Transcath occlusion non-cns at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,114.42
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.
$5,112.00
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.
$778.40 with United vs $22,353.96 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $778.40 | ↓ -30% |
| United | Medicaid|< 21 | $778.40 | ↓ -30% |
| Hill Physicians | Commercial|All Plans | $870.48 | ↓ -22% |
| Hill Physicians | Medicare|All Plans | $894.56 | ↓ -20% |
| Molina | Medicaid|All Plans | $1,275.26 | ↑ +14% |
| Hill Physicians | Medicaid|All Plans | $1,349.73 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $1,789.20 | ↑ +61% |
| BCBS - Anthem | Medicaid|All Plans | $1,848.70 | ↑ +66% |
| Kaiser | Medicaid|All Plans | $2,095.92 | ↑ +88% |
| Health Net | Medicaid|All Plans | $2,846.71 | ↑ +155% |
| California Health & Wellness | Medicaid|All Plans | $2,846.71 | ↑ +155% |
| Healthsmart | Commercial|All Plans | $3,680.64 | ↑ +230% |
| First Health | Commercial|All Plans | $3,834.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $4,038.48 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $4,089.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $4,089.60 | ↑ +267% |
| Partnership Health Plan | Medicaid|All Plans | $4,183.89 | ↑ +275% |
| BCBS - Anthem | Medicare|All Other Plans | $4,820.62 | ↑ +333% |
| Molina | Medicare|All Plans | $5,112.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $5,112.00 | ↑ +359% |
| Humana | Commercial|All Plans | $5,112.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $5,112.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $5,112.00 | ↑ +359% |
| BCBS - Anthem | Medicare|Imperial | $5,265.36 | ↑ +372% |
| BrightHealth | Commercial|All Plans | $5,623.20 | ↑ +405% |
| Health Net | Commercial|EPPO | $10,446.00 | ↑ +837% |
| BCBS - Anthem | Commercial|Connection EPO | $12,142.00 | ↑ +990% |
| Aetna | Commercial|HMO | $14,901.00 | ↑ +1237% |
| Aetna | Commercial|PPO | $14,901.00 | ↑ +1237% |
| Aetna | Commercial|All Other Plans | $14,901.00 | ↑ +1237% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +1237% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +1237% |
| United | Medicare|All Plans | $14,902.64 | ↑ +1237% |
| BCBS - Anthem | Commercial|All Other Plans | $15,178.00 | ↑ +1262% |
| Health Net | Commercial|FFS | $19,264.00 | ↑ +1629% |
| BCBS - Anthem | Commercial|MCS | $22,008.00 | ↑ +1875% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +1906% |
Visitor-reported prices
Comments
Transcath occlusion non-cns at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,472.26 | $778.40 – $5,112.00 |
| St. John's Camarillo Hospital | Camarillo | $7,865.61 | $957.43 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $10,952.52 | $778.40 – $25,078.20 |
| French Hospital | San Luis Obispo | $10,031.28 | $778.40 – $25,078.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $15,981.94 | $778.40 – $34,462.40 |
| Bakersfield Memorial Hospital | Bakersfield | $16,545.10 | $778.40 – $35,614.78 |
| St. Joseph's Medical Center Stockton | Stockton | $11,063.22 | $778.40 – $27,336.96 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,329.60 | $12,620.59 – $27,468.35 |