X-ray surgical specimen at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$383.68
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.
$1,760.00
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.
$20.77 with United vs $2,603.32 with Cigna — 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 | $20.77 | ↓ -95% |
| United | Medicaid|< 21 | $20.77 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $22.85 | ↓ -94% |
| Molina | Medicaid|All Plans | $27.22 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $31.22 | ↓ -92% |
| Aetna | Commercial|PPO | $37.98 | ↓ -90% |
| Aetna | Commercial|All Other Plans | $37.98 | ↓ -90% |
| Aetna | Commercial|HMO | $37.98 | ↓ -90% |
| Hill Physicians | Medicare|All Plans | $45.34 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $48.19 | ↓ -87% |
| Health Net | Medicaid|All Plans | $48.19 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $76.02 | ↓ -80% |
| Partnership Health Plan | Medicaid|All Plans | $89.31 | ↓ -77% |
| BCBS - Anthem | Commercial|Connection EPO | $172.39 | ↓ -55% |
| BCBS - Anthem | Commercial|All Other Plans | $215.39 | ↓ -44% |
| BCBS - Anthem | Commercial|MCS | $312.25 | ↓ -19% |
| Western Health Advantage | Commercial|All Plans | $616.00 | ↑ +61% |
| BCBS - Anthem | Medicare|All Other Plans | $679.45 | ↑ +77% |
| Humana | Commercial|All Plans | $720.52 | ↑ +88% |
| Aetna | Medicare|All Plans | $720.52 | ↑ +88% |
| Molina | Medicare|All Plans | $720.52 | ↑ +88% |
| United | Medicare|All Plans | $720.52 | ↑ +88% |
| Kaiser | Medicare|All Plans | $720.52 | ↑ +88% |
| Blue Shield CA | Medicare|HMO | $720.52 | ↑ +88% |
| Blue Shield CA | Medicare|PPO | $720.52 | ↑ +88% |
| Kaiser | Medicaid|All Plans | $721.60 | ↑ +88% |
| BCBS - Anthem | Medicare|Imperial | $742.14 | ↑ +93% |
| BrightHealth | Commercial|All Plans | $792.57 | ↑ +107% |
| Prison Healthcare | Medicaid|All Plans | $1,080.78 | ↑ +182% |
| United | Commercial|All Other Plans | $1,086.50 | ↑ +183% |
| United | Commercial|Non-Options PPO | $1,086.50 | ↑ +183% |
| United | Commercial|HMO | $1,086.50 | ↑ +183% |
| Healthsmart | Commercial|All Plans | $1,267.20 | ↑ +230% |
| First Health | Commercial|All Plans | $1,320.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $1,390.40 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $1,408.00 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $1,408.00 | ↑ +267% |
| Cigna | Commercial|LocalPlus | $1,952.35 | ↑ +409% |
| Cigna | Commercial|All Other Plans | $2,603.32 | ↑ +579% |
Visitor-reported prices
Comments
X-ray surgical specimen at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $1,383.20 | $731.00 – $731.00 |
| South Sacramento Medical Center | SACRAMENTO | $1,383.20 | $731.00 – $731.00 |
| Methodist Hospital of Sacramento | Sacramento | $506.88 | $20.77 – $1,952.35 |
| Fresno Medical Center | FRESNO | $1,383.20 | $731.00 – $731.00 |
| St. John's Camarillo Hospital | Camarillo | $542.69 | $31.43 – $2,339.15 |
| Antioch Medical Center | ANTIOCH | $1,383.20 | $731.00 – $731.00 |
| Redwood City Medical Center | Redwood City | $1,383.20 | $731.00 – $731.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,383.20 | $731.00 – $731.00 |