Tc-99m disofenin at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$74.34
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.
$341.00
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.
$34.83 with United vs $274.32 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 | $34.83 | ↓ -53% |
| Partnership Health Plan | Medicaid|All Plans | $34.83 | ↓ -53% |
| United | Medicaid|> 21 | $34.83 | ↓ -53% |
| Hill Physicians | Medicaid|All Plans | $38.31 | ↓ -48% |
| Molina | Medicaid|All Plans | $65.48 | ↓ -12% |
| BCBS - Anthem | Medicaid|All Plans | $66.18 | ↓ -11% |
| California Health & Wellness | Medicaid|All Plans | $80.81 | ↑ +9% |
| Health Net | Medicaid|All Plans | $80.81 | ↑ +9% |
| United | Commercial|HMO | $98.74 | ↑ +33% |
| United | Commercial|All Other Plans | $98.74 | ↑ +33% |
| United | Commercial|Non-Options PPO | $106.21 | ↑ +43% |
| Western Health Advantage | Commercial|All Plans | $119.35 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $139.81 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $151.26 | ↑ +103% |
| Cigna | Commercial|LocalPlus | $166.08 | ↑ +123% |
| BCBS - Anthem | Commercial|All Other Plans | $189.08 | ↑ +154% |
| Cigna | Commercial|All Other Plans | $221.48 | ↑ +198% |
| Healthsmart | Commercial|All Plans | $245.52 | ↑ +230% |
| First Health | Commercial|All Plans | $255.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $269.39 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $272.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $272.80 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $274.32 | ↑ +269% |
Visitor-reported prices
Comments
Tc-99m disofenin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $124.32 | $78.00 – $78.00 |
| South Sacramento Medical Center | SACRAMENTO | $124.32 | $78.00 – $78.00 |
| Methodist Hospital of Sacramento | Sacramento | $98.21 | $34.83 – $283.03 |
| St. John's Camarillo Hospital | Camarillo | $136.66 | $52.69 – $243.36 |
| Redwood City Medical Center | Redwood City | $124.32 | $78.00 – $78.00 |
| Santa Clara Medical Center | SANTA CLARA | $124.32 | $78.00 – $78.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $91.08 | $70.00 – $70.00 |
| Riverside Medical Center | RIVERSIDE | $91.08 | $70.00 – $70.00 |