Mercy General Hospital
Mercy General Hospital in Sacramento, CA charges 8.1x the Medicare reimbursement rate across 71 analyzed procedures, with 38% showing significant pricing variations.
Sacramento, CA 95819 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
No credit card required. Results in 60 seconds.
Pricing grade
F
Very high
Avg markup vs Medicare
8.05x
Charge / Medicare rate
Max markup
13.16x
Worst procedure
Procedures analyzed
71
With pricing data
Outlier procedures
38%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $562,558 | $281,279 | — | 13.2x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $464,820 | $232,410 | — | 12.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $96,813 | $48,406 | — | 11.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $138,895 | $69,447 | — | 11.7x |
| CELLULITIS WITH MCC | 602 | $167,232 | $83,616 | — | 11.1x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $578,071 | $289,036 | — | 10.7x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $67,542 | $33,771 | — | 10.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $62,757 | $31,379 | — | 10.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $73,351 | $36,676 | — | 10.4x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $624,081 | $312,041 | — | 10.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $102,227 | $51,113 | — | 10.1x |
| HYPERTENSION WITHOUT MCC | 305 | $69,494 | $34,747 | — | 10x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $69,772 | $34,886 | — | 9.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $43,154 | $21,577 | — | 9.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $100,694 | $50,347 | — | 9.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $157,120 | $78,560 | — | 9.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $78,909 | $39,454 | — | 9.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $713,244 | $356,622 | — | 9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $61,831 | $30,916 | — | 8.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $90,927 | $45,464 | — | 8.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $68,546 | $34,273 | — | 8.5x |
| CHEST PAIN | 313 | $53,946 | $26,973 | — | 8.5x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $789,413 | $394,706 | — | 8.4x |
| DIABETES WITH MCC | 637 | $104,829 | $52,414 | — | 8.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $1,018,750 | $509,375 | — | 8.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $148,939 | $74,469 | — | 8.2x |
| DIABETES WITH CC | 638 | $69,617 | $34,808 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $76,031 | $38,015 | — | 8.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $103,151 | $51,576 | — | 8.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $144,769 | $72,385 | — | 8x |
| SEIZURES WITH MCC | 100 | $153,197 | $76,599 | — | 8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $170,294 | $85,147 | — | 8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $167,753 | $83,877 | — | 7.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $134,040 | $67,020 | — | 7.9x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $136,086 | $68,043 | — | 7.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $140,797 | $70,398 | — | 7.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $140,027 | $70,014 | — | 7.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $74,020 | $37,010 | — | 7.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $96,323 | $48,162 | — | 7.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $55,440 | $27,720 | — | 7.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $118,372 | $59,186 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $71,199 | $35,600 | — | 7.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $158,354 | $79,177 | — | 7.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $273,560 | $136,780 | — | 7.5x |
| OTHER HEART ASSIST SYSTEM IMPLANT | 215 | $870,076 | $435,038 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $72,078 | $36,039 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $109,961 | $54,981 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $215,422 | $107,711 | — | 7.1x |
| SYNCOPE AND COLLAPSE | 312 | $58,258 | $29,129 | — | 7.1x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $229,935 | $114,967 | — | 7x |
Showing 50 of 71 procedures
How MERCY GENERAL HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
Got a bill from MERCY GENERAL HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Mercy General Hospital?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use