Fna bx w/ct gdn 1st les at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$582.92
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.
$2,024.00
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.
$106.87 with Hill Physicians vs $7,452.00 with Health Net — 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 | $106.87 | ↓ -82% |
| United | Medicaid|> 21 | $428.52 | ↓ -26% |
| United | Medicaid|< 21 | $428.52 | ↓ -26% |
| Hill Physicians | Medicaid|All Plans | $471.37 | ↓ -19% |
| Hill Physicians | Medicare|All Plans | $516.78 | ↓ -11% |
| Western Health Advantage | Commercial|All Plans | $708.40 | ↑ +22% |
| Molina | Medicaid|All Plans | $805.62 | ↑ +38% |
| BCBS - Anthem | Medicaid|All Plans | $814.19 | ↑ +40% |
| Kaiser | Medicaid|All Plans | $829.84 | ↑ +42% |
| BCBS - Anthem | Medicare|All Other Plans | $871.89 | ↑ +50% |
| Humana | Commercial|All Plans | $924.59 | ↑ +59% |
| Humana | Medicare|All Plans | $924.59 | ↑ +59% |
| Aetna | Medicare|All Plans | $924.59 | ↑ +59% |
| Health Net | Medicare|All Plans | $924.59 | ↑ +59% |
| Kaiser | Medicare|All Plans | $924.59 | ↑ +59% |
| Connected Care | Commercial|Intel | $924.59 | ↑ +59% |
| Blue Shield CA | Medicare|All Plans | $924.59 | ↑ +59% |
| United | Medicare|All Plans | $943.09 | ↑ +62% |
| BCBS - Anthem | Medicare|Imperial | $952.33 | ↑ +63% |
| Health Net | Medicaid|All Plans | $985.60 | ↑ +69% |
| California Health & Wellness | Medicaid|All Plans | $985.60 | ↑ +69% |
| First Health | Commercial|All Plans | $1,518.00 | ↑ +160% |
| Kaiser | Commercial|All Plans | $1,598.96 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,619.20 | ↑ +178% |
| BCBS - Anthem | Commercial|BRMS | $1,619.20 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $1,639.44 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $1,679.92 | ↑ +188% |
| Partnership Health Plan | Medicaid|All Plans | $1,842.64 | ↑ +216% |
| United | Commercial|HMO | $2,003.76 | ↑ +244% |
| United | Commercial|Non-Options PPO | $2,024.00 | ↑ +247% |
| United | Commercial|All Other Plans | $2,024.00 | ↑ +247% |
| United | Commercial|Options PPO | $2,024.00 | ↑ +247% |
| BCBS - Anthem | Commercial|Connection EPO | $2,838.00 | ↑ +387% |
| BCBS - Anthem | Commercial|All Other Plans | $3,547.00 | ↑ +508% |
| Health Net | Commercial|EPPO | $3,882.00 | ↑ +566% |
| BCBS - Anthem | Commercial|MCS | $4,718.00 | ↑ +709% |
| Aetna | Commercial|PPO | $5,532.00 | ↑ +849% |
| Aetna | Commercial|All Other Plans | $5,532.00 | ↑ +849% |
| Aetna | Commercial|HMO | $5,532.00 | ↑ +849% |
| Health Net | Commercial|FFS | $7,452.00 | ↑ +1178% |
Visitor-reported prices
Comments
Fna bx w/ct gdn 1st les at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $441.24 | $106.87 – $1,842.64 |
| St. John's Camarillo Hospital | Camarillo | $969.30 | $597.51 – $1,726.14 |
| Banner Lassen Medical Center | Susanville | $911.93 | $140.72 – $1,694.59 |
| Arroyo Grande Hospital | Santa Maria | $1,016.50 | $428.52 – $2,327.50 |
| French Hospital | San Luis Obispo | $2,299.48 | $428.52 – $2,235.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $924.91 | $428.52 – $1,913.60 |
| Bakersfield Memorial Hospital | Bakersfield | $914.94 | $428.52 – $1,969.47 |
| Queen of The Valley Medical Center | Napa | $3,269.10 | $1,005.45 – $6,200.00 |