Speech evaluation complex at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$531.05
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.
$2,436.00
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.
$78.33 with Hill Physicians vs $1,948.80 with MultiPlan — 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 | $78.33 | ↓ -85% |
| Hill Physicians | Medicare|All Plans | $118.59 | ↓ -78% |
| Aetna | Commercial|HMO | $184.05 | ↓ -65% |
| Aetna | Commercial|All Other Plans | $184.05 | ↓ -65% |
| Aetna | Commercial|PPO | $184.05 | ↓ -65% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -44% |
| United | Medicare|All Plans | $317.64 | ↓ -40% |
| Humana | Commercial|All Plans | $317.64 | ↓ -40% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -40% |
| Molina | Medicare|All Plans | $317.64 | ↓ -40% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↓ -40% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↓ -40% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -40% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -38% |
| BrightHealth | Commercial|All Plans | $349.40 | ↓ -34% |
| Prison Healthcare | Medicaid|All Plans | $476.46 | ↓ -10% |
| United | Commercial|All Other Plans | $517.79 | ↓ -2% |
| United | Commercial|HMO | $517.79 | ↓ -2% |
| United | Commercial|Non-Options PPO | $517.79 | ↓ -2% |
| BCBS - Anthem | Commercial|Connection EPO | $840.38 | ↑ +58% |
| Western Health Advantage | Commercial|All Plans | $852.60 | ↑ +61% |
| Cigna | Commercial|LocalPlus | $929.74 | ↑ +75% |
| Kaiser | Medicaid|All Plans | $998.76 | ↑ +88% |
| BCBS - Anthem | Commercial|All Other Plans | $1,050.03 | ↑ +98% |
| Cigna | Commercial|All Other Plans | $1,239.74 | ↑ +133% |
| BCBS - Anthem | Commercial|MCS | $1,522.20 | ↑ +187% |
| Healthsmart | Commercial|All Plans | $1,753.92 | ↑ +230% |
| First Health | Commercial|All Plans | $1,827.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,924.44 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $1,948.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $1,948.80 | ↑ +267% |
Visitor-reported prices
Comments
Speech evaluation complex at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $701.57 | $78.33 – $2,021.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $243.01 | $222.35 – $1,206.45 |
| Bakersfield Memorial Hospital | Bakersfield | $240.39 | $214.40 – $1,206.45 |
| St. Joseph's Medical Center Stockton | Stockton | $181.40 | $78.12 – $372.00 |
| Mercy Medical Center Merced | Merced | $364.62 | $207.36 – $324.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $409.85 | $121.67 – $832.32 |
| St. Mary Medical Center | Long Beach | $351.31 | $200.25 – $801.00 |
| Providence Saint Joseph Medical Center | Burbank | $650.65 | $97.13 – $829.25 |