Scan duplex abd/pelvis/retroperitoneal limited at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$475.24
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.
$2,180.00
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.
$131.77 with BCBS - Anthem vs $22,221.00 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 | Medicare|All Other Plans | $131.77 | ↓ -72% |
| Humana | Commercial|All Plans | $139.74 | ↓ -71% |
| Aetna | Medicare|All Plans | $139.74 | ↓ -71% |
| Kaiser | Medicare|All Plans | $139.74 | ↓ -71% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↓ -71% |
| Molina | Medicare|All Plans | $139.74 | ↓ -71% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↓ -71% |
| United | Medicare|All Plans | $139.74 | ↓ -71% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↓ -70% |
| BrightHealth | Commercial|All Plans | $153.71 | ↓ -68% |
| United | Medicaid|< 21 | $177.54 | ↓ -63% |
| United | Medicaid|> 21 | $177.54 | ↓ -63% |
| Hill Physicians | Medicare|All Plans | $178.89 | ↓ -62% |
| Prison Healthcare | Medicaid|All Plans | $209.61 | ↓ -56% |
| Molina | Medicaid|All Plans | $290.87 | ↓ -39% |
| Hill Physicians | Medicaid|All Plans | $309.62 | ↓ -35% |
| BCBS - Anthem | Medicaid|All Plans | $421.67 | ↓ -11% |
| Cigna | Commercial|LocalPlus | $439.91 | ↓ -7% |
| Cigna | Commercial|All Other Plans | $586.59 | ↑ +23% |
| California Health & Wellness | Medicaid|All Plans | $653.01 | ↑ +37% |
| Health Net | Medicaid|All Plans | $653.01 | ↑ +37% |
| Western Health Advantage | Commercial|All Plans | $763.00 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $893.80 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $954.30 | ↑ +101% |
| Healthsmart | Commercial|All Plans | $1,569.60 | ↑ +230% |
| BCBS - Anthem | Commercial|Connection EPO | $1,620.75 | ↑ +241% |
| First Health | Commercial|All Plans | $1,635.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,722.20 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,744.00 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,744.00 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $2,025.09 | ↑ +326% |
| United | Commercial|Non-Options PPO | $2,180.00 | ↑ +359% |
| BCBS - Anthem | Commercial|MCS | $2,180.00 | ↑ +359% |
| United | Commercial|HMO | $10,710.00 | ↑ +2154% |
| United | Commercial|All Other Plans | $22,221.00 | ↑ +4576% |
Visitor-reported prices
Comments
Scan duplex abd/pelvis/retroperitoneal limited at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $627.84 | $131.77 – $1,809.40 |
| St. John's Camarillo Hospital | Camarillo | $590.43 | $135.12 – $1,051.44 |
| Banner Lassen Medical Center | Susanville | $281.18 | $21.27 – $450.08 |
| Petaluma Valley Hospital | Petaluma | $1,120.98 | $140.89 – $933.66 |
| Arroyo Grande Hospital | Santa Maria | $560.26 | $135.12 – $1,198.54 |
| Mark Twain Medical Center | San Andreas | $2,437.56 | $177.54 – $1,995.28 |
| French Hospital | San Luis Obispo | $523.32 | $106.11 – $601.70 |
| Mercy Hospitals – Bakersfield | Bakersfield | $532.39 | $135.12 – $1,148.00 |