Shuntogram nonvascular supervision & interpretation at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$156.75
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.
$719.00
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.
$35.62 with United vs $586.59 with Cigna — 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 | $35.62 | ↓ -77% |
| United | Medicaid|> 21 | $35.62 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $39.18 | ↓ -75% |
| Molina | Medicaid|All Plans | $46.68 | ↓ -70% |
| Hill Physicians | Commercial|All Plans | $65.24 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $67.68 | ↓ -57% |
| Health Net | Medicaid|All Plans | $82.64 | ↓ -47% |
| California Health & Wellness | Medicaid|All Plans | $82.64 | ↓ -47% |
| Hill Physicians | Medicare|All Plans | $96.72 | ↓ -38% |
| BCBS - Anthem | Medicare|All Other Plans | $131.77 | ↓ -16% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↓ -11% |
| United | Medicare|All Plans | $139.74 | ↓ -11% |
| Humana | Commercial|All Plans | $139.74 | ↓ -11% |
| Kaiser | Medicare|All Plans | $139.74 | ↓ -11% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↓ -11% |
| Molina | Medicare|All Plans | $139.74 | ↓ -11% |
| Aetna | Medicare|All Plans | $139.74 | ↓ -11% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↓ -8% |
| Partnership Health Plan | Medicaid|All Plans | $153.15 | ↓ -2% |
| BrightHealth | Commercial|All Plans | $153.71 | ↓ -2% |
| Prison Healthcare | Medicaid|All Plans | $209.61 | ↑ +34% |
| United | Commercial|All Other Plans | $245.18 | ↑ +56% |
| United | Commercial|Non-Options PPO | $245.18 | ↑ +56% |
| United | Commercial|HMO | $245.18 | ↑ +56% |
| Western Health Advantage | Commercial|All Plans | $251.65 | ↑ +61% |
| Aetna | Commercial|HMO | $255.32 | ↑ +63% |
| Aetna | Commercial|All Other Plans | $255.32 | ↑ +63% |
| Aetna | Commercial|PPO | $255.32 | ↑ +63% |
| Kaiser | Medicaid|All Plans | $294.79 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $318.35 | ↑ +103% |
| BCBS - Anthem | Commercial|All Other Plans | $397.77 | ↑ +154% |
| Cigna | Commercial|LocalPlus | $439.91 | ↑ +181% |
| Healthsmart | Commercial|All Plans | $517.68 | ↑ +230% |
| First Health | Commercial|All Plans | $539.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $568.01 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $575.20 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $575.20 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $576.63 | ↑ +268% |
| Cigna | Commercial|All Other Plans | $586.59 | ↑ +274% |
Visitor-reported prices
Comments
Shuntogram nonvascular supervision & interpretation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $207.08 | $35.62 – $596.77 |
| Arroyo Grande Hospital | Santa Maria | $447.26 | $35.62 – $975.10 |
| French Hospital | San Luis Obispo | $409.64 | $35.62 – $1,024.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $142.10 | $35.62 – $570.84 |
| Bakersfield Memorial Hospital | Bakersfield | $128.82 | $35.62 – $570.84 |
| Queen of The Valley Medical Center | Napa | $1,195.44 | $148.44 – $231.76 |
| Providence St Joseph Hospital Eureka | Eureka | $561.00 | $134.46 – $262.82 |
| Healdsburg Hospital | Healdsburg | $420.75 | $104.84 – $233.34 |