Transcath closure of asd at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$10,445.26
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.
?
What you pay up front if you don't use insurance.
$47,914.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$603.92 with United vs $47,914.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $603.92 | ↓ -94% |
| United | Medicaid|> 21 | $603.92 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $664.31 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $919.72 | ↓ -91% |
| Hill Physicians | Medicare|All Plans | $976.91 | ↓ -91% |
| Molina | Medicaid|All Plans | $1,135.37 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $1,147.45 | ↓ -89% |
| California Health & Wellness | Medicaid|All Plans | $1,401.09 | ↓ -87% |
| Health Net | Medicaid|All Plans | $1,401.09 | ↓ -87% |
| Partnership Health Plan | Medicaid|All Plans | $2,596.86 | ↓ -75% |
| Health Net | Commercial|EPPO | $12,309.00 | ↑ +18% |
| BCBS - Anthem | Commercial|Connection EPO | $15,038.00 | ↑ +44% |
| Western Health Advantage | Commercial|All Plans | $16,769.90 | ↑ +61% |
| BCBS - Anthem | Commercial|All Other Plans | $18,798.00 | ↑ +80% |
| Aetna | Commercial|HMO | $19,156.00 | ↑ +83% |
| Aetna | Commercial|PPO | $19,156.00 | ↑ +83% |
| Aetna | Commercial|All Other Plans | $19,156.00 | ↑ +83% |
| Kaiser | Medicaid|All Plans | $19,644.74 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $22,251.90 | ↑ +113% |
| Health Net | Commercial|FFS | $22,699.00 | ↑ +117% |
| Humana | Commercial|All Plans | $23,596.93 | ↑ +126% |
| Kaiser | Medicare|All Plans | $23,596.93 | ↑ +126% |
| Blue Shield CA | Medicare|HMO | $23,596.93 | ↑ +126% |
| Blue Shield CA | Medicare|PPO | $23,596.93 | ↑ +126% |
| United | Medicare|All Plans | $23,596.93 | ↑ +126% |
| Molina | Medicare|All Plans | $23,596.93 | ↑ +126% |
| Aetna | Medicare|All Plans | $23,596.93 | ↑ +126% |
| BCBS - Anthem | Medicare|Imperial | $24,304.84 | ↑ +133% |
| BrightHealth | Commercial|All Plans | $25,956.62 | ↑ +149% |
| BCBS - Anthem | Commercial|MCS | $27,257.00 | ↑ +161% |
| Healthsmart | Commercial|All Plans | $34,498.08 | ↑ +230% |
| Prison Healthcare | Medicaid|All Plans | $35,395.39 | ↑ +239% |
| First Health | Commercial|All Plans | $35,935.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $37,852.06 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $38,331.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $38,331.20 | ↑ +267% |
| United | Commercial|Non-Options PPO | $47,914.00 | ↑ +359% |
Visitor-reported prices
Comments
Transcath closure of asd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $34,540.80 | not published |
| South Sacramento Medical Center | SACRAMENTO | $34,540.80 | not published |
| Methodist Hospital of Sacramento | Sacramento | $13,799.24 | $603.92 – $39,768.62 |
| St. John's Camarillo Hospital | Camarillo | $30,233.83 | $913.67 – $53,841.06 |
| Redwood City Medical Center | Redwood City | $34,540.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $34,540.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $18,408.00 | not published |
| Riverside Medical Center | RIVERSIDE | $18,408.00 | not published |