Pr incision & drainage abscess complicated/multiple at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$190.37
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.
$661.00
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.
$108.67 with United vs $6,019.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $108.67 | ↓ -43% |
| United | Medicaid|< 21 | $108.67 | ↓ -43% |
| Hill Physicians | Medicaid|All Plans | $119.54 | ↓ -37% |
| Molina | Medicaid|All Plans | $142.43 | ↓ -25% |
| Hill Physicians | Commercial|All Plans | $192.45 | ↑ +1% |
| BCBS - Anthem | Medicaid|All Plans | $206.47 | ↑ +8% |
| Hill Physicians | Medicare|All Plans | $224.91 | ↑ +18% |
| Western Health Advantage | Commercial|All Plans | $231.35 | ↑ +22% |
| California Health & Wellness | Medicaid|All Plans | $249.94 | ↑ +31% |
| Health Net | Medicaid|All Plans | $249.94 | ↑ +31% |
| Kaiser | Medicaid|All Plans | $271.01 | ↑ +42% |
| Partnership Health Plan | Medicaid|All Plans | $467.28 | ↑ +145% |
| BCBS - Anthem | Medicare|All Other Plans | $495.09 | ↑ +160% |
| First Health | Commercial|All Plans | $495.75 | ↑ +160% |
| Kaiser | Commercial|All Plans | $522.19 | ↑ +174% |
| Humana | Commercial|All Plans | $525.02 | ↑ +176% |
| Humana | Medicare|All Plans | $525.02 | ↑ +176% |
| Aetna | Medicare|All Plans | $525.02 | ↑ +176% |
| Health Net | Medicare|All Plans | $525.02 | ↑ +176% |
| Kaiser | Medicare|All Plans | $525.02 | ↑ +176% |
| Connected Care | Commercial|Intel | $525.02 | ↑ +176% |
| Blue Shield CA | Medicare|All Plans | $525.02 | ↑ +176% |
| Sutter Health | Commercial|All Plans | $528.80 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $535.41 | ↑ +181% |
| United | Medicare|All Plans | $535.53 | ↑ +181% |
| BCBS - Anthem | Medicare|Imperial | $540.77 | ↑ +184% |
| MultiPlan | Commercial|All Plans | $548.63 | ↑ +188% |
| United | Commercial|HMO | $654.39 | ↑ +244% |
| United | Commercial|Non-Options PPO | $661.00 | ↑ +247% |
| United | Commercial|All Other Plans | $661.00 | ↑ +247% |
| United | Commercial|Options PPO | $661.00 | ↑ +247% |
| BCBS - Anthem | Commercial|Connection EPO | $2,838.00 | ↑ +1391% |
| Health Net | Commercial|EPPO | $3,135.00 | ↑ +1547% |
| BCBS - Anthem | Commercial|All Other Plans | $3,547.00 | ↑ +1763% |
| BCBS - Anthem | Commercial|MCS | $4,718.00 | ↑ +2378% |
| Aetna | Commercial|All Other Plans | $5,532.00 | ↑ +2806% |
| Aetna | Commercial|PPO | $5,532.00 | ↑ +2806% |
| Aetna | Commercial|HMO | $5,532.00 | ↑ +2806% |
| Health Net | Commercial|FFS | $6,019.00 | ↑ +3062% |
Visitor-reported prices
Comments
Pr incision & drainage abscess complicated/multiple at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $144.10 | $108.67 – $577.52 |
| St. John's Camarillo Hospital | Camarillo | $216.63 | $140.94 – $936.40 |
| Petaluma Valley Hospital | Petaluma | $851.19 | $547.82 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | $323.57 | $108.67 – $740.88 |
| Mark Twain Medical Center | San Andreas | $333.00 | $108.67 – $466.48 |
| French Hospital | San Luis Obispo | $305.37 | $108.67 – $763.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $463.38 | $108.67 – $999.20 |
| Bakersfield Memorial Hospital | Bakersfield | $458.39 | $108.67 – $986.71 |