Rpl tun cvc wo subq port at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$3,697.28
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.
$16,960.00
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.
$181.63 with Hill Physicians vs $10,346.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $181.63 | ↓ -95% |
| United | Medicaid|> 21 | $200.74 | ↓ -95% |
| United | Medicaid|< 21 | $200.74 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $242.74 | ↓ -93% |
| Molina | Medicaid|All Plans | $328.96 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $332.37 | ↓ -91% |
| California Health & Wellness | Medicaid|All Plans | $511.95 | ↓ -86% |
| Health Net | Medicaid|All Plans | $511.95 | ↓ -86% |
| Partnership Health Plan | Medicaid|All Plans | $752.41 | ↓ -80% |
| Hill Physicians | Medicare|All Plans | $918.92 | ↓ -75% |
| Western Health Advantage | Commercial|All Plans | $3,621.10 | ↓ -2% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↓ -2% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +5% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +12% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +12% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +12% |
| United | Medicare|All Plans | $4,136.13 | ↑ +12% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +12% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +12% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +12% |
| Kaiser | Medicaid|All Plans | $4,241.86 | ↑ +15% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +15% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +23% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +23% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +68% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +78% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +89% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +89% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $7,449.12 | ↑ +101% |
| First Health | Commercial|All Plans | $7,759.50 | ↑ +110% |
| Kaiser | Commercial|All Plans | $8,173.34 | ↑ +121% |
| Sutter Health | Commercial|All Plans | $8,276.80 | ↑ +124% |
| MultiPlan | Commercial|All Plans | $8,276.80 | ↑ +124% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +170% |
| United | Commercial|Non-Options PPO | $10,346.00 | ↑ +180% |
Visitor-reported prices
Comments
Rpl tun cvc wo subq port at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $4,884.48 | $181.63 – $8,587.18 |
| St. John's Camarillo Hospital | Camarillo | $2,539.09 | $246.91 – $7,477.22 |
| Petaluma Valley Hospital | Petaluma | $6,031.26 | $1,921.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $3,801.93 | $200.74 – $3,999.21 |
| French Hospital | San Luis Obispo | $3,560.93 | $200.74 – $3,882.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,187.79 | $200.74 – $4,717.60 |
| Bakersfield Memorial Hospital | Bakersfield | $2,164.20 | $200.74 – $4,658.63 |
| Queen of The Valley Medical Center | Napa | $6,705.99 | $4,483.19 – $17,909.00 |