Rmvl sq defib electrode at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,415.23
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.
$11,079.00
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.
$316.08 with United vs $22,008.00 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 | $316.08 | ↓ -87% |
| United | Medicaid|> 21 | $316.08 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $341.34 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $347.69 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $355.54 | ↓ -85% |
| Molina | Medicaid|All Plans | $594.23 | ↓ -75% |
| BCBS - Anthem | Medicaid|All Plans | $600.55 | ↓ -75% |
| Health Net | Medicaid|All Plans | $733.31 | ↓ -70% |
| California Health & Wellness | Medicaid|All Plans | $733.31 | ↓ -70% |
| Partnership Health Plan | Medicaid|All Plans | $1,359.14 | ↓ -44% |
| Western Health Advantage | Commercial|All Plans | $3,877.65 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $4,509.80 | ↑ +87% |
| Kaiser | Medicaid|All Plans | $4,542.39 | ↑ +88% |
| Blue Shield CA | Medicare|HMO | $4,782.40 | ↑ +98% |
| United | Medicare|All Plans | $4,782.40 | ↑ +98% |
| Humana | Commercial|All Plans | $4,782.40 | ↑ +98% |
| Kaiser | Medicare|All Plans | $4,782.40 | ↑ +98% |
| Molina | Medicare|All Plans | $4,782.40 | ↑ +98% |
| Blue Shield CA | Medicare|PPO | $4,782.40 | ↑ +98% |
| Aetna | Medicare|All Plans | $4,782.40 | ↑ +98% |
| BCBS - Anthem | Medicare|Imperial | $4,925.87 | ↑ +104% |
| BrightHealth | Commercial|All Plans | $5,260.64 | ↑ +118% |
| Health Net | Commercial|EPPO | $6,384.00 | ↑ +164% |
| Prison Healthcare | Medicaid|All Plans | $7,173.60 | ↑ +197% |
| Healthsmart | Commercial|All Plans | $7,976.88 | ↑ +230% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +231% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +231% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +231% |
| First Health | Commercial|All Plans | $8,309.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $8,752.41 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $8,863.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $8,863.20 | ↑ +267% |
| United | Commercial|Non-Options PPO | $11,079.00 | ↑ +359% |
| Health Net | Commercial|FFS | $11,775.00 | ↑ +388% |
| BCBS - Anthem | Commercial|Connection EPO | $12,142.00 | ↑ +403% |
| BCBS - Anthem | Commercial|All Other Plans | $15,178.00 | ↑ +528% |
| BCBS - Anthem | Commercial|MCS | $22,008.00 | ↑ +811% |
Visitor-reported prices
Comments
Rmvl sq defib electrode at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,190.76 | $316.08 – $9,195.57 |
| St. John's Camarillo Hospital | Camarillo | $3,274.49 | $478.20 – $8,410.84 |
| Arroyo Grande Hospital | Santa Maria | $3,867.84 | $316.08 – $8,856.26 |
| French Hospital | San Luis Obispo | $3,439.02 | $316.08 – $8,597.54 |
| Bakersfield Memorial Hospital | Bakersfield | $1,744.72 | $316.08 – $4,624.09 |
| St. Joseph's Medical Center Stockton | Stockton | $3,106.41 | $316.08 – $8,875.44 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,194.08 | $1,597.00 – $8,891.76 |
| Mercy Medical Center Merced | Merced | $4,686.50 | $316.08 – $9,009.00 |