Cad breast MRI w/r&i at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$57.03
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.
$198.00
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.
$69.30 with Western Health Advantage vs $7,195.00 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $69.30 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $81.18 | ↑ +42% |
| First Health | Commercial|All Plans | $148.50 | ↑ +160% |
| BCBS - Anthem | Commercial|BRMS | $148.50 | ↑ +160% |
| Kaiser | Commercial|All Plans | $156.42 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $158.40 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $160.38 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $164.34 | ↑ +188% |
| United | Commercial|HMO | $196.02 | ↑ +244% |
| United | Commercial|Options PPO | $198.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $198.00 | ↑ +247% |
| United | Commercial|All Other Plans | $198.00 | ↑ +247% |
| Cigna | Commercial|LocalPlus | $5,397.00 | ↑ +9363% |
| Cigna | Commercial|All Other Plans | $7,195.00 | ↑ +12516% |
Visitor-reported prices
Comments
Cad breast MRI w/r&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $43.17 | $69.30 – $5,397.00 |
| Arroyo Grande Hospital | Santa Maria | $472.09 | $526.00 – $2,096.00 |
| Mark Twain Medical Center | San Andreas | $490.85 | $190.67 – $722.26 |
| French Hospital | San Luis Obispo | $344.96 | $52.38 – $2,111.00 |
| Queen of The Valley Medical Center | Napa | $234.60 | $3.90 – $3.90 |
| Providence St Joseph Hospital Eureka | Eureka | $126.48 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $301.65 | $215.46 – $4,941.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $107.10 | $3.98 – $3.98 |