Ghs bladder cath - complex-foley at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$175.11
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.
$608.00
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.
$75.80 with Hill Physicians vs $6,019.00 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 | $75.80 | ↓ -57% |
| United | Medicaid|> 21 | $124.06 | ↓ -29% |
| United | Medicaid|< 21 | $124.06 | ↓ -29% |
| Hill Physicians | Medicaid|All Plans | $149.78 | ↓ -14% |
| Hill Physicians | Medicare|All Plans | $159.46 | ↓ -9% |
| Western Health Advantage | Commercial|All Plans | $175.35 | ↑ +0% |
| BCBS - Anthem | Medicare|All Other Plans | $193.88 | ↑ +11% |
| Molina | Medicaid|All Plans | $202.98 | ↑ +16% |
| BCBS - Anthem | Medicaid|All Plans | $205.41 | ↑ +17% |
| Kaiser | Medicaid|All Plans | $205.41 | ↑ +17% |
| Humana | Commercial|All Plans | $205.60 | ↑ +17% |
| Humana | Medicare|All Plans | $205.60 | ↑ +17% |
| Aetna | Medicare|All Plans | $205.60 | ↑ +17% |
| Health Net | Medicare|All Plans | $205.60 | ↑ +17% |
| Kaiser | Medicare|All Plans | $205.60 | ↑ +17% |
| Connected Care | Commercial|Intel | $205.60 | ↑ +17% |
| Blue Shield CA | Medicare|All Plans | $205.60 | ↑ +17% |
| United | Medicare|All Plans | $209.72 | ↑ +20% |
| BCBS - Anthem | Medicare|Imperial | $211.77 | ↑ +21% |
| Health Net | Medicaid|All Plans | $313.17 | ↑ +79% |
| California Health & Wellness | Medicaid|All Plans | $313.17 | ↑ +79% |
| First Health | Commercial|All Plans | $375.75 | ↑ +115% |
| Kaiser | Commercial|All Plans | $395.79 | ↑ +126% |
| BCBS - Anthem | Commercial|BRMS | $400.80 | ↑ +129% |
| Sutter Health | Commercial|All Plans | $400.80 | ↑ +129% |
| Healthsmart | Commercial|All Plans | $405.81 | ↑ +132% |
| MultiPlan | Commercial|All Plans | $415.83 | ↑ +137% |
| Partnership Health Plan | Medicaid|All Plans | $464.27 | ↑ +165% |
| United | Commercial|HMO | $495.99 | ↑ +183% |
| United | Commercial|Non-Options PPO | $501.00 | ↑ +186% |
| United | Commercial|Options PPO | $501.00 | ↑ +186% |
| United | Commercial|All Other Plans | $501.00 | ↑ +186% |
| BCBS - Anthem | Commercial|Connection EPO | $2,838.00 | ↑ +1521% |
| Health Net | Commercial|EPPO | $3,135.00 | ↑ +1690% |
| BCBS - Anthem | Commercial|All Other Plans | $3,547.00 | ↑ +1926% |
| BCBS - Anthem | Commercial|MCS | $4,718.00 | ↑ +2594% |
| Aetna | Commercial|All Other Plans | $5,532.00 | ↑ +3059% |
| Aetna | Commercial|PPO | $5,532.00 | ↑ +3059% |
| Aetna | Commercial|HMO | $5,532.00 | ↑ +3059% |
| Health Net | Commercial|FFS | $6,019.00 | ↑ +3337% |
Visitor-reported prices
Comments
Ghs bladder cath - complex-foley at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $132.55 | $75.80 – $464.27 |
| St. John's Camarillo Hospital | Camarillo | $263.68 | $152.59 – $469.56 |
| Banner Lassen Medical Center | Susanville | $178.52 | $31.29 – $331.74 |
| Petaluma Valley Hospital | Petaluma | $1,384.14 | $173.40 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $207.58 | $124.06 – $475.30 |
| Mark Twain Medical Center | San Andreas | $145.86 | $54.07 – $204.82 |
| French Hospital | San Luis Obispo | $190.12 | $124.06 – $475.30 |
| Queen of The Valley Medical Center | Napa | $1,461.66 | $182.70 – $6,200.00 |