Stent iliac/open/perc/ea ad/ipsila 37223 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$4,957.76
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.
$22,742.00
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.
$182.43 with United vs $14,393.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $182.43 | ↓ -96% |
| United | Medicaid|< 21 | $182.43 | ↓ -96% |
| Hill Physicians | Commercial|All Plans | $195.42 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $200.67 | ↓ -96% |
| Molina | Medicaid|All Plans | $342.97 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $346.41 | ↓ -93% |
| Health Net | Medicaid|All Plans | $423.24 | ↓ -91% |
| California Health & Wellness | Medicaid|All Plans | $423.24 | ↓ -91% |
| Partnership Health Plan | Medicaid|All Plans | $784.45 | ↓ -84% |
| Hill Physicians | Medicare|All Plans | $1,831.31 | ↓ -63% |
| Western Health Advantage | Commercial|All Plans | $4,341.75 | ↓ -12% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +1% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +1% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +1% |
| Kaiser | Medicaid|All Plans | $5,086.05 | ↑ +3% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +60% |
| Healthsmart | Commercial|All Plans | $8,931.60 | ↑ +80% |
| First Health | Commercial|All Plans | $9,303.75 | ↑ +88% |
| Kaiser | Commercial|All Plans | $9,799.95 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $9,924.00 | ↑ +100% |
| Sutter Health | Commercial|All Plans | $9,924.00 | ↑ +100% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +100% |
| United | Commercial|Non-Options PPO | $12,405.00 | ↑ +150% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +190% |
Visitor-reported prices
Comments
Stent iliac/open/perc/ea ad/ipsila 37223 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $6,549.70 | $182.43 – $10,296.15 |
| St. John's Camarillo Hospital | Camarillo | $12,420.37 | $276.00 – $22,117.68 |
| Arroyo Grande Hospital | Santa Maria | $7,227.21 | $182.32 – $16,067.10 |
| French Hospital | San Luis Obispo | $6,426.84 | $182.32 – $15,584.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11,196.78 | $182.43 – $6,198.85 |
| Bakersfield Memorial Hospital | Bakersfield | $11,076.06 | $182.43 – $6,895.35 |
| Queen of The Valley Medical Center | Napa | $11,234.79 | $6,200.00 – $24,453.00 |
| Providence St Joseph Hospital Eureka | Eureka | $8,310.96 | $8,018.00 – $24,039.00 |