Pertussis ag if at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$72.58
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.
$252.00
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.
$3.54 with Western Health Advantage vs $35.39 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $3.54 | ↓ -95% |
| Blue Shield CA | Commercial|ACO Trio | $3.74 | ↓ -95% |
| Kaiser | Medicaid|All Plans | $4.15 | ↓ -94% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4.75 | ↓ -93% |
| Blue Shield CA | Commercial|Exchange | $4.95 | ↓ -93% |
| Blue Shield CA | Commercial|HMO | $7.18 | ↓ -90% |
| Blue Shield CA | Commercial|CalPers | $7.38 | ↓ -90% |
| BCBS - Anthem | Commercial|BRMS | $7.58 | ↓ -90% |
| First Health | Commercial|All Plans | $7.58 | ↓ -90% |
| Kaiser | Commercial|All Plans | $7.98 | ↓ -89% |
| Sutter Health | Commercial|All Plans | $8.08 | ↓ -89% |
| BCBS - Anthem | Commercial|Connection EPO | $8.08 | ↓ -89% |
| Healthsmart | Commercial|All Plans | $8.19 | ↓ -89% |
| MultiPlan | Commercial|All Plans | $8.39 | ↓ -88% |
| Blue Shield CA | Commercial|All Other Plans | $8.59 | ↓ -88% |
| BCBS - Anthem | Medicare|All Other Plans | $9.53 | ↓ -87% |
| Kaiser | Medicare|All Plans | $10.10 | ↓ -86% |
| Connected Care | Commercial|Intel | $10.10 | ↓ -86% |
| BCBS - Anthem | Commercial|All Other Plans | $10.10 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $10.10 | ↓ -86% |
| Humana | Commercial|All Plans | $10.10 | ↓ -86% |
| Blue Shield CA | Medicare|All Plans | $10.10 | ↓ -86% |
| BCBS - Anthem | Commercial|MCS | $10.10 | ↓ -86% |
| Humana | Medicare|All Plans | $10.10 | ↓ -86% |
| Aetna | Commercial|All Other Plans | $10.10 | ↓ -86% |
| Aetna | Commercial|PPO | $10.10 | ↓ -86% |
| Aetna | Medicare|All Plans | $10.10 | ↓ -86% |
| Aetna | Commercial|HMO | $10.10 | ↓ -86% |
| Molina | Medicaid|All Plans | $10.10 | ↓ -86% |
| United | Commercial|All Other Plans | $10.10 | ↓ -86% |
| United | Medicare|All Plans | $10.10 | ↓ -86% |
| United | Commercial|HMO | $10.10 | ↓ -86% |
| United | Commercial|Options PPO | $10.10 | ↓ -86% |
| United | Commercial|Non-Options PPO | $10.10 | ↓ -86% |
| United | Medicaid|< 21 | $10.10 | ↓ -86% |
| United | Medicaid|> 21 | $10.10 | ↓ -86% |
| Health Net | Medicaid|All Plans | $10.10 | ↓ -86% |
| Health Net | Medicare|All Plans | $10.10 | ↓ -86% |
| Hill Physicians | Commercial|All Plans | $10.10 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $10.10 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $10.10 | ↓ -86% |
| Partnership Health Plan | Medicaid|All Plans | $10.10 | ↓ -86% |
| California Health & Wellness | Medicaid|All Plans | $10.10 | ↓ -86% |
| BCBS - Anthem | Medicare|Imperial | $10.41 | ↓ -86% |
| Cigna | Commercial|LocalPlus | $26.54 | ↓ -63% |
| Cigna | Commercial|All Other Plans | $35.39 | ↓ -51% |
Visitor-reported prices
Comments
Pertussis ag if at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $54.94 | $3.54 – $26.54 |
| Banner Lassen Medical Center | Susanville | $10.60 | $2.40 – $18.43 |
| Sierra Nevada Memorial Hospital | Grass Valley | $125.90 | $6.77 – $10.10 |
| St. Mary Medical Center | Long Beach | $13.91 | $8.09 – $72.45 |
| Community Hospital San Bernardino | San Bernardino | $12.65 | $6.47 – $72.45 |
| Glendale Memorial Hospital Health Center | Glendale | $10.55 | $6.47 – $32.34 |
| Mercy San Juan Medical Center | Carmichael | $69.05 | $1.12 – $26.54 |
| St. Bernardine Medical Center | San Bernardino | $10.77 | $8.41 – $72.45 |