Vital capacity test at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$58.43
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.
$268.00
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.
$6.39 with United vs $308.40 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 | $6.39 | ↓ -89% |
| United | Medicaid|> 21 | $6.39 | ↓ -89% |
| Molina | Medicaid|All Plans | $10.47 | ↓ -82% |
| Hill Physicians | Medicaid|All Plans | $11.14 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $15.18 | ↓ -74% |
| Health Net | Medicaid|All Plans | $23.50 | ↓ -60% |
| California Health & Wellness | Medicaid|All Plans | $23.50 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $34.36 | ↓ -41% |
| BCBS - Anthem | Commercial|Connection EPO | $43.41 | ↓ -26% |
| BCBS - Anthem | Commercial|All Other Plans | $54.24 | ↓ -7% |
| BCBS - Anthem | Commercial|MCS | $78.62 | ↑ +35% |
| Western Health Advantage | Commercial|All Plans | $93.80 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $109.88 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $192.96 | ↑ +230% |
| BCBS - Anthem | Medicare|All Other Plans | $193.88 | ↑ +232% |
| First Health | Commercial|All Plans | $201.00 | ↑ +244% |
| Humana | Commercial|All Plans | $205.60 | ↑ +252% |
| Kaiser | Medicare|All Plans | $205.60 | ↑ +252% |
| United | Medicare|All Plans | $205.60 | ↑ +252% |
| Molina | Medicare|All Plans | $205.60 | ↑ +252% |
| Blue Shield CA | Medicare|HMO | $205.60 | ↑ +252% |
| Blue Shield CA | Medicare|PPO | $205.60 | ↑ +252% |
| Aetna | Medicare|All Plans | $205.60 | ↑ +252% |
| Kaiser | Commercial|All Plans | $211.72 | ↑ +262% |
| BCBS - Anthem | Medicare|Imperial | $211.77 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $214.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $214.40 | ↑ +267% |
| BrightHealth | Commercial|All Plans | $226.16 | ↑ +287% |
| United | Commercial|Non-Options PPO | $268.00 | ↑ +359% |
| Prison Healthcare | Medicaid|All Plans | $308.40 | ↑ +428% |
Visitor-reported prices
Comments
Vital capacity test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $77.19 | $6.39 – $222.44 |
| St. John's Camarillo Hospital | Camarillo | $107.31 | $7.86 – $365.02 |
| Banner Lassen Medical Center | Susanville | $53.86 | $9.19 – $96.03 |
| Petaluma Valley Hospital | Petaluma | $230.52 | $25.01 – $176.94 |
| Arroyo Grande Hospital | Santa Maria | $85.60 | $6.39 – $198.80 |
| Mark Twain Medical Center | San Andreas | $128.54 | $6.39 – $188.16 |
| French Hospital | San Luis Obispo | $76.44 | $6.39 – $195.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $122.81 | $6.39 – $264.80 |