Thrombectomy/inf pq dialysis circuit w/stent plcmnt at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,410.98
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.
$24,821.00
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.
$487.49 with Hill Physicians vs $35,395.39 with Prison Healthcare — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $487.49 | ↓ -91% |
| United | Medicaid|< 21 | $6,259.85 | ↑ +16% |
| United | Medicaid|> 21 | $6,259.85 | ↑ +16% |
| Hill Physicians | Medicaid|All Plans | $6,885.84 | ↑ +27% |
| Hill Physicians | Medicare|All Plans | $6,926.21 | ↑ +28% |
| Western Health Advantage | Commercial|All Plans | $8,176.35 | ↑ +51% |
| Kaiser | Medicaid|All Plans | $9,578.01 | ↑ +77% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +81% |
| Molina | Medicaid|All Plans | $11,768.52 | ↑ +117% |
| BCBS - Anthem | Medicaid|All Plans | $11,893.72 | ↑ +120% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +126% |
| Health Net | Commercial|EPPO | $12,309.00 | ↑ +127% |
| California Health & Wellness | Medicaid|All Plans | $14,522.85 | ↑ +168% |
| Health Net | Medicaid|All Plans | $14,522.85 | ↑ +168% |
| Healthsmart | Commercial|All Plans | $16,819.92 | ↑ +211% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +215% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +215% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +215% |
| First Health | Commercial|All Plans | $17,520.75 | ↑ +224% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +227% |
| Kaiser | Commercial|All Plans | $18,455.19 | ↑ +241% |
| Sutter Health | Commercial|All Plans | $18,688.80 | ↑ +245% |
| MultiPlan | Commercial|All Plans | $18,688.80 | ↑ +245% |
| BCBS - Anthem | Medicare|All Other Plans | $22,029.43 | ↑ +307% |
| Health Net | Commercial|FFS | $22,699.00 | ↑ +319% |
| Molina | Medicare|All Plans | $23,361.00 | ↑ +332% |
| Humana | Commercial|All Plans | $23,361.00 | ↑ +332% |
| Blue Shield CA | Medicare|PPO | $23,361.00 | ↑ +332% |
| Partnership Health Plan | Medicaid|All Plans | $23,361.00 | ↑ +332% |
| Aetna | Medicare|All Plans | $23,361.00 | ↑ +332% |
| United | Commercial|Non-Options PPO | $23,361.00 | ↑ +332% |
| Kaiser | Medicare|All Plans | $23,596.93 | ↑ +336% |
| United | Medicare|All Plans | $23,596.93 | ↑ +336% |
| Blue Shield CA | Medicare|HMO | $23,596.93 | ↑ +336% |
| BCBS - Anthem | Medicare|Imperial | $24,061.83 | ↑ +345% |
| BrightHealth | Commercial|All Plans | $25,697.10 | ↑ +375% |
| Prison Healthcare | Medicaid|All Plans | $35,395.39 | ↑ +554% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/stent plcmnt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,148.45 | $487.49 – $23,361.00 |
| St. John's Camarillo Hospital | Camarillo | $15,553.82 | $9,470.53 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $16,888.88 | $6,259.85 – $37,265.48 |
| French Hospital | San Luis Obispo | $15,046.53 | $6,259.85 – $31,639.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14,082.79 | $6,259.85 – $24,252.80 |
| Bakersfield Memorial Hospital | Bakersfield | $14,118.13 | $6,259.85 – $29,987.61 |
| Queen of The Valley Medical Center | Napa | $30,013.50 | $7,745.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $18,127.95 | $9,008.00 – $89,248.00 |