Treatment inhalation pressurized/nonpressurized acute airway obstruction at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$309.13
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.
$1,418.00
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.
$8.78 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $8.78 | ↓ -97% |
| Hill Physicians | Medicare|All Plans | $15.27 | ↓ -95% |
| United | Medicaid|< 21 | $20.84 | ↓ -93% |
| United | Medicaid|> 21 | $20.84 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $22.92 | ↓ -93% |
| Molina | Medicaid|All Plans | $27.32 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $31.88 | ↓ -90% |
| Health Net | Medicaid|All Plans | $48.35 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $48.35 | ↓ -84% |
| Partnership Health Plan | Medicaid|All Plans | $89.61 | ↓ -71% |
| BCBS - Anthem | Commercial|Connection EPO | $200.34 | ↓ -35% |
| Western Health Advantage | Commercial|All Plans | $242.55 | ↓ -22% |
| BCBS - Anthem | Commercial|All Other Plans | $250.32 | ↓ -19% |
| BCBS - Anthem | Medicare|All Other Plans | $252.04 | ↓ -18% |
| Humana | Commercial|All Plans | $267.27 | ↓ -14% |
| Aetna | Medicare|All Plans | $267.27 | ↓ -14% |
| Molina | Medicare|All Plans | $267.27 | ↓ -14% |
| United | Medicare|All Plans | $267.27 | ↓ -14% |
| Kaiser | Medicare|All Plans | $267.27 | ↓ -14% |
| Blue Shield CA | Medicare|HMO | $267.27 | ↓ -14% |
| Blue Shield CA | Medicare|PPO | $267.27 | ↓ -14% |
| BCBS - Anthem | Medicare|Imperial | $275.29 | ↓ -11% |
| Kaiser | Medicaid|All Plans | $284.13 | ↓ -8% |
| BrightHealth | Commercial|All Plans | $294.00 | ↓ -5% |
| BCBS - Anthem | Commercial|MCS | $362.88 | ↑ +17% |
| Prison Healthcare | Medicaid|All Plans | $400.90 | ↑ +30% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $436.59 | ↑ +41% |
| Blue Shield CA | Commercial|Exchange | $450.45 | ↑ +46% |
| Healthsmart | Commercial|All Plans | $498.96 | ↑ +61% |
| First Health | Commercial|All Plans | $519.75 | ↑ +68% |
| Kaiser | Commercial|All Plans | $547.47 | ↑ +77% |
| Sutter Health | Commercial|All Plans | $554.40 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $554.40 | ↑ +79% |
| Blue Shield CA | Commercial|All Other Plans | $623.70 | ↑ +102% |
| Blue Shield CA | Commercial|HMO | $623.70 | ↑ +102% |
| Blue Shield CA | Commercial|CalPers | $630.63 | ↑ +104% |
| United | Commercial|Non-Options PPO | $693.00 | ↑ +124% |
| Cigna | Commercial|LocalPlus | $1,867.00 | ↑ +504% |
| Cigna | Commercial|All Other Plans | $2,488.00 | ↑ +705% |
| United | Commercial|HMO | $11,514.00 | ↑ +3625% |
| United | Commercial|All Other Plans | $23,178.00 | ↑ +7398% |
Visitor-reported prices
Comments
Treatment inhalation pressurized/nonpressurized acute airway obstruction at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $408.39 | $8.78 – $1,867.00 |
| St. John's Camarillo Hospital | Camarillo | $394.64 | $28.01 – $546.00 |
| Petaluma Valley Hospital | Petaluma | $433.50 | $115.41 – $301.12 |
| Arroyo Grande Hospital | Santa Maria | $312.87 | $18.30 – $746.00 |
| Mark Twain Medical Center | San Andreas | $259.74 | $20.84 – $370.44 |
| French Hospital | San Luis Obispo | $272.44 | $18.30 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $335.02 | $20.84 – $794.64 |
| Bakersfield Memorial Hospital | Bakersfield | $331.41 | $20.84 – $12,607.00 |