Tc-99m sulfur colloid at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$77.83
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.
$357.00
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.
$39.55 with Western Health Advantage vs $845.95 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $39.55 | ↓ -49% |
| United | Medicaid|< 21 | $42.56 | ↓ -45% |
| Partnership Health Plan | Medicaid|All Plans | $42.56 | ↓ -45% |
| United | Medicaid|> 21 | $42.56 | ↓ -45% |
| Kaiser | Medicaid|All Plans | $46.33 | ↓ -40% |
| Hill Physicians | Medicaid|All Plans | $46.82 | ↓ -40% |
| Molina | Medicaid|All Plans | $80.01 | ↑ +3% |
| BCBS - Anthem | Medicaid|All Plans | $80.86 | ↑ +4% |
| Healthsmart | Commercial|All Plans | $81.36 | ↑ +5% |
| BCBS - Anthem | Commercial|Connection EPO | $81.36 | ↑ +5% |
| First Health | Commercial|All Plans | $84.75 | ↑ +9% |
| Kaiser | Commercial|All Plans | $89.27 | ↑ +15% |
| MultiPlan | Commercial|All Plans | $90.40 | ↑ +16% |
| Sutter Health | Commercial|All Plans | $90.40 | ↑ +16% |
| Health Net | Medicaid|All Plans | $98.74 | ↑ +27% |
| California Health & Wellness | Medicaid|All Plans | $98.74 | ↑ +27% |
| BCBS - Anthem | Commercial|All Other Plans | $101.70 | ↑ +31% |
| BCBS - Anthem | Commercial|MCS | $113.00 | ↑ +45% |
| United | Commercial|Non-Options PPO | $113.00 | ↑ +45% |
| United | Commercial|HMO | $113.00 | ↑ +45% |
| United | Commercial|All Other Plans | $113.00 | ↑ +45% |
| Cigna | Commercial|LocalPlus | $634.32 | ↑ +715% |
| Cigna | Commercial|All Other Plans | $845.95 | ↑ +987% |
Visitor-reported prices
Comments
Tc-99m sulfur colloid at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $102.82 | $39.55 – $634.32 |
| St. John's Camarillo Hospital | Camarillo | $139.73 | $64.39 – $248.82 |
| Banner Lassen Medical Center | Susanville | $204.92 | $70.22 – $285.18 |
| Arroyo Grande Hospital | Santa Maria | $212.29 | $42.56 – $486.08 |
| Mark Twain Medical Center | San Andreas | $513.49 | $42.56 – $643.86 |
| French Hospital | San Luis Obispo | $153.67 | $42.56 – $376.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $131.71 | $42.56 – $153.00 |
| Bakersfield Memorial Hospital | Bakersfield | $130.29 | $42.56 – $153.00 |