MRI breast without cont bi at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$1,460.16
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.
$5,070.00
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.
$164.14 with Hill Physicians vs $7,195.00 with Cigna — 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 | $164.14 | ↓ -89% |
| United | Medicaid|> 21 | $214.07 | ↓ -85% |
| United | Medicaid|< 21 | $214.07 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $235.48 | ↓ -84% |
| Hill Physicians | Medicare|All Plans | $265.83 | ↓ -82% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -79% |
| Humana | Commercial|All Plans | $317.64 | ↓ -78% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -78% |
| Connected Care | Commercial|Intel | $317.64 | ↓ -78% |
| Blue Shield CA | Medicare|All Plans | $317.64 | ↓ -78% |
| Humana | Medicare|All Plans | $317.64 | ↓ -78% |
| Health Net | Medicare|All Plans | $317.64 | ↓ -78% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -78% |
| United | Medicare|All Plans | $324.00 | ↓ -78% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -78% |
| Molina | Medicaid|All Plans | $402.45 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $406.73 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $492.36 | ↓ -66% |
| Health Net | Medicaid|All Plans | $492.36 | ↓ -66% |
| United | Commercial|Options PPO | $517.79 | ↓ -65% |
| United | Commercial|HMO | $517.79 | ↓ -65% |
| United | Commercial|Non-Options PPO | $517.79 | ↓ -65% |
| United | Commercial|All Other Plans | $517.79 | ↓ -65% |
| Partnership Health Plan | Medicaid|All Plans | $920.50 | ↓ -37% |
| Aetna | Commercial|All Other Plans | $1,361.78 | ↓ -7% |
| Aetna | Commercial|HMO | $1,361.78 | ↓ -7% |
| Aetna | Commercial|PPO | $1,361.78 | ↓ -7% |
| Western Health Advantage | Commercial|All Plans | $1,774.50 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $2,078.70 | ↑ +42% |
| BCBS - Anthem | Commercial|Connection EPO | $3,131.69 | ↑ +114% |
| First Health | Commercial|All Plans | $3,802.50 | ↑ +160% |
| BCBS - Anthem | Commercial|BRMS | $3,802.50 | ↑ +160% |
| BCBS - Anthem | Commercial|All Other Plans | $3,914.61 | ↑ +168% |
| Kaiser | Commercial|All Plans | $4,005.30 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,056.00 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $4,106.70 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $4,208.10 | ↑ +188% |
| BCBS - Anthem | Commercial|MCS | $5,070.00 | ↑ +247% |
| Cigna | Commercial|LocalPlus | $5,397.00 | ↑ +270% |
| Cigna | Commercial|All Other Plans | $7,195.00 | ↑ +393% |
Visitor-reported prices
Comments
MRI breast without cont bi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $1,105.26 | $164.14 – $5,397.00 |
| St. John's Camarillo Hospital | Camarillo | $2,141.82 | $307.13 – $3,814.20 |
| Banner Lassen Medical Center | Susanville | $1,241.96 | $48.34 – $1,733.39 |
| Arroyo Grande Hospital | Santa Maria | $1,581.89 | $214.07 – $3,294.76 |
| Mark Twain Medical Center | San Andreas | $10,247.08 | $214.07 – $3,829.84 |
| French Hospital | San Luis Obispo | $1,263.81 | $214.07 – $2,111.00 |
| Queen of The Valley Medical Center | Napa | $4,849.59 | $338.78 – $1,767.69 |
| Providence St Joseph Hospital Eureka | Eureka | $3,839.28 | $306.88 – $1,932.98 |