System cardiomems hosp electronics at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$25,911.48
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.
$118,860.00
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.
$8,223.25 with Western Health Advantage vs $93,323.25 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $8,223.25 | ↓ -68% |
| Kaiser | Medicaid|All Plans | $9,632.95 | ↓ -63% |
| Health Net | Medicaid|All Plans | $11,747.50 | ↓ -55% |
| California Health & Wellness | Medicaid|All Plans | $11,747.50 | ↓ -55% |
| Healthsmart | Commercial|All Plans | $16,916.40 | ↓ -35% |
| First Health | Commercial|All Plans | $17,621.25 | ↓ -32% |
| Kaiser | Commercial|All Plans | $18,561.05 | ↓ -28% |
| MultiPlan | Commercial|All Plans | $18,796.00 | ↓ -27% |
| Sutter Health | Commercial|All Plans | $18,796.00 | ↓ -27% |
| Kaiser | Medicare|All Plans | $22,594.05 | ↓ -13% |
| United | Commercial|Non-Options PPO | $23,495.00 | ↓ -9% |
| BCBS - Anthem | Medicaid|All Plans | $23,576.40 | ↓ -9% |
| Partnership Health Plan | Medicaid|All Plans | $24,558.75 | ↓ -5% |
| Molina | Medicaid|All Plans | $25,541.10 | ↓ -1% |
| Health Net | Commercial|EPPO | $35,364.60 | ↑ +36% |
| Cigna | Commercial|LocalPlus | $39,294.00 | ↑ +52% |
| Cigna | Commercial|All Other Plans | $52,064.55 | ↑ +101% |
| United | Commercial|HMO | $53,046.90 | ↑ +105% |
| Health Net | Commercial|FFS | $64,835.10 | ↑ +150% |
| United | Commercial|All Other Plans | $67,782.15 | ↑ +162% |
| BCBS - Anthem | Commercial|Connection EPO | $74,658.60 | ↑ +188% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $77,605.65 | ↑ +200% |
| Blue Shield CA | Commercial|Exchange | $79,570.35 | ↑ +207% |
| Aetna | Commercial|PPO | $87,429.15 | ↑ +237% |
| Aetna | Commercial|HMO | $87,429.15 | ↑ +237% |
| Aetna | Commercial|All Other Plans | $87,429.15 | ↑ +237% |
| Blue Shield CA | Commercial|HMO | $88,411.50 | ↑ +241% |
| Blue Shield CA | Commercial|All Other Plans | $88,411.50 | ↑ +241% |
| Blue Shield CA | Commercial|CalPers | $89,393.85 | ↑ +245% |
| BCBS - Anthem | Commercial|All Other Plans | $93,323.25 | ↑ +260% |
| BCBS - Anthem | Commercial|MCS | $93,323.25 | ↑ +260% |
Visitor-reported prices
Comments
System cardiomems hosp electronics at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $20,580.00 | not published |
| South Sacramento Medical Center | SACRAMENTO | $20,580.00 | not published |
| Methodist Hospital of Sacramento | Sacramento | $34,231.68 | $8,223.25 – $88,411.50 |
| Redwood City Medical Center | Redwood City | $20,580.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $20,580.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $19,110.00 | not published |
| Riverside Medical Center | RIVERSIDE | $19,110.00 | not published |
| Oakland Medical Center | Oakland | $20,580.00 | not published |