Encephalitis, st louis igg/igm at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$4.20
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.
$14.58
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.
$5.11 with Western Health Advantage vs $38.93 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 | $5.11 | ↑ +22% |
| Blue Shield CA | Commercial|ACO Trio | $5.40 | ↑ +29% |
| Kaiser | Medicaid|All Plans | $5.98 | ↑ +42% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6.86 | ↑ +63% |
| Blue Shield CA | Commercial|Exchange | $7.15 | ↑ +70% |
| Blue Shield CA | Commercial|HMO | $10.36 | ↑ +147% |
| Blue Shield CA | Commercial|CalPers | $10.65 | ↑ +154% |
| BCBS - Anthem | Commercial|BRMS | $10.94 | ↑ +160% |
| First Health | Commercial|All Plans | $10.94 | ↑ +160% |
| Kaiser | Commercial|All Plans | $11.52 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $11.67 | ↑ +178% |
| Sutter Health | Commercial|All Plans | $11.67 | ↑ +178% |
| Partnership Health Plan | Medicaid|All Plans | $11.72 | ↑ +179% |
| Healthsmart | Commercial|All Plans | $11.81 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $12.11 | ↑ +188% |
| Blue Shield CA | Commercial|All Other Plans | $12.40 | ↑ +195% |
| BCBS - Anthem | Medicare|All Other Plans | $12.44 | ↑ +196% |
| Health Net | Medicare|All Plans | $13.19 | ↑ +214% |
| Humana | Medicare|All Plans | $13.19 | ↑ +214% |
| Aetna | Medicare|All Plans | $13.19 | ↑ +214% |
| United | Medicare|All Plans | $13.19 | ↑ +214% |
| Humana | Commercial|All Plans | $13.19 | ↑ +214% |
| Kaiser | Medicare|All Plans | $13.19 | ↑ +214% |
| Connected Care | Commercial|Intel | $13.19 | ↑ +214% |
| Blue Shield CA | Medicare|All Plans | $13.19 | ↑ +214% |
| Hill Physicians | Commercial|All Plans | $13.19 | ↑ +214% |
| Hill Physicians | Medicare|All Plans | $13.19 | ↑ +214% |
| BCBS - Anthem | Medicare|Imperial | $13.59 | ↑ +224% |
| BCBS - Anthem | Commercial|MCS | $14.58 | ↑ +247% |
| Health Net | Medicaid|All Plans | $14.58 | ↑ +247% |
| United | Medicaid|> 21 | $14.58 | ↑ +247% |
| United | Medicaid|< 21 | $14.58 | ↑ +247% |
| Aetna | Commercial|All Other Plans | $14.58 | ↑ +247% |
| United | Commercial|Non-Options PPO | $14.58 | ↑ +247% |
| United | Commercial|Options PPO | $14.58 | ↑ +247% |
| United | Commercial|HMO | $14.58 | ↑ +247% |
| United | Commercial|All Other Plans | $14.58 | ↑ +247% |
| Molina | Medicaid|All Plans | $14.58 | ↑ +247% |
| Aetna | Commercial|HMO | $14.58 | ↑ +247% |
| California Health & Wellness | Medicaid|All Plans | $14.58 | ↑ +247% |
| BCBS - Anthem | Medicaid|All Plans | $14.58 | ↑ +247% |
| Hill Physicians | Medicaid|All Plans | $14.58 | ↑ +247% |
| BCBS - Anthem | Commercial|All Other Plans | $14.58 | ↑ +247% |
| Aetna | Commercial|PPO | $14.58 | ↑ +247% |
| Cigna | Commercial|LocalPlus | $29.20 | ↑ +595% |
| Cigna | Commercial|All Other Plans | $38.93 | ↑ +827% |
Visitor-reported prices
Comments
Encephalitis, st louis igg/igm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $3.18 | $5.11 – $29.20 |
| Banner Lassen Medical Center | Susanville | $8.92 | $2.64 – $19.34 |
| Petaluma Valley Hospital | Petaluma | $43.76 | $12.93 – $107.66 |
| Arroyo Grande Hospital | Santa Maria | $7.43 | $8.67 – $33.97 |
| French Hospital | San Luis Obispo | $6.80 | $4.69 – $39.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6.44 | $8.24 – $37.89 |
| Bakersfield Memorial Hospital | Bakersfield | $6.37 | $8.24 – $37.89 |
| Queen of The Valley Medical Center | Napa | $43.76 | $13.19 – $136.06 |