Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,562.41
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.
$7,167.00
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.
$484.05 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 | $484.05 | ↓ -69% |
| United | Medicaid|> 21 | $484.05 | ↓ -69% |
| Hill Physicians | Commercial|All Plans | $694.32 | ↓ -56% |
| Molina | Medicaid|All Plans | $793.02 | ↓ -49% |
| Hill Physicians | Medicare|All Plans | $811.64 | ↓ -48% |
| Hill Physicians | Medicaid|All Plans | $839.31 | ↓ -46% |
| BCBS - Anthem | Medicaid|All Plans | $1,149.61 | ↓ -26% |
| Health Net | Medicaid|All Plans | $1,770.18 | ↑ +13% |
| California Health & Wellness | Medicaid|All Plans | $1,770.18 | ↑ +13% |
| BCBS - Anthem | Medicare|All Other Plans | $2,266.77 | ↑ +45% |
| Molina | Medicare|All Plans | $2,403.79 | ↑ +54% |
| Humana | Commercial|All Plans | $2,403.79 | ↑ +54% |
| Aetna | Medicare|All Plans | $2,403.79 | ↑ +54% |
| Blue Shield CA | Medicare|PPO | $2,403.79 | ↑ +54% |
| Kaiser | Medicare|All Plans | $2,403.79 | ↑ +54% |
| United | Medicare|All Plans | $2,403.79 | ↑ +54% |
| Blue Shield CA | Medicare|HMO | $2,403.79 | ↑ +54% |
| BCBS - Anthem | Medicare|Imperial | $2,475.90 | ↑ +58% |
| Western Health Advantage | Commercial|All Plans | $2,508.45 | ↑ +61% |
| Partnership Health Plan | Medicaid|All Plans | $2,601.75 | ↑ +67% |
| BrightHealth | Commercial|All Plans | $2,644.17 | ↑ +69% |
| Kaiser | Medicaid|All Plans | $2,938.47 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $3,605.68 | ↑ +131% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +194% |
| Healthsmart | Commercial|All Plans | $5,160.24 | ↑ +230% |
| First Health | Commercial|All Plans | $5,375.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $5,661.93 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $5,733.60 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $5,733.60 | ↑ +267% |
| United | Commercial|Non-Options PPO | $7,167.00 | ↑ +359% |
| Aetna | Commercial|All Other Plans | $8,002.00 | ↑ +412% |
| Aetna | Commercial|HMO | $8,002.00 | ↑ +412% |
| Aetna | Commercial|PPO | $8,002.00 | ↑ +412% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +443% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +526% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +682% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +1034% |
Visitor-reported prices
Comments
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,064.10 | $484.05 – $5,948.61 |
| Petaluma Valley Hospital | Petaluma | $3,513.90 | $2,780.50 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $1,009.66 | $392.19 – $1,485.68 |
| Queen of The Valley Medical Center | Napa | $3,803.07 | $2,929.57 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,397.11 | $2,653.72 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $1,760.52 | $2,779.95 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $2,200.65 | $9,031.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,760.74 | $2,870.98 – $5,318.00 |