Debridement/bone/ea add 20 sq cm 11047 at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$417.89
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.
$1,451.00
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.
$62.38 with United vs $5,532.00 with Aetna — 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 | $62.38 | ↓ -85% |
| United | Medicaid|> 21 | $62.38 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $75.41 | ↓ -82% |
| Hill Physicians | Commercial|All Plans | $94.21 | ↓ -77% |
| Molina | Medicaid|All Plans | $102.20 | ↓ -76% |
| BCBS - Anthem | Medicaid|All Plans | $103.28 | ↓ -75% |
| Hill Physicians | Medicare|All Plans | $126.37 | ↓ -70% |
| California Health & Wellness | Medicaid|All Plans | $157.66 | ↓ -62% |
| Health Net | Medicaid|All Plans | $157.66 | ↓ -62% |
| Partnership Health Plan | Medicaid|All Plans | $233.75 | ↓ -44% |
| Western Health Advantage | Commercial|All Plans | $483.70 | ↑ +16% |
| Kaiser | Medicaid|All Plans | $566.62 | ↑ +36% |
| First Health | Commercial|All Plans | $1,036.50 | ↑ +148% |
| Kaiser | Commercial|All Plans | $1,091.78 | ↑ +161% |
| Sutter Health | Commercial|All Plans | $1,105.60 | ↑ +165% |
| Healthsmart | Commercial|All Plans | $1,119.42 | ↑ +168% |
| MultiPlan | Commercial|All Plans | $1,147.06 | ↑ +174% |
| United | Commercial|HMO | $1,368.18 | ↑ +227% |
| United | Commercial|Non-Options PPO | $1,382.00 | ↑ +231% |
| United | Commercial|Options PPO | $1,382.00 | ↑ +231% |
| United | Commercial|All Other Plans | $1,382.00 | ↑ +231% |
| BCBS - Anthem | Commercial|Connection EPO | $2,838.00 | ↑ +579% |
| BCBS - Anthem | Commercial|All Other Plans | $3,547.00 | ↑ +749% |
| BCBS - Anthem | Commercial|MCS | $4,718.00 | ↑ +1029% |
| Aetna | Commercial|HMO | $5,532.00 | ↑ +1224% |
| Aetna | Commercial|PPO | $5,532.00 | ↑ +1224% |
| Aetna | Commercial|All Other Plans | $5,532.00 | ↑ +1224% |
Visitor-reported prices
Comments
Debridement/bone/ea add 20 sq cm 11047 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $316.32 | $62.38 – $1,105.60 |
| St. John's Camarillo Hospital | Camarillo | $730.82 | $76.73 – $339.00 |
| Petaluma Valley Hospital | Petaluma | $1,339.77 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $863.71 | $62.38 – $1,977.64 |
| French Hospital | San Luis Obispo | $791.06 | $62.38 – $1,977.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | $708.61 | $62.38 – $1,699.90 |
| Bakersfield Memorial Hospital | Bakersfield | $700.97 | $62.38 – $1,890.90 |
| Queen of The Valley Medical Center | Napa | $1,412.70 | $2,747.00 – $8,621.00 |