Perq dev breast 1st strtctc at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$243.65
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.
$846.00
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.
$97.81 with Hill Physicians vs $7,809.00 with Aetna — 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 | $97.81 | ↓ -60% |
| United | Medicaid|> 21 | $244.60 | ↑ +0% |
| United | Medicaid|< 21 | $244.60 | ↑ +0% |
| Hill Physicians | Medicaid|All Plans | $269.06 | ↑ +10% |
| Hill Physicians | Medicare|All Plans | $294.83 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $296.10 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $346.86 | ↑ +42% |
| Molina | Medicaid|All Plans | $459.85 | ↑ +89% |
| BCBS - Anthem | Medicaid|All Plans | $464.74 | ↑ +91% |
| Health Net | Medicaid|All Plans | $562.58 | ↑ +131% |
| California Health & Wellness | Medicaid|All Plans | $562.58 | ↑ +131% |
| First Health | Commercial|All Plans | $634.50 | ↑ +160% |
| Kaiser | Commercial|All Plans | $668.34 | ↑ +174% |
| BCBS - Anthem | Commercial|BRMS | $676.80 | ↑ +178% |
| Sutter Health | Commercial|All Plans | $676.80 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $685.26 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $702.18 | ↑ +188% |
| BCBS - Anthem | Medicare|All Other Plans | $797.78 | ↑ +227% |
| United | Commercial|HMO | $837.54 | ↑ +244% |
| Humana | Commercial|All Plans | $846.00 | ↑ +247% |
| Humana | Medicare|All Plans | $846.00 | ↑ +247% |
| Aetna | Medicare|All Plans | $846.00 | ↑ +247% |
| United | Commercial|All Other Plans | $846.00 | ↑ +247% |
| United | Commercial|Options PPO | $846.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $846.00 | ↑ +247% |
| Health Net | Medicare|All Plans | $846.00 | ↑ +247% |
| Kaiser | Medicare|All Plans | $846.00 | ↑ +247% |
| Connected Care | Commercial|Intel | $846.00 | ↑ +247% |
| Partnership Health Plan | Medicaid|All Plans | $846.00 | ↑ +247% |
| United | Medicare|All Plans | $862.92 | ↑ +254% |
| BCBS - Anthem | Medicare|Imperial | $871.38 | ↑ +258% |
| Blue Shield CA | Medicare|All Plans | $924.59 | ↑ +279% |
| BCBS - Anthem | Commercial|Connection EPO | $2,838.00 | ↑ +1065% |
| BCBS - Anthem | Commercial|All Other Plans | $3,547.00 | ↑ +1356% |
| Health Net | Commercial|EPPO | $3,882.00 | ↑ +1493% |
| BCBS - Anthem | Commercial|MCS | $4,718.00 | ↑ +1836% |
| Health Net | Commercial|FFS | $7,452.00 | ↑ +2958% |
| Aetna | Commercial|All Other Plans | $7,809.00 | ↑ +3105% |
| Aetna | Commercial|HMO | $7,809.00 | ↑ +3105% |
| Aetna | Commercial|PPO | $7,809.00 | ↑ +3105% |
Visitor-reported prices
Comments
Perq dev breast 1st strtctc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $184.43 | $97.81 – $930.60 |
| St. John's Camarillo Hospital | Camarillo | $1,861.94 | $370.06 – $3,315.78 |
| Petaluma Valley Hospital | Petaluma | $4,794.51 | $954.29 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $2,063.39 | $244.60 – $2,192.26 |
| French Hospital | San Luis Obispo | $1,519.79 | $244.60 – $1,948.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $700.82 | $244.60 – $1,336.00 |
| Bakersfield Memorial Hospital | Bakersfield | $665.38 | $244.60 – $1,319.30 |
| Queen of The Valley Medical Center | Napa | $3,487.38 | $1,005.45 – $6,200.00 |