Skin Biopsy at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$874.62
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.
$4,012.00
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.
$38.12 with Hill Physicians vs $6,582.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $38.12 | ↓ -96% |
| United | Medicaid|< 21 | $71.48 | ↓ -92% |
| United | Medicaid|> 21 | $71.48 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $78.63 | ↓ -91% |
| Hill Physicians | Medicare|All Plans | $113.00 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $165.83 | ↓ -81% |
| Health Net | Medicaid|All Plans | $165.83 | ↓ -81% |
| Molina | Medicaid|All Plans | $167.98 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $169.77 | ↓ -81% |
| Western Health Advantage | Commercial|All Plans | $171.85 | ↓ -80% |
| Kaiser | Medicaid|All Plans | $201.31 | ↓ -77% |
| BCBS - Anthem | Medicare|All Other Plans | $246.23 | ↓ -72% |
| United | Medicare|All Plans | $261.11 | ↓ -70% |
| Molina | Medicare|All Plans | $261.11 | ↓ -70% |
| Blue Shield CA | Medicare|PPO | $261.11 | ↓ -70% |
| Humana | Commercial|All Plans | $261.11 | ↓ -70% |
| Kaiser | Medicare|All Plans | $261.11 | ↓ -70% |
| Aetna | Medicare|All Plans | $261.11 | ↓ -70% |
| Blue Shield CA | Medicare|HMO | $261.11 | ↓ -70% |
| BCBS - Anthem | Medicare|Imperial | $268.94 | ↓ -69% |
| BrightHealth | Commercial|All Plans | $287.22 | ↓ -67% |
| Healthsmart | Commercial|All Plans | $353.52 | ↓ -60% |
| First Health | Commercial|All Plans | $368.25 | ↓ -58% |
| Partnership Health Plan | Medicaid|All Plans | $384.21 | ↓ -56% |
| Kaiser | Commercial|All Plans | $387.89 | ↓ -56% |
| Prison Healthcare | Medicaid|All Plans | $391.67 | ↓ -55% |
| MultiPlan | Commercial|All Plans | $392.80 | ↓ -55% |
| Sutter Health | Commercial|All Plans | $392.80 | ↓ -55% |
| United | Commercial|Non-Options PPO | $491.00 | ↓ -44% |
| Health Net | Commercial|EPPO | $2,811.00 | ↑ +221% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +315% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +419% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +472% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +472% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +472% |
| Health Net | Commercial|FFS | $5,183.00 | ↑ +493% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +653% |
Visitor-reported prices
Comments
Skin Biopsy at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,155.46 | $38.12 – $407.53 |
| St. John's Camarillo Hospital | Camarillo | $1,126.73 | $108.14 – $596.00 |
| Petaluma Valley Hospital | Petaluma | $365.67 | $547.82 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $1,110.24 | $71.48 – $2,542.12 |
| Mark Twain Medical Center | San Andreas | $74.60 | $27.69 – $104.86 |
| French Hospital | San Luis Obispo | $1,016.85 | $71.48 – $2,173.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | $155.08 | $71.48 – $334.40 |
| Bakersfield Memorial Hospital | Bakersfield | $153.41 | $71.48 – $330.22 |