Stent iliac/open or perc/uni/init 37221 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$6,631.78
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.
$30,421.00
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.
$431.87 with United vs $29,240.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $431.87 | ↓ -93% |
| United | Medicaid|< 21 | $431.87 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $456.25 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $475.06 | ↓ -93% |
| Molina | Medicaid|All Plans | $811.92 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $820.21 | ↓ -88% |
| Health Net | Medicaid|All Plans | $1,001.94 | ↓ -85% |
| California Health & Wellness | Medicaid|All Plans | $1,001.94 | ↓ -85% |
| Partnership Health Plan | Medicaid|All Plans | $1,857.04 | ↓ -72% |
| Hill Physicians | Medicare|All Plans | $4,042.23 | ↓ -39% |
| Aetna | Commercial|All Other Plans | $10,007.00 | ↑ +51% |
| Aetna | Commercial|PPO | $10,007.00 | ↑ +51% |
| Aetna | Commercial|HMO | $10,007.00 | ↑ +51% |
| Western Health Advantage | Commercial|All Plans | $10,234.00 | ↑ +54% |
| Health Net | Commercial|EPPO | $10,446.00 | ↑ +58% |
| Kaiser | Medicaid|All Plans | $11,988.40 | ↑ +81% |
| BCBS - Anthem | Commercial|Connection EPO | $12,142.00 | ↑ +83% |
| BCBS - Anthem | Medicare|All Other Plans | $14,053.19 | ↑ +112% |
| Humana | Commercial|All Plans | $14,902.64 | ↑ +125% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +125% |
| Molina | Medicare|All Plans | $14,902.64 | ↑ +125% |
| Blue Shield CA | Medicare|PPO | $14,902.64 | ↑ +125% |
| Aetna | Medicare|All Plans | $14,902.64 | ↑ +125% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +125% |
| United | Medicare|All Plans | $14,902.64 | ↑ +125% |
| BCBS - Anthem | Commercial|All Other Plans | $15,178.00 | ↑ +129% |
| BCBS - Anthem | Medicare|Imperial | $15,349.72 | ↑ +131% |
| BrightHealth | Commercial|All Plans | $16,392.90 | ↑ +147% |
| Health Net | Commercial|FFS | $19,264.00 | ↑ +190% |
| Healthsmart | Commercial|All Plans | $21,052.80 | ↑ +217% |
| First Health | Commercial|All Plans | $21,930.00 | ↑ +231% |
| BCBS - Anthem | Commercial|MCS | $22,008.00 | ↑ +232% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +237% |
| Kaiser | Commercial|All Plans | $23,099.60 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $23,392.00 | ↑ +253% |
| Sutter Health | Commercial|All Plans | $23,392.00 | ↑ +253% |
| United | Commercial|Non-Options PPO | $29,240.00 | ↑ +341% |
Visitor-reported prices
Comments
Stent iliac/open or perc/uni/init 37221 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $8,761.25 | $431.87 – $24,269.20 |
| St. John's Camarillo Hospital | Camarillo | $7,828.82 | $653.38 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $7,227.21 | $431.69 – $16,067.10 |
| French Hospital | San Luis Obispo | $6,426.84 | $431.69 – $16,067.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $26,484.95 | $431.87 – $57,110.40 |
| Bakersfield Memorial Hospital | Bakersfield | $37,914.41 | $431.87 – $56,396.52 |
| Queen of The Valley Medical Center | Napa | $23,993.97 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |