Passy muir valve metal trach at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$216.00
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.
$750.00
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.
$101.20 with Kaiser vs $418.00 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 |
|---|---|---|---|
| Kaiser | Commercial|All Plans | $101.20 | ↓ -53% |
| Kaiser | Medicaid|All Plans | $101.20 | ↓ -53% |
| Kaiser | Medicare|All Plans | $101.20 | ↓ -53% |
| BCBS - Anthem | Medicaid|All Plans | $105.60 | ↓ -51% |
| Partnership Health Plan | Medicaid|All Plans | $110.00 | ↓ -49% |
| Molina | Medicaid|All Plans | $114.40 | ↓ -47% |
| Health Net | Medicaid|All Plans | $123.20 | ↓ -43% |
| California Health & Wellness | Medicaid|All Plans | $123.20 | ↓ -43% |
| Health Net | Commercial|EPPO | $167.20 | ↓ -23% |
| Cigna | Commercial|LocalPlus | $176.00 | ↓ -19% |
| United | Commercial|Non-Options PPO | $224.40 | ↑ +4% |
| Cigna | Commercial|All Other Plans | $233.20 | ↑ +8% |
| United | Commercial|Options PPO | $250.80 | ↑ +16% |
| United | Commercial|All Other Plans | $250.80 | ↑ +16% |
| Blue Shield CA | Commercial|ACO Trio | $264.00 | ↑ +22% |
| United | Commercial|HMO | $268.40 | ↑ +24% |
| Western Health Advantage | Commercial|All Plans | $286.00 | ↑ +32% |
| BCBS - Anthem | Commercial|BRMS | $316.80 | ↑ +47% |
| Health Net | Commercial|FFS | $321.20 | ↑ +49% |
| First Health | Commercial|All Plans | $330.00 | ↑ +53% |
| Blue Shield CA | Commercial|Exchange | $334.40 | ↑ +55% |
| BCBS - Anthem | Commercial|Connection EPO | $334.40 | ↑ +55% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $334.40 | ↑ +55% |
| Sutter Health | Commercial|All Plans | $352.00 | ↑ +63% |
| Healthsmart | Commercial|All Plans | $356.40 | ↑ +65% |
| MultiPlan | Commercial|All Plans | $365.20 | ↑ +69% |
| Blue Shield CA | Commercial|HMO | $396.00 | ↑ +83% |
| Aetna | Commercial|PPO | $396.00 | ↑ +83% |
| Aetna | Commercial|HMO | $396.00 | ↑ +83% |
| Blue Shield CA | Commercial|All Other Plans | $396.00 | ↑ +83% |
| Aetna | Commercial|All Other Plans | $396.00 | ↑ +83% |
| Blue Shield CA | Commercial|CalPers | $400.40 | ↑ +85% |
| BCBS - Anthem | Commercial|MCS | $418.00 | ↑ +94% |
| BCBS - Anthem | Commercial|All Other Plans | $418.00 | ↑ +94% |
Visitor-reported prices
Comments
Passy muir valve metal trach at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $163.50 | $101.20 – $391.60 |
| St. John's Camarillo Hospital | Camarillo | $200.17 | $63.84 – $207.48 |
| Petaluma Valley Hospital | Petaluma | $466.79 | not published |
| Arroyo Grande Hospital | Santa Maria | $256.38 | $61.18 – $260.68 |
| French Hospital | San Luis Obispo | $234.81 | $50.54 – $260.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $246.72 | $73.75 – $265.50 |
| Bakersfield Memorial Hospital | Bakersfield | $244.06 | $73.75 – $286.15 |
| Queen of The Valley Medical Center | Napa | $466.79 | not published |