Ultrasound guidance for vascular access at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$304.11
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.
$1,395.00
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.
$27.85 with Hill Physicians vs $1,144.00 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 | $27.85 | ↓ -91% |
| United | Medicaid|> 21 | $28.15 | ↓ -91% |
| United | Medicaid|< 21 | $28.15 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $30.96 | ↓ -90% |
| Hill Physicians | Medicare|All Plans | $41.38 | ↓ -86% |
| Molina | Medicaid|All Plans | $52.92 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $53.49 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $65.31 | ↓ -79% |
| Health Net | Medicaid|All Plans | $65.31 | ↓ -79% |
| Aetna | Commercial|HMO | $67.18 | ↓ -78% |
| Aetna | Commercial|PPO | $67.18 | ↓ -78% |
| Aetna | Commercial|All Other Plans | $67.18 | ↓ -78% |
| Partnership Health Plan | Medicaid|All Plans | $121.05 | ↓ -60% |
| BCBS - Anthem | Commercial|Connection EPO | $181.64 | ↓ -40% |
| BCBS - Anthem | Commercial|All Other Plans | $226.96 | ↓ -25% |
| BCBS - Anthem | Commercial|MCS | $329.01 | ↑ +8% |
| Western Health Advantage | Commercial|All Plans | $400.40 | ↑ +32% |
| Kaiser | Medicaid|All Plans | $469.04 | ↑ +54% |
| Healthsmart | Commercial|All Plans | $823.68 | ↑ +171% |
| First Health | Commercial|All Plans | $858.00 | ↑ +182% |
| Kaiser | Commercial|All Plans | $903.76 | ↑ +197% |
| Sutter Health | Commercial|All Plans | $915.20 | ↑ +201% |
| MultiPlan | Commercial|All Plans | $915.20 | ↑ +201% |
| United | Commercial|Non-Options PPO | $1,144.00 | ↑ +276% |
Visitor-reported prices
Comments
Ultrasound guidance for vascular access at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $1,008.00 | not published |
| South Sacramento Medical Center | SACRAMENTO | $1,008.00 | not published |
| Methodist Hospital of Sacramento | Sacramento | $401.76 | $27.85 – $949.52 |
| Fresno Medical Center | FRESNO | $1,008.00 | not published |
| St. John's Camarillo Hospital | Camarillo | $220.32 | $42.58 – $392.34 |
| Antioch Medical Center | ANTIOCH | $1,008.00 | not published |
| Redwood City Medical Center | Redwood City | $1,008.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $1,008.00 | not published |