Diffusing capacity at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$186.63
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.
$648.00
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.
$52.90 with Hill Physicians vs $648.00 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 | $52.90 | ↓ -72% |
| United | Medicaid|< 21 | $55.31 | ↓ -70% |
| United | Medicaid|> 21 | $55.31 | ↓ -70% |
| Hill Physicians | Medicare|All Plans | $64.51 | ↓ -65% |
| Hill Physicians | Medicaid|All Plans | $67.24 | ↓ -64% |
| Molina | Medicaid|All Plans | $90.62 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $91.58 | ↓ -51% |
| California Health & Wellness | Medicaid|All Plans | $140.60 | ↓ -25% |
| Health Net | Medicaid|All Plans | $140.60 | ↓ -25% |
| Partnership Health Plan | Medicaid|All Plans | $207.26 | ↑ +11% |
| Western Health Advantage | Commercial|All Plans | $226.80 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $265.68 | ↑ +42% |
| First Health | Commercial|All Plans | $486.00 | ↑ +160% |
| Kaiser | Commercial|All Plans | $511.92 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $518.40 | ↑ +178% |
| BCBS - Anthem | Commercial|Connection EPO | $518.40 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $524.88 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $537.84 | ↑ +188% |
| United | Commercial|HMO | $641.52 | ↑ +244% |
| United | Commercial|Options PPO | $648.00 | ↑ +247% |
| United | Commercial|All Other Plans | $648.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $648.00 | ↑ +247% |
| BCBS - Anthem | Commercial|MCS | $648.00 | ↑ +247% |
| BCBS - Anthem | Commercial|All Other Plans | $648.00 | ↑ +247% |
Visitor-reported prices
Comments
Diffusing capacity at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $141.27 | $52.90 – $518.40 |
| St. John's Camarillo Hospital | Camarillo | $375.37 | $68.03 – $668.46 |
| Banner Lassen Medical Center | Susanville | $330.75 | $79.53 – $589.76 |
| Petaluma Valley Hospital | Petaluma | $1,177.08 | $258.52 – $258.52 |
| Arroyo Grande Hospital | Santa Maria | $190.46 | $55.31 – $436.10 |
| Mark Twain Medical Center | San Andreas | $405.60 | $55.31 – $495.88 |
| French Hospital | San Luis Obispo | $169.35 | $55.31 – $423.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $74.58 | $55.31 – $160.80 |