Consultation pathology during surgery cytological exam initial site at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$338.69
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.
$1,176.00
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.
$34.96 with Hill Physicians vs $1,105.69 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 | $34.96 | ↓ -90% |
| Cigna | Commercial|LocalPlus | $72.81 | ↓ -79% |
| United | Medicaid|> 21 | $79.42 | ↓ -77% |
| Partnership Health Plan | Medicaid|All Plans | $79.42 | ↓ -77% |
| United | Medicaid|< 21 | $79.42 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $87.36 | ↓ -74% |
| Cigna | Commercial|All Other Plans | $97.08 | ↓ -71% |
| Hill Physicians | Medicare|All Plans | $101.61 | ↓ -70% |
| Molina | Medicaid|All Plans | $149.31 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $150.90 | ↓ -55% |
| Health Net | Medicaid|All Plans | $182.67 | ↓ -46% |
| California Health & Wellness | Medicaid|All Plans | $182.67 | ↓ -46% |
| Aetna | Commercial|All Other Plans | $184.19 | ↓ -46% |
| Aetna | Commercial|HMO | $184.19 | ↓ -46% |
| Aetna | Commercial|PPO | $184.19 | ↓ -46% |
| BCBS - Anthem | Commercial|Connection EPO | $311.09 | ↓ -8% |
| BCBS - Anthem | Commercial|All Other Plans | $388.86 | ↑ +15% |
| Western Health Advantage | Commercial|All Plans | $411.60 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $482.16 | ↑ +42% |
| BCBS - Anthem | Commercial|MCS | $517.10 | ↑ +53% |
| United | Commercial|Options PPO | $787.38 | ↑ +132% |
| United | Commercial|HMO | $787.38 | ↑ +132% |
| United | Commercial|All Other Plans | $787.38 | ↑ +132% |
| United | Commercial|Non-Options PPO | $787.38 | ↑ +132% |
| BCBS - Anthem | Commercial|BRMS | $882.00 | ↑ +160% |
| First Health | Commercial|All Plans | $882.00 | ↑ +160% |
| Kaiser | Commercial|All Plans | $929.04 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $940.80 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $952.56 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $976.08 | ↑ +188% |
| BCBS - Anthem | Medicare|All Other Plans | $1,012.30 | ↑ +199% |
| Humana | Commercial|All Plans | $1,073.49 | ↑ +217% |
| Kaiser | Medicare|All Plans | $1,073.49 | ↑ +217% |
| Connected Care | Commercial|Intel | $1,073.49 | ↑ +217% |
| Blue Shield CA | Medicare|All Plans | $1,073.49 | ↑ +217% |
| Aetna | Medicare|All Plans | $1,073.49 | ↑ +217% |
| Humana | Medicare|All Plans | $1,073.49 | ↑ +217% |
| Health Net | Medicare|All Plans | $1,073.49 | ↑ +217% |
| United | Medicare|All Plans | $1,094.96 | ↑ +223% |
| BCBS - Anthem | Medicare|Imperial | $1,105.69 | ↑ +226% |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $256.37 | $34.96 – $1,180.84 |
| St. John's Camarillo Hospital | Camarillo | $351.28 | $87.23 – $1,604.00 |
| Petaluma Valley Hospital | Petaluma | $1,900.26 | $133.99 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $3,134.25 | $79.42 – $2,511.74 |
| Mark Twain Medical Center | San Andreas | $26.64 | $8.56 – $33.06 |
| French Hospital | San Luis Obispo | $2,870.62 | $79.42 – $2,511.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $319.44 | $22.59 – $94.48 |
| Bakersfield Memorial Hospital | Bakersfield | $315.99 | $22.59 – $94.48 |