Tc-99m bicisate at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$824.04
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.
$3,780.00
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.
$339.34 with United vs $11,600.39 with Cigna — 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 | $339.34 | ↓ -59% |
| Partnership Health Plan | Medicaid|All Plans | $339.34 | ↓ -59% |
| United | Medicaid|< 21 | $339.34 | ↓ -59% |
| Hill Physicians | Medicaid|All Plans | $373.27 | ↓ -55% |
| Molina | Medicaid|All Plans | $637.96 | ↓ -23% |
| BCBS - Anthem | Medicaid|All Plans | $644.75 | ↓ -22% |
| United | Commercial|Non-Options PPO | $663.50 | ↓ -19% |
| Health Net | Medicaid|All Plans | $787.27 | ↓ -4% |
| California Health & Wellness | Medicaid|All Plans | $787.27 | ↓ -4% |
| BCBS - Anthem | Medicare|All Other Plans | $847.36 | ↑ +3% |
| Blue Shield CA | Medicare|HMO | $898.58 | ↑ +9% |
| United | Medicare|All Plans | $898.58 | ↑ +9% |
| Humana | Commercial|All Plans | $898.58 | ↑ +9% |
| Molina | Medicare|All Plans | $898.58 | ↑ +9% |
| Kaiser | Medicare|All Plans | $898.58 | ↑ +9% |
| Aetna | Medicare|All Plans | $898.58 | ↑ +9% |
| Blue Shield CA | Medicare|PPO | $898.58 | ↑ +9% |
| BCBS - Anthem | Medicare|Imperial | $925.54 | ↑ +12% |
| BrightHealth | Commercial|All Plans | $988.44 | ↑ +20% |
| BCBS - Anthem | Commercial|Connection EPO | $1,072.07 | ↑ +30% |
| United | Commercial|All Other Plans | $1,128.27 | ↑ +37% |
| United | Commercial|HMO | $1,128.27 | ↑ +37% |
| Western Health Advantage | Commercial|All Plans | $1,323.00 | ↑ +61% |
| BCBS - Anthem | Commercial|All Other Plans | $1,340.09 | ↑ +63% |
| Prison Healthcare | Medicaid|All Plans | $1,347.87 | ↑ +64% |
| Kaiser | Medicaid|All Plans | $1,549.80 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $1,944.27 | ↑ +136% |
| Healthsmart | Commercial|All Plans | $2,721.60 | ↑ +230% |
| First Health | Commercial|All Plans | $2,835.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $2,986.20 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $3,024.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $3,024.00 | ↑ +267% |
| Cigna | Commercial|LocalPlus | $8,698.43 | ↑ +956% |
| Cigna | Commercial|All Other Plans | $11,600.39 | ↑ +1308% |
Visitor-reported prices
Comments
Tc-99m bicisate at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $5,061.84 | $3,587.00 – $3,587.00 |
| South Sacramento Medical Center | SACRAMENTO | $5,061.84 | $3,587.00 – $3,587.00 |
| Methodist Hospital of Sacramento | Sacramento | $1,088.64 | $339.34 – $8,698.43 |
| St. John's Camarillo Hospital | Camarillo | $727.52 | $443.07 – $1,737.68 |
| Redwood City Medical Center | Redwood City | $5,061.84 | $3,587.00 – $3,587.00 |
| Santa Clara Medical Center | SANTA CLARA | $5,061.84 | $3,587.00 – $3,587.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $3,632.20 | $3,198.00 – $3,198.00 |
| Riverside Medical Center | RIVERSIDE | $3,632.20 | $3,198.00 – $3,198.00 |