Inj, adalimumab, 1 mg at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$3,069.80
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.
$10,659.00
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.
$100.00 with Health Net vs $4,035.00 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 |
|---|---|---|---|
| Health Net | Commercial|FFS | $100.00 | ↓ -97% |
| Health Net | Commercial|EPPO | $100.00 | ↓ -97% |
| Western Health Advantage | Commercial|All Plans | $1,008.75 | ↓ -67% |
| Kaiser | Medicaid|All Plans | $1,654.35 | ↓ -46% |
| BCBS - Anthem | Commercial|Connection EPO | $3,026.25 | ↓ -1% |
| First Health | Commercial|All Plans | $3,026.25 | ↓ -1% |
| Kaiser | Commercial|All Plans | $3,187.65 | ↑ +4% |
| Sutter Health | Commercial|All Plans | $3,228.00 | ↑ +5% |
| Healthsmart | Commercial|All Plans | $3,268.35 | ↑ +6% |
| MultiPlan | Commercial|All Plans | $3,349.05 | ↑ +9% |
| BCBS - Anthem | Commercial|All Other Plans | $3,792.90 | ↑ +24% |
| United | Commercial|HMO | $3,994.65 | ↑ +30% |
| United | Commercial|All Other Plans | $4,035.00 | ↑ +31% |
| BCBS - Anthem | Commercial|MCS | $4,035.00 | ↑ +31% |
| United | Commercial|Non-Options PPO | $4,035.00 | ↑ +31% |
| United | Commercial|Options PPO | $4,035.00 | ↑ +31% |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $2,323.67 | $1,008.75 – $4,035.00 |
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $16,875.00 – $36,750.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,934.83 | $100.00 – $3,212.00 |
| Bakersfield Memorial Hospital | Bakersfield | $5,230.86 | $100.00 – $14,110.47 |
| St. Joseph's Medical Center Stockton | Stockton | $2,546.34 | $100.00 – $2,754.36 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,730.04 | $197.22 – $197.22 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $5,446.00 | $1,680.00 – $6,860.00 |
| Northridge Hospital Medical Center | Northridge | $2,665.57 | $100.00 – $9,554.00 |