Replace g/c tube perc at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$444.51
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.
$2,039.00
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.
$64.09 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $64.09 | ↓ -86% |
| United | Medicaid|< 21 | $640.36 | ↑ +44% |
| United | Medicaid|> 21 | $640.36 | ↑ +44% |
| Western Health Advantage | Commercial|All Plans | $685.30 | ↑ +54% |
| Hill Physicians | Medicaid|All Plans | $704.40 | ↑ +58% |
| Hill Physicians | Medicare|All Plans | $730.32 | ↑ +64% |
| Kaiser | Medicaid|All Plans | $802.78 | ↑ +81% |
| BCBS - Anthem | Medicare|All Other Plans | $1,161.82 | ↑ +161% |
| Molina | Medicaid|All Plans | $1,203.88 | ↑ +171% |
| BCBS - Anthem | Medicaid|All Plans | $1,216.68 | ↑ +174% |
| Blue Shield CA | Medicare|PPO | $1,232.05 | ↑ +177% |
| Aetna | Medicare|All Plans | $1,232.05 | ↑ +177% |
| Blue Shield CA | Medicare|HMO | $1,232.05 | ↑ +177% |
| Humana | Commercial|All Plans | $1,232.05 | ↑ +177% |
| Molina | Medicare|All Plans | $1,232.05 | ↑ +177% |
| United | Medicare|All Plans | $1,232.05 | ↑ +177% |
| Kaiser | Medicare|All Plans | $1,232.05 | ↑ +177% |
| BCBS - Anthem | Medicare|Imperial | $1,269.01 | ↑ +185% |
| BrightHealth | Commercial|All Plans | $1,355.26 | ↑ +205% |
| Healthsmart | Commercial|All Plans | $1,409.76 | ↑ +217% |
| First Health | Commercial|All Plans | $1,468.50 | ↑ +230% |
| Health Net | Medicaid|All Plans | $1,485.64 | ↑ +234% |
| California Health & Wellness | Medicaid|All Plans | $1,485.64 | ↑ +234% |
| Kaiser | Commercial|All Plans | $1,546.82 | ↑ +248% |
| Sutter Health | Commercial|All Plans | $1,566.40 | ↑ +252% |
| MultiPlan | Commercial|All Plans | $1,566.40 | ↑ +252% |
| Prison Healthcare | Medicaid|All Plans | $1,848.08 | ↑ +316% |
| Partnership Health Plan | Medicaid|All Plans | $1,958.00 | ↑ +340% |
| United | Commercial|Non-Options PPO | $1,958.00 | ↑ +340% |
| Health Net | Commercial|EPPO | $3,902.00 | ↑ +778% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +1025% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +1025% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +1025% |
| Health Net | Commercial|FFS | $7,197.00 | ↑ +1519% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +1686% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +2133% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +3138% |
Visitor-reported prices
Comments
Replace g/c tube perc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $587.24 | $64.09 – $1,958.00 |
| St. John's Camarillo Hospital | Camarillo | $464.28 | $286.20 – $2,072.04 |
| Petaluma Valley Hospital | Petaluma | $1,671.27 | $1,222.26 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $932.62 | $640.36 – $2,046.24 |
| French Hospital | San Luis Obispo | $1,007.44 | $563.76 – $2,046.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $537.95 | $640.36 – $1,450.00 |
| Bakersfield Memorial Hospital | Bakersfield | $532.15 | $640.36 – $1,450.00 |
| Queen of The Valley Medical Center | Napa | $2,379.66 | $1,287.79 – $7,483.00 |