Treat knee fracture at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
not published by hospital
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.
not published by hospital
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.
$681.42 with United vs $17,715.00 with BCBS - Anthem — 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 | $681.42 | — |
| United | Medicaid|< 21 | $681.42 | — |
| Hill Physicians | Commercial|All Plans | $913.02 | — |
| Hill Physicians | Medicare|All Plans | $933.57 | — |
| Molina | Medicaid|All Plans | $1,116.38 | — |
| Hill Physicians | Medicaid|All Plans | $1,181.57 | — |
| BCBS - Anthem | Medicaid|All Plans | $1,618.38 | — |
| California Health & Wellness | Medicaid|All Plans | $2,492.03 | — |
| Health Net | Medicaid|All Plans | $2,492.03 | — |
| Partnership Health Plan | Medicaid|All Plans | $3,662.63 | — |
| Aetna | Commercial|PPO | $8,002.00 | — |
| Aetna | Commercial|HMO | $8,002.00 | — |
| Aetna | Commercial|All Other Plans | $8,002.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | — |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Treat knee fracture at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | not published | $681.42 – $3,662.63 |
| Mark Twain Medical Center | San Andreas | $2,218.45 | $681.42 – $3,264.38 |
| Healdsburg Hospital | Healdsburg | $1,324.47 | $2,335.00 – $9,776.62 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $586.34 | $25.96 – $1,767.81 |
| ST HELENA HOSPITAL | Vallejo | $511.95 | $65.00 – $2,018.58 |
| HANFORD COMMUNITY HOSPITAL | Selma | $586.34 | $35.00 – $9,332.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $462.90 | $118.76 – $9,332.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,036.76 | $60.00 – $1,429.69 |