Gi tract capsule endoscopy (pillcam) 91110 at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$1,721.09
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.
$5,976.00
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.
$657.54 with Hill Physicians vs $17,563.00 with United — 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 | $657.54 | ↓ -62% |
| United | Medicaid|> 21 | $922.94 | ↓ -46% |
| United | Medicaid|< 21 | $922.94 | ↓ -46% |
| Hill Physicians | Medicare|All Plans | $950.13 | ↓ -45% |
| Hill Physicians | Medicaid|All Plans | $1,122.08 | ↓ -35% |
| BCBS - Anthem | Medicare|All Other Plans | $1,161.82 | ↓ -32% |
| Kaiser | Medicare|All Plans | $1,232.05 | ↓ -28% |
| Humana | Medicare|All Plans | $1,232.05 | ↓ -28% |
| Humana | Commercial|All Plans | $1,232.05 | ↓ -28% |
| Aetna | Medicare|All Plans | $1,232.05 | ↓ -28% |
| Blue Shield CA | Medicare|All Plans | $1,232.05 | ↓ -28% |
| Health Net | Medicare|All Plans | $1,232.05 | ↓ -28% |
| Connected Care | Commercial|Intel | $1,232.05 | ↓ -28% |
| United | Medicare|All Plans | $1,256.70 | ↓ -27% |
| BCBS - Anthem | Medicare|Imperial | $1,269.01 | ↓ -26% |
| Molina | Medicaid|All Plans | $1,512.07 | ↓ -12% |
| BCBS - Anthem | Medicaid|All Plans | $1,528.15 | ↓ -11% |
| Western Health Advantage | Commercial|All Plans | $2,091.60 | ↑ +22% |
| Health Net | Medicaid|All Plans | $2,346.16 | ↑ +36% |
| California Health & Wellness | Medicaid|All Plans | $2,346.16 | ↑ +36% |
| Kaiser | Medicaid|All Plans | $2,450.16 | ↑ +42% |
| Partnership Health Plan | Medicaid|All Plans | $3,458.45 | ↑ +101% |
| First Health | Commercial|All Plans | $4,482.00 | ↑ +160% |
| Kaiser | Commercial|All Plans | $4,721.04 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,780.80 | ↑ +178% |
| BCBS - Anthem | Commercial|Connection EPO | $4,780.80 | ↑ +178% |
| BCBS - Anthem | Commercial|BRMS | $4,780.80 | ↑ +178% |
| Health Net | Commercial|EPPO | $4,808.00 | ↑ +179% |
| Healthsmart | Commercial|All Plans | $4,840.56 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $4,960.08 | ↑ +188% |
| United | Commercial|Non-Options PPO | $5,976.00 | ↑ +247% |
| BCBS - Anthem | Commercial|All Other Plans | $5,976.00 | ↑ +247% |
| BCBS - Anthem | Commercial|MCS | $5,976.00 | ↑ +247% |
| Health Net | Commercial|FFS | $9,228.00 | ↑ +436% |
| United | Commercial|HMO | $12,855.00 | ↑ +647% |
| United | Commercial|All Other Plans | $17,563.00 | ↑ +920% |
| United | Commercial|Options PPO | $17,563.00 | ↑ +920% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $1,302.77 | $657.54 – $4,780.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,203.00 | $922.94 – $4,750.40 |
| Bakersfield Memorial Hospital | Bakersfield | $2,179.25 | $922.94 – $4,691.02 |
| St. Joseph's Medical Center Stockton | Stockton | $1,274.79 | $804.29 – $3,642.24 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $815.52 | $991.55 – $3,281.00 |
| Mercy Medical Center Merced | Merced | $2,254.16 | $922.94 – $4,333.23 |
| Dominican Hospital | Santa Cruz | $2,347.65 | $922.94 – $4,434.45 |
| St. Mary Medical Center | Long Beach | $993.30 | $577.50 – $5,100.35 |