Heart image spect at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$1,461.89
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.
$5,076.00
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.
$172.36 with Hill Physicians vs $5,003.23 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $172.36 | ↓ -88% |
| Hill Physicians | Medicare|All Plans | $249.50 | ↓ -83% |
| United | Medicaid|< 21 | $292.27 | ↓ -80% |
| United | Medicaid|> 21 | $292.27 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $321.50 | ↓ -78% |
| Molina | Medicaid|All Plans | $383.07 | ↓ -74% |
| BCBS - Anthem | Medicare|All Other Plans | $497.94 | ↓ -66% |
| Health Net | Medicare|All Plans | $528.04 | ↓ -64% |
| Humana | Medicare|All Plans | $528.04 | ↓ -64% |
| Aetna | Medicare|All Plans | $528.04 | ↓ -64% |
| Connected Care | Commercial|Intel | $528.04 | ↓ -64% |
| Kaiser | Medicare|All Plans | $528.04 | ↓ -64% |
| Blue Shield CA | Medicare|All Plans | $528.04 | ↓ -64% |
| Humana | Commercial|All Plans | $528.04 | ↓ -64% |
| United | Medicare|All Plans | $538.61 | ↓ -63% |
| BCBS - Anthem | Medicare|Imperial | $543.88 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $672.22 | ↓ -54% |
| Health Net | Medicaid|All Plans | $672.22 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $763.21 | ↓ -48% |
| Aetna | Commercial|All Other Plans | $772.63 | ↓ -47% |
| Aetna | Commercial|HMO | $772.63 | ↓ -47% |
| Aetna | Commercial|PPO | $772.63 | ↓ -47% |
| United | Commercial|Non-Options PPO | $848.52 | ↓ -42% |
| United | Commercial|All Other Plans | $848.52 | ↓ -42% |
| United | Commercial|Options PPO | $848.52 | ↓ -42% |
| United | Commercial|HMO | $848.52 | ↓ -42% |
| Partnership Health Plan | Medicaid|All Plans | $1,256.78 | ↓ -14% |
| Cigna | Commercial|LocalPlus | $1,523.13 | ↑ +4% |
| Western Health Advantage | Commercial|All Plans | $1,776.60 | ↑ +22% |
| Cigna | Commercial|All Other Plans | $2,030.99 | ↑ +39% |
| Kaiser | Medicaid|All Plans | $2,081.16 | ↑ +42% |
| BCBS - Anthem | Commercial|Connection EPO | $3,009.96 | ↑ +106% |
| BCBS - Anthem | Commercial|All Other Plans | $3,762.45 | ↑ +157% |
| BCBS - Anthem | Commercial|BRMS | $3,807.00 | ↑ +160% |
| First Health | Commercial|All Plans | $3,807.00 | ↑ +160% |
| Kaiser | Commercial|All Plans | $4,010.04 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,060.80 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $4,111.56 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $4,213.08 | ↑ +188% |
| BCBS - Anthem | Commercial|MCS | $5,003.23 | ↑ +242% |
Visitor-reported prices
Comments
Heart image spect at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $1,106.57 | $172.36 – $4,060.80 |
| Mark Twain Medical Center | San Andreas | $3,443.89 | $292.27 – $2,387.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $364.70 | $292.27 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $360.77 | $292.27 – $1,976.45 |
| Providence St Joseph Hospital Eureka | Eureka | $655.35 | $514.17 – $1,857.85 |
| St. Joseph's Medical Center Stockton | Stockton | $2,805.94 | $292.27 – $3,913.86 |
| Mercy Medical Center Merced | Merced | $573.20 | $292.27 – $511.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $639.10 | $471.50 – $1,439.81 |