Myelography l-s spine at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$1,131.84
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.
$3,930.00
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.
$76.46 with Hill Physicians vs $3,854.60 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 | $76.46 | ↓ -93% |
| Hill Physicians | Medicare|All Plans | $117.26 | ↓ -90% |
| United | Medicaid|< 21 | $117.59 | ↓ -90% |
| United | Medicaid|> 21 | $117.59 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $129.35 | ↓ -89% |
| Molina | Medicaid|All Plans | $154.12 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $254.14 | ↓ -78% |
| California Health & Wellness | Medicaid|All Plans | $270.46 | ↓ -76% |
| Health Net | Medicaid|All Plans | $270.46 | ↓ -76% |
| Aetna | Commercial|All Other Plans | $361.34 | ↓ -68% |
| Aetna | Commercial|PPO | $361.34 | ↓ -68% |
| Aetna | Commercial|HMO | $361.34 | ↓ -68% |
| Partnership Health Plan | Medicaid|All Plans | $505.65 | ↓ -55% |
| BCBS - Anthem | Medicare|All Other Plans | $979.04 | ↓ -14% |
| Kaiser | Medicare|All Plans | $1,038.22 | ↓ -8% |
| Humana | Medicare|All Plans | $1,038.22 | ↓ -8% |
| Humana | Commercial|All Plans | $1,038.22 | ↓ -8% |
| Aetna | Medicare|All Plans | $1,038.22 | ↓ -8% |
| Blue Shield CA | Medicare|All Plans | $1,038.22 | ↓ -8% |
| Health Net | Medicare|All Plans | $1,038.22 | ↓ -8% |
| Connected Care | Commercial|Intel | $1,038.22 | ↓ -8% |
| United | Medicare|All Plans | $1,058.99 | ↓ -6% |
| BCBS - Anthem | Medicare|Imperial | $1,069.37 | ↓ -6% |
| Western Health Advantage | Commercial|All Plans | $1,310.05 | ↑ +16% |
| Kaiser | Medicaid|All Plans | $1,534.63 | ↑ +36% |
| United | Commercial|Non-Options PPO | $1,609.16 | ↑ +42% |
| United | Commercial|Options PPO | $1,609.16 | ↑ +42% |
| United | Commercial|HMO | $1,609.16 | ↑ +42% |
| United | Commercial|All Other Plans | $1,609.16 | ↑ +42% |
| BCBS - Anthem | Commercial|Connection EPO | $2,199.06 | ↑ +94% |
| BCBS - Anthem | Commercial|All Other Plans | $2,748.82 | ↑ +143% |
| First Health | Commercial|All Plans | $2,807.25 | ↑ +148% |
| Cigna | Commercial|LocalPlus | $2,890.74 | ↑ +155% |
| Kaiser | Commercial|All Plans | $2,956.97 | ↑ +161% |
| Sutter Health | Commercial|All Plans | $2,994.40 | ↑ +165% |
| BCBS - Anthem | Commercial|BRMS | $2,994.40 | ↑ +165% |
| Healthsmart | Commercial|All Plans | $3,031.83 | ↑ +168% |
| MultiPlan | Commercial|All Plans | $3,106.69 | ↑ +174% |
| BCBS - Anthem | Commercial|MCS | $3,655.33 | ↑ +223% |
| Cigna | Commercial|All Other Plans | $3,854.60 | ↑ +241% |
Visitor-reported prices
Comments
Myelography l-s spine at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $856.74 | $76.46 – $2,994.40 |
| St. John's Camarillo Hospital | Camarillo | $927.25 | $177.91 – $3,463.45 |
| Banner Lassen Medical Center | Susanville | $1,433.36 | $135.27 – $2,119.45 |
| Arroyo Grande Hospital | Santa Maria | $2,938.65 | $117.59 – $6,728.68 |
| Mark Twain Medical Center | San Andreas | $1,634.37 | $117.59 – $604.66 |
| French Hospital | San Luis Obispo | $730.30 | $117.59 – $3,953.87 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,362.69 | $117.59 – $3,751.09 |
| Bakersfield Memorial Hospital | Bakersfield | $1,348.00 | $117.59 – $3,751.09 |