Methotrexate sodium 2.5 mg tablet at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5.45
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.
$25.00
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.
$0.14 with Hill Physicians vs $15.00 with BCBS - Anthem — 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 | Medicare|All Plans | $0.14 | ↓ -97% |
| Hill Physicians | Commercial|All Plans | $0.21 | ↓ -96% |
| United | Commercial|All Other Plans | $0.30 | ↓ -94% |
| United | Commercial|HMO | $0.30 | ↓ -94% |
| United | Commercial|Non-Options PPO | $0.33 | ↓ -94% |
| Aetna | Commercial|HMO | $0.41 | ↓ -92% |
| Aetna | Commercial|All Other Plans | $0.41 | ↓ -92% |
| Aetna | Commercial|PPO | $0.41 | ↓ -92% |
| Cigna | Commercial|LocalPlus | $0.47 | ↓ -91% |
| Health Net | Commercial|EPPO | $0.48 | ↓ -91% |
| Cigna | Commercial|All Other Plans | $0.62 | ↓ -89% |
| Blue Shield CA | Commercial|HMO | $0.66 | ↓ -88% |
| Blue Shield CA | Commercial|CalPers | $0.66 | ↓ -88% |
| Blue Shield CA | Commercial|All Other Plans | $0.66 | ↓ -88% |
| Blue Shield CA | Commercial|Exchange | $0.66 | ↓ -88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $0.66 | ↓ -88% |
| Health Net | Commercial|FFS | $0.89 | ↓ -84% |
| Western Health Advantage | Commercial|All Plans | $3.20 | ↓ -41% |
| Kaiser | Medicaid|All Plans | $6.15 | ↑ +13% |
| BCBS - Anthem | Commercial|Connection EPO | $8.43 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $10.54 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $10.80 | ↑ +98% |
| First Health | Commercial|All Plans | $11.25 | ↑ +106% |
| Kaiser | Commercial|All Plans | $11.85 | ↑ +117% |
| Sutter Health | Commercial|All Plans | $12.00 | ↑ +120% |
| MultiPlan | Commercial|All Plans | $12.00 | ↑ +120% |
| BCBS - Anthem | Commercial|MCS | $15.00 | ↑ +175% |
Visitor-reported prices
Comments
Methotrexate sodium 2.5 mg tablet at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7.20 | $0.14 – $12.45 |
| St. John's Camarillo Hospital | Camarillo | $8.76 | $0.30 – $15.60 |
| Petaluma Valley Hospital | Petaluma | $8.20 | $0.40 – $3.71 |
| Arroyo Grande Hospital | Santa Maria | $26.97 | $0.30 – $61.74 |
| Mark Twain Medical Center | San Andreas | $20.37 | $7.92 – $29.97 |
| French Hospital | San Luis Obispo | $24.70 | $0.30 – $61.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9.28 | $0.30 – $12.00 |
| Bakersfield Memorial Hospital | Bakersfield | $9.18 | $0.30 – $11.85 |