Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$44.91
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.
$206.00
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.
$26.11 with United vs $23,178.00 with United — 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 | $26.11 | ↓ -42% |
| United | Medicaid|< 21 | $26.11 | ↓ -42% |
| Hill Physicians | Commercial|All Plans | $28.69 | ↓ -36% |
| Hill Physicians | Medicaid|All Plans | $28.72 | ↓ -36% |
| BCBS - Anthem | Medicare|All Other Plans | $32.00 | ↓ -29% |
| United | Medicare|All Plans | $33.93 | ↓ -24% |
| Blue Shield CA | Medicare|HMO | $33.93 | ↓ -24% |
| Blue Shield CA | Medicare|PPO | $33.93 | ↓ -24% |
| Humana | Commercial|All Plans | $33.93 | ↓ -24% |
| Aetna | Medicare|All Plans | $33.93 | ↓ -24% |
| Molina | Medicare|All Plans | $33.93 | ↓ -24% |
| Kaiser | Medicare|All Plans | $33.93 | ↓ -24% |
| Hill Physicians | Medicare|All Plans | $34.00 | ↓ -24% |
| BCBS - Anthem | Medicare|Imperial | $34.95 | ↓ -22% |
| Western Health Advantage | Commercial|All Plans | $37.10 | ↓ -17% |
| BrightHealth | Commercial|All Plans | $37.32 | ↓ -17% |
| Kaiser | Medicaid|All Plans | $43.46 | ↓ -3% |
| Molina | Medicaid|All Plans | $49.09 | ↑ +9% |
| BCBS - Anthem | Medicaid|All Plans | $49.61 | ↑ +10% |
| Prison Healthcare | Medicaid|All Plans | $50.90 | ↑ +13% |
| California Health & Wellness | Medicaid|All Plans | $60.58 | ↑ +35% |
| Health Net | Medicaid|All Plans | $60.58 | ↑ +35% |
| Healthsmart | Commercial|All Plans | $76.32 | ↑ +70% |
| First Health | Commercial|All Plans | $79.50 | ↑ +77% |
| Kaiser | Commercial|All Plans | $83.74 | ↑ +86% |
| MultiPlan | Commercial|All Plans | $84.80 | ↑ +89% |
| Sutter Health | Commercial|All Plans | $84.80 | ↑ +89% |
| United | Commercial|Non-Options PPO | $106.00 | ↑ +136% |
| Partnership Health Plan | Medicaid|All Plans | $106.00 | ↑ +136% |
| United | Commercial|HMO | $11,514.00 | ↑ +25538% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +51510% |
Visitor-reported prices
Comments
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $59.33 | $26.11 – $106.00 |
| Arroyo Grande Hospital | Santa Maria | $68.91 | $26.11 – $157.78 |
| Mark Twain Medical Center | San Andreas | $129.21 | $9.32 – $35.28 |
| Bakersfield Memorial Hospital | Bakersfield | $65.33 | $26.11 – $140.62 |
| Queen of The Valley Medical Center | Napa | $186.15 | $22.79 – $22.79 |
| Santa Rosa Memorial Hospital | Santa Rosa | $164.73 | $22.33 – $22.79 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $80.64 | $20.10 – $43.75 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $27.23 | $8.40 – $35.00 |