Trnscath tx thromblytc artery non-intracrn ini day at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,298.19
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.
$5,955.00
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.
$328.37 with United vs $14,393.00 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 | $328.37 | ↓ -75% |
| United | Medicaid|< 21 | $328.37 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $361.21 | ↓ -72% |
| Hill Physicians | Commercial|All Plans | $364.36 | ↓ -72% |
| Hill Physicians | Medicare|All Plans | $387.55 | ↓ -70% |
| Molina | Medicaid|All Plans | $617.34 | ↓ -52% |
| California Health & Wellness | Medicaid|All Plans | $761.82 | ↓ -41% |
| Health Net | Medicaid|All Plans | $761.82 | ↓ -41% |
| Western Health Advantage | Commercial|All Plans | $1,188.60 | ↓ -8% |
| Kaiser | Medicaid|All Plans | $1,392.36 | ↑ +7% |
| Partnership Health Plan | Medicaid|All Plans | $1,411.99 | ↑ +9% |
| BCBS - Anthem | Medicaid|All Plans | $2,118.82 | ↑ +63% |
| Healthsmart | Commercial|All Plans | $2,445.12 | ↑ +88% |
| First Health | Commercial|All Plans | $2,547.00 | ↑ +96% |
| Kaiser | Commercial|All Plans | $2,682.84 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $2,716.80 | ↑ +109% |
| Sutter Health | Commercial|All Plans | $2,716.80 | ↑ +109% |
| BCBS - Anthem | Medicare|All Other Plans | $3,202.43 | ↑ +147% |
| United | Commercial|Non-Options PPO | $3,396.00 | ↑ +162% |
| Aetna | Medicare|All Plans | $3,396.00 | ↑ +162% |
| Humana | Commercial|All Plans | $3,396.00 | ↑ +162% |
| Molina | Medicare|All Plans | $3,396.00 | ↑ +162% |
| Blue Shield CA | Medicare|PPO | $3,396.00 | ↑ +162% |
| BCBS - Anthem | Medicare|Imperial | $3,497.88 | ↑ +169% |
| BrightHealth | Commercial|All Plans | $3,735.60 | ↑ +188% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +285% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +285% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +285% |
| Health Net | Commercial|EPPO | $6,384.00 | ↑ +392% |
| United | Medicare|All Plans | $7,103.63 | ↑ +447% |
| Kaiser | Medicare|All Plans | $7,103.63 | ↑ +447% |
| Blue Shield CA | Medicare|HMO | $7,103.63 | ↑ +447% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +512% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +665% |
| Prison Healthcare | Medicaid|All Plans | $10,655.44 | ↑ +721% |
| Health Net | Commercial|FFS | $11,775.00 | ↑ +807% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +1009% |
Visitor-reported prices
Comments
Trnscath tx thromblytc artery non-intracrn ini day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,715.04 | $328.37 – $3,396.00 |
| St. John's Camarillo Hospital | Camarillo | $4,945.02 | $496.80 – $12,900.80 |
| Arroyo Grande Hospital | Santa Maria | $5,836.21 | $328.37 – $12,962.46 |
| French Hospital | San Luis Obispo | $5,345.32 | $328.37 – $12,962.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,751.77 | $328.37 – $4,995.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,700.54 | $328.37 – $4,995.00 |
| Queen of The Valley Medical Center | Napa | $10,120.44 | $6,200.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,786.46 | $7,156.86 – $27,307.00 |