Trnscath plc stent crv crtd without prtct at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,051.85
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.
$4,825.00
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.
$588.23 with United vs $22,008.00 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 | $588.23 | ↓ -44% |
| United | Medicaid|< 21 | $588.23 | ↓ -44% |
| Hill Physicians | Medicaid|All Plans | $647.05 | ↓ -38% |
| Molina | Medicaid|All Plans | $1,105.87 | ↑ +5% |
| BCBS - Anthem | Medicaid|All Plans | $1,117.64 | ↑ +6% |
| Health Net | Medicaid|All Plans | $1,364.69 | ↑ +30% |
| California Health & Wellness | Medicaid|All Plans | $1,364.69 | ↑ +30% |
| Western Health Advantage | Commercial|All Plans | $1,688.75 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,978.25 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $2,529.39 | ↑ +140% |
| Healthsmart | Commercial|All Plans | $3,474.00 | ↑ +230% |
| First Health | Commercial|All Plans | $3,618.75 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,811.75 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $3,860.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $3,860.00 | ↑ +267% |
| United | Commercial|Non-Options PPO | $4,825.00 | ↑ +359% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +661% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +661% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +661% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,592.00 | ↑ +1002% |
| Blue Shield CA | Commercial|Exchange | $11,842.00 | ↑ +1026% |
| BCBS - Anthem | Commercial|Connection EPO | $12,142.00 | ↑ +1054% |
| BCBS - Anthem | Commercial|All Other Plans | $15,178.00 | ↑ +1343% |
| Blue Shield CA | Commercial|HMO | $16,713.00 | ↑ +1489% |
| Blue Shield CA | Commercial|CalPers | $18,072.00 | ↑ +1618% |
| Blue Shield CA | Commercial|All Other Plans | $18,179.00 | ↑ +1628% |
| BCBS - Anthem | Commercial|MCS | $22,008.00 | ↑ +1992% |
Visitor-reported prices
Comments
Trnscath plc stent crv crtd without prtct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $6,165.60 | not published |
| South Sacramento Medical Center | SACRAMENTO | $6,165.60 | not published |
| Methodist Hospital of Sacramento | Sacramento | $1,389.60 | $588.23 – $4,004.75 |
| St. John's Camarillo Hospital | Camarillo | $5,657.65 | $889.93 – $10,075.26 |
| Redwood City Medical Center | Redwood City | $6,165.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $6,165.60 | not published |
| Oakland Medical Center | Oakland | $6,165.60 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $6,165.60 | not published |