Incision of windpipe at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$5,564.16
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.
$19,320.00
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.
$256.33 with United vs $18,400.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $256.33 | ↓ -95% |
| United | Medicaid|< 21 | $256.33 | ↓ -95% |
| Molina | Medicaid|All Plans | $419.95 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $444.48 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $448.62 | ↓ -92% |
| Hill Physicians | Medicare|All Plans | $460.07 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $608.80 | ↓ -89% |
| California Health & Wellness | Medicaid|All Plans | $929.36 | ↓ -83% |
| Health Net | Medicaid|All Plans | $929.36 | ↓ -83% |
| Partnership Health Plan | Medicaid|All Plans | $1,377.79 | ↓ -75% |
| BCBS - Anthem | Commercial|Connection EPO | $5,537.00 | ↓ -0% |
| Western Health Advantage | Commercial|All Plans | $6,440.00 | ↑ +16% |
| BCBS - Anthem | Commercial|All Other Plans | $6,921.00 | ↑ +24% |
| BCBS - Anthem | Medicare|All Other Plans | $7,330.67 | ↑ +32% |
| Kaiser | Medicaid|All Plans | $7,544.00 | ↑ +36% |
| Humana | Commercial|All Plans | $7,773.77 | ↑ +40% |
| Humana | Medicare|All Plans | $7,773.77 | ↑ +40% |
| Aetna | Medicare|All Plans | $7,773.77 | ↑ +40% |
| Health Net | Medicare|All Plans | $7,773.77 | ↑ +40% |
| Kaiser | Medicare|All Plans | $7,773.77 | ↑ +40% |
| Connected Care | Commercial|Intel | $7,773.77 | ↑ +40% |
| Blue Shield CA | Medicare|All Plans | $7,773.77 | ↑ +40% |
| United | Medicare|All Plans | $7,929.25 | ↑ +43% |
| BCBS - Anthem | Medicare|Imperial | $8,006.98 | ↑ +44% |
| Health Net | Commercial|EPPO | $9,128.00 | ↑ +64% |
| BCBS - Anthem | Commercial|MCS | $9,205.00 | ↑ +65% |
| First Health | Commercial|All Plans | $13,800.00 | ↑ +148% |
| Kaiser | Commercial|All Plans | $14,536.00 | ↑ +161% |
| BCBS - Anthem | Commercial|BRMS | $14,720.00 | ↑ +165% |
| Sutter Health | Commercial|All Plans | $14,720.00 | ↑ +165% |
| Healthsmart | Commercial|All Plans | $14,904.00 | ↑ +168% |
| MultiPlan | Commercial|All Plans | $15,272.00 | ↑ +174% |
| Health Net | Commercial|FFS | $17,522.00 | ↑ +215% |
| Aetna | Commercial|PPO | $17,701.00 | ↑ +218% |
| Aetna | Commercial|HMO | $17,701.00 | ↑ +218% |
| Aetna | Commercial|All Other Plans | $17,701.00 | ↑ +218% |
| United | Commercial|HMO | $18,216.00 | ↑ +227% |
| United | Commercial|Non-Options PPO | $18,400.00 | ↑ +231% |
| United | Commercial|Options PPO | $18,400.00 | ↑ +231% |
| United | Commercial|All Other Plans | $18,400.00 | ↑ +231% |
Visitor-reported prices
Comments
Incision of windpipe at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $4,211.76 | $256.33 – $14,720.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $13,138.09 | $435.77 – $16,549.26 |
| Dominican Hospital | Santa Cruz | $9,150.30 | $256.33 – $25,438.42 |
| Sierra Nevada Memorial Hospital | Grass Valley | $10,529.40 | $256.33 – $18,933.60 |
| Mercy San Juan Medical Center | Carmichael | $5,293.68 | $256.33 – $15,272.00 |
| Mercy Medical Center Redding | Redding | $8,561.21 | $509.47 – $16,548.28 |
| Mercy Hospital of Folsom | Folsom | $7,515.48 | $256.33 – $15,088.00 |
| Woodland Memorial Hospital | Woodland | $5,293.68 | $256.33 – $18,400.00 |