Sclerotherapy fluid collection pq w/img at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$866.55
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.
$3,975.00
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.
$117.70 with Hill Physicians vs $7,003.00 with Aetna — 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 | $117.70 | ↓ -86% |
| United | Medicaid|< 21 | $920.70 | ↑ +6% |
| United | Medicaid|> 21 | $920.70 | ↑ +6% |
| Hill Physicians | Medicaid|All Plans | $1,012.77 | ↑ +17% |
| Western Health Advantage | Commercial|All Plans | $1,337.70 | ↑ +54% |
| Hill Physicians | Medicare|All Plans | $1,435.13 | ↑ +66% |
| Kaiser | Medicaid|All Plans | $1,567.02 | ↑ +81% |
| Molina | Medicaid|All Plans | $1,730.92 | ↑ +100% |
| BCBS - Anthem | Medicaid|All Plans | $1,749.33 | ↑ +102% |
| BCBS - Anthem | Medicare|All Other Plans | $2,007.80 | ↑ +132% |
| Molina | Medicare|All Plans | $2,129.16 | ↑ +146% |
| Blue Shield CA | Medicare|HMO | $2,129.16 | ↑ +146% |
| Humana | Commercial|All Plans | $2,129.16 | ↑ +146% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +146% |
| United | Medicare|All Plans | $2,129.16 | ↑ +146% |
| Aetna | Medicare|All Plans | $2,129.16 | ↑ +146% |
| Blue Shield CA | Medicare|PPO | $2,129.16 | ↑ +146% |
| California Health & Wellness | Medicaid|All Plans | $2,136.02 | ↑ +146% |
| Health Net | Medicaid|All Plans | $2,136.02 | ↑ +146% |
| BCBS - Anthem | Medicare|Imperial | $2,193.03 | ↑ +153% |
| BrightHealth | Commercial|All Plans | $2,342.08 | ↑ +170% |
| Healthsmart | Commercial|All Plans | $2,751.84 | ↑ +218% |
| First Health | Commercial|All Plans | $2,866.50 | ↑ +231% |
| Kaiser | Commercial|All Plans | $3,019.38 | ↑ +248% |
| Sutter Health | Commercial|All Plans | $3,057.60 | ↑ +253% |
| MultiPlan | Commercial|All Plans | $3,057.60 | ↑ +253% |
| Prison Healthcare | Medicaid|All Plans | $3,193.74 | ↑ +269% |
| Health Net | Commercial|EPPO | $3,312.00 | ↑ +282% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +319% |
| Partnership Health Plan | Medicaid|All Plans | $3,822.00 | ↑ +341% |
| United | Commercial|Non-Options PPO | $3,822.00 | ↑ +341% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +424% |
| Health Net | Commercial|FFS | $6,108.00 | ↑ +605% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +660% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +708% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +708% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +708% |
Visitor-reported prices
Comments
Sclerotherapy fluid collection pq w/img at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,144.80 | $117.70 – $3,822.00 |
| St. John's Camarillo Hospital | Camarillo | $1,970.57 | $819.99 – $3,763.88 |
| Arroyo Grande Hospital | Santa Maria | $1,272.02 | $920.70 – $2,773.40 |
| French Hospital | San Luis Obispo | $1,165.03 | $601.56 – $2,183.44 |
| St. Joseph's Medical Center Stockton | Stockton | $2,657.76 | $920.70 – $3,796.80 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,056.54 | $2,238.00 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,896.16 | $1,805.60 – $5,171.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,478.98 | $456.24 – $1,901.00 |