Revasc lithotr-ather tib/per at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$13,496.60
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.
$61,911.00
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.
$1,545.00 with BCBS - Anthem vs $61,911.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $1,545.00 | ↓ -89% |
| Molina | Medicaid|All Plans | $2,504.00 | ↓ -81% |
| Aetna | Commercial|PPO | $10,007.00 | ↓ -26% |
| Aetna | Commercial|All Other Plans | $10,007.00 | ↓ -26% |
| Aetna | Commercial|HMO | $10,007.00 | ↓ -26% |
| BCBS - Anthem | Commercial|Connection EPO | $13,595.00 | ↑ +1% |
| BCBS - Anthem | Commercial|All Other Plans | $16,994.00 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $21,668.85 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $22,251.90 | ↑ +65% |
| Humana | Commercial|All Plans | $23,596.93 | ↑ +75% |
| Aetna | Medicare|All Plans | $23,596.93 | ↑ +75% |
| Molina | Medicare|All Plans | $23,596.93 | ↑ +75% |
| United | Medicare|All Plans | $23,596.93 | ↑ +75% |
| Kaiser | Medicare|All Plans | $23,596.93 | ↑ +75% |
| Blue Shield CA | Medicare|HMO | $23,596.93 | ↑ +75% |
| Blue Shield CA | Medicare|PPO | $23,596.93 | ↑ +75% |
| BCBS - Anthem | Medicare|Imperial | $24,304.84 | ↑ +80% |
| BCBS - Anthem | Commercial|MCS | $24,641.00 | ↑ +83% |
| Kaiser | Medicaid|All Plans | $25,383.51 | ↑ +88% |
| BrightHealth | Commercial|All Plans | $25,956.62 | ↑ +92% |
| Health Net | Medicaid|All Plans | $30,955.50 | ↑ +129% |
| California Health & Wellness | Medicaid|All Plans | $30,955.50 | ↑ +129% |
| Prison Healthcare | Medicaid|All Plans | $35,395.39 | ↑ +162% |
| Healthsmart | Commercial|All Plans | $44,575.92 | ↑ +230% |
| First Health | Commercial|All Plans | $46,433.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $48,909.69 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $49,528.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $49,528.80 | ↑ +267% |
| United | Commercial|Non-Options PPO | $61,911.00 | ↑ +359% |
Visitor-reported prices
Comments
Revasc lithotr-ather tib/per at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $17,830.37 | $21,668.85 – $51,386.13 |
| St. John's Camarillo Hospital | Camarillo | $17,576.07 | $10,834.56 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $25,798.56 | $22,815.81 – $59,071.46 |
| French Hospital | San Luis Obispo | $23,628.59 | $16,274.79 – $59,071.46 |
| Bakersfield Memorial Hospital | Bakersfield | $18,572.41 | $22,815.81 – $39,978.74 |
| Queen of The Valley Medical Center | Napa | $26,408.31 | $9,256.00 – $32,162.00 |
| Providence St Joseph Hospital Eureka | Eureka | $23,272.32 | $11,036.00 – $31,625.00 |
| St. Joseph's Medical Center Stockton | Stockton | $18,595.80 | $13,156.29 – $52,625.16 |