w/anes at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,374.06
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.
$6,303.00
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.
$129.20 with Hill Physicians vs $23,178.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $129.20 | ↓ -91% |
| Hill Physicians | Medicare|All Plans | $133.34 | ↓ -90% |
| United | Medicaid|< 21 | $193.33 | ↓ -86% |
| United | Medicaid|> 21 | $193.33 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $212.66 | ↓ -85% |
| Molina | Medicaid|All Plans | $253.39 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $367.33 | ↓ -73% |
| California Health & Wellness | Medicaid|All Plans | $448.53 | ↓ -67% |
| Health Net | Medicaid|All Plans | $448.53 | ↓ -67% |
| Partnership Health Plan | Medicaid|All Plans | $831.31 | ↓ -39% |
| Western Health Advantage | Commercial|All Plans | $2,206.05 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $2,584.23 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +164% |
| BCBS - Anthem | Medicare|All Other Plans | $3,940.06 | ↑ +187% |
| Cigna | Commercial|LocalPlus | $4,096.95 | ↑ +198% |
| Humana | Commercial|All Plans | $4,178.22 | ↑ +204% |
| Molina | Medicare|All Plans | $4,178.22 | ↑ +204% |
| Kaiser | Medicare|All Plans | $4,178.22 | ↑ +204% |
| Blue Shield CA | Medicare|HMO | $4,178.22 | ↑ +204% |
| Blue Shield CA | Medicare|PPO | $4,178.22 | ↑ +204% |
| Aetna | Medicare|All Plans | $4,178.22 | ↑ +204% |
| United | Medicare|All Plans | $4,178.22 | ↑ +204% |
| BCBS - Anthem | Medicare|Imperial | $4,303.57 | ↑ +213% |
| Healthsmart | Commercial|All Plans | $4,538.16 | ↑ +230% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +230% |
| BrightHealth | Commercial|All Plans | $4,596.04 | ↑ +234% |
| First Health | Commercial|All Plans | $4,727.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $4,979.37 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $5,042.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $5,042.40 | ↑ +267% |
| Health Net | Commercial|EPPO | $5,418.00 | ↑ +294% |
| Cigna | Commercial|All Other Plans | $5,483.61 | ↑ +299% |
| Prison Healthcare | Medicaid|All Plans | $6,267.33 | ↑ +356% |
| United | Commercial|Non-Options PPO | $6,303.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +379% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +627% |
| United | Commercial|HMO | $11,514.00 | ↑ +738% |
| Aetna | Commercial|HMO | $11,708.00 | ↑ +752% |
| Aetna | Commercial|PPO | $11,708.00 | ↑ +752% |
| Aetna | Commercial|All Other Plans | $11,708.00 | ↑ +752% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +1587% |
Visitor-reported prices
Comments
Removal cerclage w/anes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,815.27 | $129.20 – $5,231.49 |
| St. John's Camarillo Hospital | Camarillo | $1,686.74 | $292.49 – $7,096.88 |
| Arroyo Grande Hospital | Santa Maria | $3,294.32 | $193.33 – $7,543.06 |
| French Hospital | San Luis Obispo | $2,546.83 | $193.33 – $6,367.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,705.49 | $193.33 – $4,039.91 |
| Bakersfield Memorial Hospital | Bakersfield | $1,771.15 | $193.33 – $4,039.91 |
| Queen of The Valley Medical Center | Napa | $6,364.29 | $4,596.27 – $17,909.00 |
| Healdsburg Hospital | Healdsburg | $3,474.63 | $4,361.52 – $6,970.59 |