Pinworm exam at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$13.83
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.
$48.00
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.
$3.80 with United vs $48.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $3.80 | ↓ -73% |
| Partnership Health Plan | Medicaid|All Plans | $3.80 | ↓ -73% |
| United | Medicaid|< 21 | $3.80 | ↓ -73% |
| BCBS - Anthem | Medicare|All Other Plans | $4.03 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $4.18 | ↓ -70% |
| Aetna | Medicare|All Plans | $4.27 | ↓ -69% |
| Blue Shield CA | Medicare|All Plans | $4.27 | ↓ -69% |
| Health Net | Medicare|All Plans | $4.27 | ↓ -69% |
| Hill Physicians | Commercial|All Plans | $4.27 | ↓ -69% |
| Kaiser | Medicare|All Plans | $4.27 | ↓ -69% |
| Humana | Commercial|All Plans | $4.27 | ↓ -69% |
| United | Medicare|All Plans | $4.27 | ↓ -69% |
| Humana | Medicare|All Plans | $4.27 | ↓ -69% |
| Hill Physicians | Medicare|All Plans | $4.27 | ↓ -69% |
| Connected Care | Commercial|Intel | $4.27 | ↓ -69% |
| BCBS - Anthem | Medicare|Imperial | $4.40 | ↓ -68% |
| United | Commercial|All Other Plans | $5.12 | ↓ -63% |
| United | Commercial|HMO | $5.12 | ↓ -63% |
| United | Commercial|Options PPO | $5.12 | ↓ -63% |
| United | Commercial|Non-Options PPO | $5.12 | ↓ -63% |
| Molina | Medicaid|All Plans | $7.14 | ↓ -48% |
| BCBS - Anthem | Medicaid|All Plans | $7.22 | ↓ -48% |
| California Health & Wellness | Medicaid|All Plans | $8.74 | ↓ -37% |
| Health Net | Medicaid|All Plans | $8.74 | ↓ -37% |
| Cigna | Commercial|LocalPlus | $9.47 | ↓ -32% |
| Cigna | Commercial|All Other Plans | $12.63 | ↓ -9% |
| Western Health Advantage | Commercial|All Plans | $16.80 | ↑ +21% |
| Blue Shield CA | Commercial|ACO Trio | $17.76 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $19.68 | ↑ +42% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $22.56 | ↑ +63% |
| Blue Shield CA | Commercial|Exchange | $23.52 | ↑ +70% |
| Aetna | Commercial|PPO | $29.50 | ↑ +113% |
| Aetna | Commercial|All Other Plans | $29.50 | ↑ +113% |
| Aetna | Commercial|HMO | $29.50 | ↑ +113% |
| Blue Shield CA | Commercial|HMO | $34.08 | ↑ +146% |
| Blue Shield CA | Commercial|CalPers | $35.04 | ↑ +153% |
| BCBS - Anthem | Commercial|BRMS | $36.00 | ↑ +160% |
| First Health | Commercial|All Plans | $36.00 | ↑ +160% |
| Kaiser | Commercial|All Plans | $37.92 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $38.40 | ↑ +178% |
| Sutter Health | Commercial|All Plans | $38.40 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $38.88 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $39.84 | ↑ +188% |
| Blue Shield CA | Commercial|All Other Plans | $40.80 | ↑ +195% |
| BCBS - Anthem | Commercial|MCS | $48.00 | ↑ +247% |
| BCBS - Anthem | Commercial|All Other Plans | $48.00 | ↑ +247% |
Visitor-reported prices
Comments
Pinworm exam at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $10.47 | $3.80 – $38.40 |
| Banner Lassen Medical Center | Susanville | $11.16 | $0.85 – $19.40 |
| Arroyo Grande Hospital | Santa Maria | $106.15 | $3.41 – $12.74 |
| Mark Twain Medical Center | San Andreas | $40.63 | $3.80 – $15.85 |
| French Hospital | San Luis Obispo | $97.22 | $3.41 – $12.95 |
| Mercy Hospitals – Bakersfield | Bakersfield | $29.68 | $3.80 – $62.40 |
| Bakersfield Memorial Hospital | Bakersfield | $29.36 | $3.80 – $61.62 |
| Queen of The Valley Medical Center | Napa | $193.80 | $4.27 – $44.03 |