Remove renal tube w/fluoro at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$494.21
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.
$2,267.00
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.
$52.23 with Hill Physicians vs $6,582.00 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 | $52.23 | ↓ -89% |
| Hill Physicians | Medicare|All Plans | $467.29 | ↓ -5% |
| United | Medicaid|> 21 | $521.64 | ↑ +6% |
| United | Medicaid|< 21 | $521.64 | ↑ +6% |
| Hill Physicians | Medicaid|All Plans | $630.59 | ↑ +28% |
| Western Health Advantage | Commercial|All Plans | $761.60 | ↑ +54% |
| BCBS - Anthem | Medicare|All Other Plans | $827.12 | ↑ +67% |
| Molina | Medicaid|All Plans | $854.61 | ↑ +73% |
| BCBS - Anthem | Medicaid|All Plans | $863.70 | ↑ +75% |
| Humana | Commercial|All Plans | $877.12 | ↑ +77% |
| Aetna | Medicare|All Plans | $877.12 | ↑ +77% |
| Molina | Medicare|All Plans | $877.12 | ↑ +77% |
| United | Medicare|All Plans | $877.12 | ↑ +77% |
| Kaiser | Medicare|All Plans | $877.12 | ↑ +77% |
| Blue Shield CA | Medicare|HMO | $877.12 | ↑ +77% |
| Blue Shield CA | Medicare|PPO | $877.12 | ↑ +77% |
| Kaiser | Medicaid|All Plans | $892.16 | ↑ +81% |
| BCBS - Anthem | Medicare|Imperial | $903.43 | ↑ +83% |
| BrightHealth | Commercial|All Plans | $964.83 | ↑ +95% |
| Prison Healthcare | Medicaid|All Plans | $1,315.68 | ↑ +166% |
| Health Net | Medicaid|All Plans | $1,329.96 | ↑ +169% |
| California Health & Wellness | Medicaid|All Plans | $1,329.96 | ↑ +169% |
| Healthsmart | Commercial|All Plans | $1,566.72 | ↑ +217% |
| First Health | Commercial|All Plans | $1,632.00 | ↑ +230% |
| Kaiser | Commercial|All Plans | $1,719.04 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $1,740.80 | ↑ +252% |
| Sutter Health | Commercial|All Plans | $1,740.80 | ↑ +252% |
| Partnership Health Plan | Medicaid|All Plans | $1,954.69 | ↑ +296% |
| United | Commercial|Non-Options PPO | $2,176.00 | ↑ +340% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +570% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +635% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +818% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +912% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +912% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +912% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +1136% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +1232% |
Visitor-reported prices
Comments
Remove renal tube w/fluoro at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $652.90 | $52.23 – $1,954.69 |
| St. John's Camarillo Hospital | Camarillo | $553.20 | $341.01 – $1,569.60 |
| Arroyo Grande Hospital | Santa Maria | $2,889.86 | $521.64 – $2,266.74 |
| French Hospital | San Luis Obispo | $2,646.79 | $521.64 – $2,307.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $684.50 | $521.64 – $1,476.00 |
| Bakersfield Memorial Hospital | Bakersfield | $677.12 | $521.64 – $1,457.55 |
| Queen of The Valley Medical Center | Napa | $1,220.94 | $990.07 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $697.68 | $896.84 – $8,018.00 |