Tc-99m medronate at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$21.37
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.
$98.00
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.
$18.87 with Partnership Health Plan vs $98.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $18.87 | ↓ -12% |
| United | Medicaid|> 21 | $18.87 | ↓ -12% |
| United | Medicaid|< 21 | $18.87 | ↓ -12% |
| Hill Physicians | Medicaid|All Plans | $20.76 | ↓ -3% |
| United | Commercial|Non-Options PPO | $26.83 | ↑ +26% |
| Cigna | Commercial|LocalPlus | $30.84 | ↑ +44% |
| Western Health Advantage | Commercial|All Plans | $34.30 | ↑ +61% |
| Molina | Medicaid|All Plans | $35.48 | ↑ +66% |
| BCBS - Anthem | Medicaid|All Plans | $35.85 | ↑ +68% |
| Kaiser | Medicaid|All Plans | $40.18 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $41.13 | ↑ +92% |
| California Health & Wellness | Medicaid|All Plans | $43.78 | ↑ +105% |
| Health Net | Medicaid|All Plans | $43.78 | ↑ +105% |
| Healthsmart | Commercial|All Plans | $70.56 | ↑ +230% |
| BCBS - Anthem | Commercial|Connection EPO | $70.56 | ↑ +230% |
| First Health | Commercial|All Plans | $73.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $77.42 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $78.40 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $78.40 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $88.20 | ↑ +313% |
| United | Commercial|All Other Plans | $97.66 | ↑ +357% |
| United | Commercial|HMO | $97.66 | ↑ +357% |
| BCBS - Anthem | Commercial|MCS | $98.00 | ↑ +359% |
Visitor-reported prices
Comments
Tc-99m medronate at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $28.23 | $18.87 – $81.34 |
| St. John's Camarillo Hospital | Camarillo | $136.66 | $26.83 – $243.36 |
| Banner Lassen Medical Center | Susanville | $246.95 | $31.14 – $343.67 |
| Arroyo Grande Hospital | Santa Maria | $380.07 | $18.87 – $870.24 |
| Mark Twain Medical Center | San Andreas | $275.06 | $18.87 – $343.98 |
| French Hospital | San Luis Obispo | $328.11 | $18.87 – $820.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $192.55 | $18.87 – $415.20 |
| Bakersfield Memorial Hospital | Bakersfield | $190.48 | $18.87 – $410.01 |