Repair pm/icd lead sgl at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,750.51
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.
$12,617.00
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.
$241.81 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 | $241.81 | ↓ -91% |
| United | Medicaid|> 21 | $241.81 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $383.85 | ↓ -86% |
| Molina | Medicaid|All Plans | $396.15 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $400.49 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $419.30 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $574.29 | ↓ -79% |
| California Health & Wellness | Medicaid|All Plans | $884.34 | ↓ -68% |
| Health Net | Medicaid|All Plans | $884.34 | ↓ -68% |
| Partnership Health Plan | Medicaid|All Plans | $1,299.70 | ↓ -53% |
| Western Health Advantage | Commercial|All Plans | $4,415.95 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $4,509.80 | ↑ +64% |
| Humana | Commercial|All Plans | $4,782.40 | ↑ +74% |
| Aetna | Medicare|All Plans | $4,782.40 | ↑ +74% |
| Molina | Medicare|All Plans | $4,782.40 | ↑ +74% |
| United | Medicare|All Plans | $4,782.40 | ↑ +74% |
| Kaiser | Medicare|All Plans | $4,782.40 | ↑ +74% |
| Blue Shield CA | Medicare|HMO | $4,782.40 | ↑ +74% |
| Blue Shield CA | Medicare|PPO | $4,782.40 | ↑ +74% |
| BCBS - Anthem | Medicare|Imperial | $4,925.87 | ↑ +79% |
| Kaiser | Medicaid|All Plans | $5,172.97 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $5,260.64 | ↑ +91% |
| Health Net | Commercial|EPPO | $6,384.00 | ↑ +132% |
| Prison Healthcare | Medicaid|All Plans | $7,173.60 | ↑ +161% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +189% |
| Healthsmart | Commercial|All Plans | $9,084.24 | ↑ +230% |
| First Health | Commercial|All Plans | $9,462.75 | ↑ +244% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +261% |
| Kaiser | Commercial|All Plans | $9,967.43 | ↑ +262% |
| Aetna | Commercial|PPO | $10,007.00 | ↑ +264% |
| Aetna | Commercial|All Other Plans | $10,007.00 | ↑ +264% |
| Aetna | Commercial|HMO | $10,007.00 | ↑ +264% |
| MultiPlan | Commercial|All Plans | $10,093.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $10,093.60 | ↑ +267% |
| Health Net | Commercial|FFS | $11,775.00 | ↑ +328% |
| United | Commercial|Non-Options PPO | $12,617.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +423% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,633.70 | $241.81 – $10,472.11 |
| St. John's Camarillo Hospital | Camarillo | $2,096.27 | $297.43 – $8,410.84 |
| Arroyo Grande Hospital | Santa Maria | $7,445.92 | $241.81 – $17,049.06 |
| French Hospital | San Luis Obispo | $6,415.87 | $241.81 – $16,039.66 |
| Bakersfield Memorial Hospital | Bakersfield | $2,430.28 | $241.81 – $5,231.38 |
| Queen of The Valley Medical Center | Napa | $7,975.38 | $5,305.96 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,647.34 | $4,806.35 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,869.84 | $241.81 – $5,342.40 |