X-ray exam of sinuses at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$241.33
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.
$1,107.00
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.
$26.73 with Hill Physicians vs $885.60 with MultiPlan — 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 | $26.73 | ↓ -89% |
| United | Medicaid|> 21 | $31.01 | ↓ -87% |
| United | Medicaid|< 21 | $31.01 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $34.11 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $34.80 | ↓ -86% |
| Molina | Medicaid|All Plans | $40.65 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $58.92 | ↓ -76% |
| California Health & Wellness | Medicaid|All Plans | $71.94 | ↓ -70% |
| Health Net | Medicaid|All Plans | $71.94 | ↓ -70% |
| Aetna | Commercial|All Other Plans | $76.52 | ↓ -68% |
| Aetna | Commercial|HMO | $76.52 | ↓ -68% |
| Aetna | Commercial|PPO | $76.52 | ↓ -68% |
| BCBS - Anthem | Medicare|All Other Plans | $109.11 | ↓ -55% |
| Blue Shield CA | Medicare|PPO | $115.71 | ↓ -52% |
| Humana | Commercial|All Plans | $115.71 | ↓ -52% |
| Aetna | Medicare|All Plans | $115.71 | ↓ -52% |
| Molina | Medicare|All Plans | $115.71 | ↓ -52% |
| United | Medicare|All Plans | $115.71 | ↓ -52% |
| Kaiser | Medicare|All Plans | $115.71 | ↓ -52% |
| Blue Shield CA | Medicare|HMO | $115.71 | ↓ -52% |
| BCBS - Anthem | Medicare|Imperial | $119.18 | ↓ -51% |
| BrightHealth | Commercial|All Plans | $127.28 | ↓ -47% |
| Partnership Health Plan | Medicaid|All Plans | $133.35 | ↓ -45% |
| Prison Healthcare | Medicaid|All Plans | $173.56 | ↓ -28% |
| United | Commercial|Non-Options PPO | $182.03 | ↓ -25% |
| United | Commercial|All Other Plans | $182.03 | ↓ -25% |
| United | Commercial|HMO | $182.03 | ↓ -25% |
| BCBS - Anthem | Commercial|Connection EPO | $250.90 | ↑ +4% |
| BCBS - Anthem | Commercial|All Other Plans | $313.50 | ↑ +30% |
| Cigna | Commercial|LocalPlus | $326.83 | ↑ +35% |
| Western Health Advantage | Commercial|All Plans | $387.45 | ↑ +61% |
| Cigna | Commercial|All Other Plans | $435.81 | ↑ +81% |
| Kaiser | Medicaid|All Plans | $453.87 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $454.46 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $797.04 | ↑ +230% |
| First Health | Commercial|All Plans | $830.25 | ↑ +244% |
| Kaiser | Commercial|All Plans | $874.53 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $885.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $885.60 | ↑ +267% |
Visitor-reported prices
Comments
X-ray exam of sinuses at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $257.04 | $118.00 – $118.00 |
| South Sacramento Medical Center | SACRAMENTO | $257.04 | $118.00 – $118.00 |
| Methodist Hospital of Sacramento | Sacramento | $318.82 | $26.73 – $918.81 |
| Fresno Medical Center | FRESNO | $257.04 | $118.00 – $118.00 |
| St. John's Camarillo Hospital | Camarillo | $381.94 | $46.91 – $680.16 |
| Antioch Medical Center | ANTIOCH | $257.04 | $118.00 – $118.00 |
| Redwood City Medical Center | Redwood City | $257.04 | $118.00 – $118.00 |
| Santa Clara Medical Center | SANTA CLARA | $257.04 | $118.00 – $118.00 |