Established Patient Office Visit (level 3) at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$106.56
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.
$370.00
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.
$42.76 with United vs $370.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $42.76 | ↓ -60% |
| United | Medicaid|< 21 | $42.76 | ↓ -60% |
| Hill Physicians | Medicaid|All Plans | $47.04 | ↓ -56% |
| Molina | Medicaid|All Plans | $56.04 | ↓ -47% |
| BCBS - Anthem | Medicaid|All Plans | $65.42 | ↓ -39% |
| Hill Physicians | Commercial|All Plans | $66.61 | ↓ -37% |
| Blue Shield CA | Commercial|ACO Trio | $96.00 | ↓ -10% |
| Hill Physicians | Medicare|All Plans | $96.14 | ↓ -10% |
| California Health & Wellness | Medicaid|All Plans | $98.35 | ↓ -8% |
| Health Net | Medicaid|All Plans | $98.35 | ↓ -8% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $119.00 | ↑ +12% |
| Blue Shield CA | Commercial|Exchange | $121.00 | ↑ +14% |
| Western Health Advantage | Commercial|All Plans | $129.50 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $151.70 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $168.00 | ↑ +58% |
| Blue Shield CA | Commercial|HMO | $168.00 | ↑ +58% |
| Partnership Health Plan | Medicaid|All Plans | $183.87 | ↑ +73% |
| Blue Shield CA | Commercial|CalPers | $188.00 | ↑ +76% |
| Blue Shield CA | Commercial|All Other Plans | $198.00 | ↑ +86% |
| BCBS - Anthem | Commercial|Connection EPO | $210.42 | ↑ +97% |
| Cigna | Commercial|All Other Plans | $225.00 | ↑ +111% |
| First Health | Commercial|All Plans | $277.50 | ↑ +160% |
| Kaiser | Commercial|All Plans | $292.30 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $296.00 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $299.70 | ↑ +181% |
| BCBS - Anthem | Commercial|All Other Plans | $299.70 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $307.10 | ↑ +188% |
| United | Commercial|HMO | $366.30 | ↑ +244% |
| United | Commercial|All Other Plans | $370.00 | ↑ +247% |
| United | Commercial|Options PPO | $370.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $370.00 | ↑ +247% |
| BCBS - Anthem | Commercial|MCS | $370.00 | ↑ +247% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $80.66 | $42.76 – $296.00 |
| St. John's Camarillo Hospital | Camarillo | $642.42 | $59.21 – $226.00 |
| Banner Lassen Medical Center | Susanville | $1,479.42 | $39.60 – $354.05 |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $34.43 – $351.00 |
| Mark Twain Medical Center | San Andreas | $138.53 | $36.22 – $137.20 |
| French Hospital | San Luis Obispo | $149.36 | $34.43 – $343.98 |
| Bakersfield Memorial Hospital | Bakersfield | $107.54 | $42.76 – $232.00 |
| Healdsburg Hospital | Healdsburg | $302.43 | not published |