Av fistula revision at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
not published by hospital
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.
not published by hospital
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.
$625.88 with United vs $17,522.00 with Health Net — 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 | $625.88 | — |
| United | Medicaid|> 21 | $625.88 | — |
| Hill Physicians | Commercial|All Plans | $762.23 | — |
| Hill Physicians | Medicare|All Plans | $809.38 | — |
| Molina | Medicaid|All Plans | $1,025.39 | — |
| Hill Physicians | Medicaid|All Plans | $1,085.27 | — |
| BCBS - Anthem | Medicaid|All Plans | $1,486.47 | — |
| Health Net | Medicaid|All Plans | $2,269.20 | — |
| California Health & Wellness | Medicaid|All Plans | $2,269.20 | — |
| Partnership Health Plan | Medicaid|All Plans | $3,364.11 | — |
| BCBS - Anthem | Medicare|All Other Plans | $6,698.72 | — |
| Humana | Commercial|All Plans | $7,103.63 | — |
| Humana | Medicare|All Plans | $7,103.63 | — |
| Aetna | Medicare|All Plans | $7,103.63 | — |
| Blue Shield CA | Medicare|All Plans | $7,103.63 | — |
| Connected Care | Commercial|Intel | $7,103.63 | — |
| Health Net | Medicare|All Plans | $7,103.63 | — |
| Kaiser | Medicare|All Plans | $7,103.63 | — |
| United | Medicare|All Plans | $7,245.71 | — |
| BCBS - Anthem | Medicare|Imperial | $7,316.74 | — |
| Health Net | Commercial|EPPO | $9,128.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $10,220.00 | — |
| Aetna | Commercial|PPO | $11,191.00 | — |
| Aetna | Commercial|All Other Plans | $11,191.00 | — |
| Aetna | Commercial|HMO | $11,191.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $12,775.00 | — |
| BCBS - Anthem | Commercial|MCS | $16,991.00 | — |
| Health Net | Commercial|FFS | $17,522.00 | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| BCBS - Anthem | Commercial|BRMS | not published by hospital | — |
Visitor-reported prices
Comments
Av fistula revision at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | not published | $625.88 – $7,813.99 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $12,334.42 | $1,064.00 – $15,536.92 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,105.40 | $2,160.00 – $12,111.00 |
| Providence St Joseph Hospital Orange | Orange | $8,983.20 | $6,083.33 – $13,240.19 |
| Mercy Medical Center Redding | Redding | $8,311.26 | $1,243.94 – $16,065.14 |
| St. John's Camarillo Hospital | Camarillo | not published | $769.83 – $12,900.80 |
| Petaluma Valley Hospital | Petaluma | not published | $3,632.00 – $15,313.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $625.88 – $6,868.48 |