Revision tips at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,785.39
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.
$12,777.00
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.
$249.81 with United vs $27,257.00 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 | $249.81 | ↓ -91% |
| United | Medicaid|> 21 | $249.81 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $274.79 | ↓ -90% |
| Hill Physicians | Commercial|All Plans | $362.17 | ↓ -87% |
| Molina | Medicaid|All Plans | $469.64 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $474.73 | ↓ -83% |
| Health Net | Medicaid|All Plans | $579.56 | ↓ -79% |
| California Health & Wellness | Medicaid|All Plans | $579.56 | ↓ -79% |
| Partnership Health Plan | Medicaid|All Plans | $1,074.18 | ↓ -61% |
| Western Health Advantage | Commercial|All Plans | $4,471.95 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $5,238.57 | ↑ +88% |
| Health Net | Commercial|EPPO | $6,384.00 | ↑ +129% |
| BCBS - Anthem | Medicare|All Other Plans | $7,065.30 | ↑ +154% |
| Hill Physicians | Medicare|All Plans | $7,089.55 | ↑ +155% |
| United | Medicare|All Plans | $7,492.37 | ↑ +169% |
| Aetna | Medicare|All Plans | $7,492.37 | ↑ +169% |
| Molina | Medicare|All Plans | $7,492.37 | ↑ +169% |
| Blue Shield CA | Medicare|PPO | $7,492.37 | ↑ +169% |
| Humana | Commercial|All Plans | $7,492.37 | ↑ +169% |
| Kaiser | Medicare|All Plans | $7,492.37 | ↑ +169% |
| Blue Shield CA | Medicare|HMO | $7,492.37 | ↑ +169% |
| BCBS - Anthem | Medicare|Imperial | $7,717.14 | ↑ +177% |
| BrightHealth | Commercial|All Plans | $8,241.61 | ↑ +196% |
| Healthsmart | Commercial|All Plans | $9,199.44 | ↑ +230% |
| First Health | Commercial|All Plans | $9,582.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $10,093.83 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $10,221.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $10,221.60 | ↑ +267% |
| Prison Healthcare | Medicaid|All Plans | $11,238.56 | ↑ +303% |
| Health Net | Commercial|FFS | $11,775.00 | ↑ +323% |
| United | Commercial|Non-Options PPO | $12,777.00 | ↑ +359% |
| BCBS - Anthem | Commercial|Connection EPO | $15,038.00 | ↑ +440% |
| BCBS - Anthem | Commercial|All Other Plans | $18,798.00 | ↑ +575% |
| Aetna | Commercial|All Other Plans | $22,349.00 | ↑ +702% |
| Aetna | Commercial|PPO | $22,349.00 | ↑ +702% |
| Aetna | Commercial|HMO | $22,349.00 | ↑ +702% |
| BCBS - Anthem | Commercial|MCS | $27,257.00 | ↑ +879% |
Visitor-reported prices
Comments
Revision tips at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,679.78 | $249.81 – $10,604.91 |
| St. John's Camarillo Hospital | Camarillo | $7,078.52 | $377.94 – $13,090.66 |
| Arroyo Grande Hospital | Santa Maria | $41,050.34 | $249.81 – $25,078.20 |
| French Hospital | San Luis Obispo | $38,254.89 | $249.81 – $25,078.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14,616.29 | $249.81 – $31,517.60 |
| Bakersfield Memorial Hospital | Bakersfield | $14,458.70 | $249.81 – $31,123.63 |
| St. Joseph's Medical Center Stockton | Stockton | $4,848.65 | $249.81 – $13,853.28 |
| Santa Rosa Memorial Hospital | Santa Rosa | $20,368.89 | $2,238.00 – $20,488.00 |