Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$331.20
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.
$1,150.00
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.
$58.76 with Hill Physicians vs $13,998.00 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 | Commercial|All Plans | $58.76 | ↓ -82% |
| United | Medicaid|< 21 | $60.67 | ↓ -82% |
| United | Medicaid|> 21 | $60.67 | ↓ -82% |
| Hill Physicians | Medicaid|All Plans | $73.34 | ↓ -78% |
| Molina | Medicaid|All Plans | $99.40 | ↓ -70% |
| BCBS - Anthem | Medicaid|All Plans | $100.45 | ↓ -70% |
| Hill Physicians | Medicare|All Plans | $105.01 | ↓ -68% |
| Health Net | Medicaid|All Plans | $153.34 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $153.34 | ↓ -54% |
| Partnership Health Plan | Medicaid|All Plans | $227.34 | ↓ -31% |
| BCBS - Anthem | Medicare|All Other Plans | $365.80 | ↑ +10% |
| Western Health Advantage | Commercial|All Plans | $373.80 | ↑ +13% |
| Humana | Commercial|All Plans | $387.91 | ↑ +17% |
| Humana | Medicare|All Plans | $387.91 | ↑ +17% |
| Aetna | Medicare|All Plans | $387.91 | ↑ +17% |
| Health Net | Medicare|All Plans | $387.91 | ↑ +17% |
| Kaiser | Medicare|All Plans | $387.91 | ↑ +17% |
| Connected Care | Commercial|Intel | $387.91 | ↑ +17% |
| Blue Shield CA | Medicare|All Plans | $387.91 | ↑ +17% |
| United | Medicare|All Plans | $395.67 | ↑ +19% |
| BCBS - Anthem | Medicare|Imperial | $399.55 | ↑ +21% |
| Kaiser | Medicaid|All Plans | $437.88 | ↑ +32% |
| First Health | Commercial|All Plans | $801.00 | ↑ +142% |
| Kaiser | Commercial|All Plans | $843.72 | ↑ +155% |
| Sutter Health | Commercial|All Plans | $854.40 | ↑ +158% |
| BCBS - Anthem | Commercial|BRMS | $854.40 | ↑ +158% |
| Healthsmart | Commercial|All Plans | $865.08 | ↑ +161% |
| MultiPlan | Commercial|All Plans | $886.44 | ↑ +168% |
| United | Commercial|HMO | $1,057.32 | ↑ +219% |
| United | Commercial|Non-Options PPO | $1,068.00 | ↑ +222% |
| United | Commercial|All Other Plans | $1,068.00 | ↑ +222% |
| United | Commercial|Options PPO | $1,068.00 | ↑ +222% |
| Health Net | Commercial|EPPO | $3,135.00 | ↑ +847% |
| Aetna | Commercial|All Other Plans | $5,532.00 | ↑ +1570% |
| Aetna | Commercial|HMO | $5,532.00 | ↑ +1570% |
| Aetna | Commercial|PPO | $5,532.00 | ↑ +1570% |
| Health Net | Commercial|FFS | $6,019.00 | ↑ +1717% |
| BCBS - Anthem | Commercial|Connection EPO | $8,420.00 | ↑ +2442% |
| BCBS - Anthem | Commercial|All Other Plans | $10,525.00 | ↑ +3078% |
| BCBS - Anthem | Commercial|MCS | $13,998.00 | ↑ +4126% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $250.70 | $58.76 – $854.40 |
| St. John's Camarillo Hospital | Camarillo | $610.88 | $74.62 – $761.28 |
| Banner Lassen Medical Center | Susanville | $1,340.16 | $87.24 – $1,241.60 |
| Petaluma Valley Hospital | Petaluma | $2,254.71 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $1,555.78 | $60.67 – $3,229.10 |
| Mark Twain Medical Center | San Andreas | $536.13 | $41.91 – $158.76 |
| French Hospital | San Luis Obispo | $1,291.64 | $60.67 – $876.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $323.15 | $60.67 – $696.80 |