Revise eye socket implant at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
not published by hospital
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.
not published by hospital
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.
$854.02 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 | $854.02 | — |
| United | Medicaid|> 21 | $854.02 | — |
| Hill Physicians | Commercial|All Plans | $1,154.26 | — |
| Hill Physicians | Medicare|All Plans | $1,163.92 | — |
| Molina | Medicaid|All Plans | $1,399.15 | — |
| Hill Physicians | Medicaid|All Plans | $1,480.85 | — |
| BCBS - Anthem | Medicaid|All Plans | $2,028.29 | — |
| Health Net | Medicaid|All Plans | $3,123.25 | — |
| California Health & Wellness | Medicaid|All Plans | $3,123.25 | — |
| Partnership Health Plan | Medicaid|All Plans | $4,590.35 | — |
| BCBS - Anthem | Medicare|All Other Plans | $4,673.01 | — |
| Molina | Medicare|All Plans | $4,955.47 | — |
| Humana | Commercial|All Plans | $4,955.47 | — |
| United | Medicare|All Plans | $4,955.47 | — |
| Aetna | Medicare|All Plans | $4,955.47 | — |
| Kaiser | Medicare|All Plans | $4,955.47 | — |
| Blue Shield CA | Medicare|HMO | $4,955.47 | — |
| Blue Shield CA | Medicare|PPO | $4,955.47 | — |
| BCBS - Anthem | Medicare|Imperial | $5,104.13 | — |
| Health Net | Commercial|EPPO | $5,418.00 | — |
| BrightHealth | Commercial|All Plans | $5,451.02 | — |
| Aetna | Commercial|HMO | $7,003.00 | — |
| Aetna | Commercial|All Other Plans | $7,003.00 | — |
| Aetna | Commercial|PPO | $7,003.00 | — |
| Prison Healthcare | Medicaid|All Plans | $7,433.20 | — |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | — |
| Health Net | Commercial|FFS | $9,992.00 | — |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Revise eye socket implant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | not published | $854.02 – $4,955.47 |
| Petaluma Valley Hospital | Petaluma | $6,755.46 | $2,570.00 – $11,185.00 |
| Queen of The Valley Medical Center | Napa | $8,831.16 | $5,582.04 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,332.56 | $5,056.43 – $17,611.00 |
| Healdsburg Hospital | Healdsburg | $4,634.88 | $3,125.00 – $5,296.95 |
| Redwood Memorial Hospital | Fortuna | $4,456.89 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $10,598.31 | $2,995.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,250.72 | $4,114.00 – $9,354.40 |