Plmt biliary drainage cath at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$3,315.17
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.
$11,511.00
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.
$358.62 with Hill Physicians vs $14,151.00 with Health Net — 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 | $358.62 | ↓ -89% |
| United | Medicaid|> 21 | $1,507.82 | ↓ -55% |
| United | Medicaid|< 21 | $1,507.82 | ↓ -55% |
| Hill Physicians | Medicare|All Plans | $1,537.49 | ↓ -54% |
| Hill Physicians | Medicaid|All Plans | $1,658.60 | ↓ -50% |
| Molina | Medicaid|All Plans | $2,834.70 | ↓ -14% |
| BCBS - Anthem | Medicaid|All Plans | $2,864.86 | ↓ -14% |
| Health Net | Medicaid|All Plans | $3,467.99 | ↑ +5% |
| California Health & Wellness | Medicaid|All Plans | $3,467.99 | ↑ +5% |
| Western Health Advantage | Commercial|All Plans | $3,867.85 | ↑ +17% |
| BCBS - Anthem | Medicare|All Other Plans | $4,373.20 | ↑ +32% |
| Kaiser | Medicaid|All Plans | $4,530.91 | ↑ +37% |
| Humana | Commercial|All Plans | $4,637.54 | ↑ +40% |
| Humana | Medicare|All Plans | $4,637.54 | ↑ +40% |
| Aetna | Medicare|All Plans | $4,637.54 | ↑ +40% |
| Health Net | Medicare|All Plans | $4,637.54 | ↑ +40% |
| Kaiser | Medicare|All Plans | $4,637.54 | ↑ +40% |
| Connected Care | Commercial|Intel | $4,637.54 | ↑ +40% |
| Blue Shield CA | Medicare|All Plans | $4,637.54 | ↑ +40% |
| United | Medicare|All Plans | $4,730.30 | ↑ +43% |
| BCBS - Anthem | Medicare|Imperial | $4,776.67 | ↑ +44% |
| BCBS - Anthem | Commercial|Connection EPO | $5,537.00 | ↑ +67% |
| Partnership Health Plan | Medicaid|All Plans | $6,483.63 | ↑ +96% |
| BCBS - Anthem | Commercial|All Other Plans | $6,921.00 | ↑ +109% |
| Health Net | Commercial|EPPO | $7,371.00 | ↑ +122% |
| Aetna | Commercial|All Other Plans | $7,809.00 | ↑ +136% |
| Aetna | Commercial|HMO | $7,809.00 | ↑ +136% |
| Aetna | Commercial|PPO | $7,809.00 | ↑ +136% |
| First Health | Commercial|All Plans | $8,288.25 | ↑ +150% |
| Kaiser | Commercial|All Plans | $8,730.29 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $8,840.80 | ↑ +167% |
| BCBS - Anthem | Commercial|BRMS | $8,840.80 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $8,951.31 | ↑ +170% |
| MultiPlan | Commercial|All Plans | $9,172.33 | ↑ +177% |
| BCBS - Anthem | Commercial|MCS | $9,205.00 | ↑ +178% |
| United | Commercial|HMO | $10,940.49 | ↑ +230% |
| United | Commercial|Non-Options PPO | $11,051.00 | ↑ +233% |
| United | Commercial|Options PPO | $11,051.00 | ↑ +233% |
| United | Commercial|All Other Plans | $11,051.00 | ↑ +233% |
| Health Net | Commercial|FFS | $14,151.00 | ↑ +327% |
Visitor-reported prices
Comments
Plmt biliary drainage cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $2,509.40 | $358.62 – $8,840.80 |
| St. John's Camarillo Hospital | Camarillo | $3,075.64 | $1,895.94 – $8,890.24 |
| Arroyo Grande Hospital | Santa Maria | $5,416.34 | $1,507.82 – $6,588.54 |
| French Hospital | San Luis Obispo | $5,167.35 | $1,507.82 – $6,588.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,721.13 | $1,507.82 – $8,024.00 |
| Bakersfield Memorial Hospital | Bakersfield | $3,407.97 | $1,507.82 – $7,335.94 |
| Providence St Joseph Hospital Eureka | Eureka | $5,330.52 | $4,604.99 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,762.67 | $1,507.82 – $25,036.20 |