Upgrade pm system at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$2,796.07
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.
$12,826.00
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.
$455.42 with United vs $20,628.74 with Prison Healthcare — 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 | $455.42 | ↓ -84% |
| United | Medicaid|> 21 | $455.42 | ↓ -84% |
| Hill Physicians | Commercial|All Plans | $467.49 | ↓ -83% |
| Hill Physicians | Medicare|All Plans | $492.14 | ↓ -82% |
| Molina | Medicaid|All Plans | $746.12 | ↓ -73% |
| Hill Physicians | Medicaid|All Plans | $789.69 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $1,081.61 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $1,665.53 | ↓ -40% |
| Health Net | Medicaid|All Plans | $1,665.53 | ↓ -40% |
| Partnership Health Plan | Medicaid|All Plans | $2,447.86 | ↓ -12% |
| Western Health Advantage | Commercial|All Plans | $4,489.10 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $5,258.66 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $9,234.72 | ↑ +230% |
| First Health | Commercial|All Plans | $9,619.50 | ↑ +244% |
| BCBS - Anthem | Commercial|Connection EPO | $9,774.00 | ↑ +250% |
| Kaiser | Commercial|All Plans | $10,132.54 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $10,260.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $10,260.80 | ↑ +267% |
| Health Net | Commercial|EPPO | $10,446.00 | ↑ +274% |
| BCBS - Anthem | Medicare|All Other Plans | $12,094.92 | ↑ +333% |
| BCBS - Anthem | Commercial|All Other Plans | $12,217.00 | ↑ +337% |
| Molina | Medicare|All Plans | $12,826.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $12,826.00 | ↑ +359% |
| Humana | Commercial|All Plans | $12,826.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $12,826.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $12,826.00 | ↑ +359% |
| BCBS - Anthem | Medicare|Imperial | $13,210.78 | ↑ +372% |
| United | Medicare|All Plans | $13,752.49 | ↑ +392% |
| Kaiser | Medicare|All Plans | $13,752.49 | ↑ +392% |
| Blue Shield CA | Medicare|HMO | $13,752.49 | ↑ +392% |
| BrightHealth | Commercial|All Plans | $14,108.60 | ↑ +405% |
| Aetna | Commercial|PPO | $17,030.00 | ↑ +509% |
| Aetna | Commercial|All Other Plans | $17,030.00 | ↑ +509% |
| Aetna | Commercial|HMO | $17,030.00 | ↑ +509% |
| BCBS - Anthem | Commercial|MCS | $17,715.00 | ↑ +534% |
| Health Net | Commercial|FFS | $19,264.00 | ↑ +589% |
| Prison Healthcare | Medicaid|All Plans | $20,628.74 | ↑ +638% |
Visitor-reported prices
Comments
Upgrade pm system at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $3,693.89 | $455.42 – $12,826.00 |
| St. John's Camarillo Hospital | Camarillo | $14,636.21 | $560.17 – $26,064.48 |
| Arroyo Grande Hospital | Santa Maria | $13,520.95 | $455.42 – $30,959.18 |
| French Hospital | San Luis Obispo | $12,600.84 | $455.42 – $31,502.10 |
| Bakersfield Memorial Hospital | Bakersfield | $14,426.77 | $455.42 – $31,054.90 |
| Providence St Joseph Hospital Eureka | Eureka | $16,780.02 | $9,008.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $7,163.02 | $455.42 – $20,465.76 |
| Santa Rosa Memorial Hospital | Santa Rosa | $15,456.57 | $5,318.00 – $20,488.00 |