Inj proc myelogram lumbar at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$1,033.35
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.
$3,588.00
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.
$83.20 with Hill Physicians vs $9,205.00 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 | $83.20 | ↓ -92% |
| United | Medicaid|< 21 | $101.68 | ↓ -90% |
| United | Medicaid|> 21 | $101.68 | ↓ -90% |
| Molina | Medicaid|All Plans | $166.59 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $176.31 | ↓ -83% |
| Hill Physicians | Medicare|All Plans | $216.59 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $241.49 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $368.64 | ↓ -64% |
| Health Net | Medicaid|All Plans | $368.64 | ↓ -64% |
| Partnership Health Plan | Medicaid|All Plans | $546.54 | ↓ -47% |
| Western Health Advantage | Commercial|All Plans | $1,205.40 | ↑ +17% |
| Kaiser | Medicaid|All Plans | $1,412.04 | ↑ +37% |
| First Health | Commercial|All Plans | $2,583.00 | ↑ +150% |
| Kaiser | Commercial|All Plans | $2,720.76 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $2,755.20 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $2,789.64 | ↑ +170% |
| MultiPlan | Commercial|All Plans | $2,858.52 | ↑ +177% |
| United | Commercial|HMO | $3,409.56 | ↑ +230% |
| United | Commercial|Non-Options PPO | $3,444.00 | ↑ +233% |
| United | Commercial|Options PPO | $3,444.00 | ↑ +233% |
| United | Commercial|All Other Plans | $3,444.00 | ↑ +233% |
| Aetna | Commercial|HMO | $5,532.00 | ↑ +435% |
| Aetna | Commercial|PPO | $5,532.00 | ↑ +435% |
| Aetna | Commercial|All Other Plans | $5,532.00 | ↑ +435% |
| BCBS - Anthem | Commercial|Connection EPO | $5,537.00 | ↑ +436% |
| BCBS - Anthem | Commercial|All Other Plans | $6,921.00 | ↑ +570% |
| BCBS - Anthem | Commercial|MCS | $9,205.00 | ↑ +791% |
Visitor-reported prices
Comments
Inj proc myelogram lumbar at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $782.19 | $83.20 – $2,755.20 |
| St. John's Camarillo Hospital | Camarillo | $162.50 | $100.17 – $289.38 |
| Banner Lassen Medical Center | Susanville | $373.23 | $146.21 – $693.55 |
| Petaluma Valley Hospital | Petaluma | $1,088.34 | $464.59 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $353.53 | $101.68 – $753.62 |
| Mark Twain Medical Center | San Andreas | $2,349.65 | $101.68 – $1,360.24 |
| French Hospital | San Luis Obispo | $330.46 | $101.68 – $785.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $201.83 | $101.68 – $484.16 |