Prothrombin time substitution plasma fractions each at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$15.84
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.
$55.00
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.
$3.51 with Partnership Health Plan vs $55.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $3.51 | ↓ -78% |
| BCBS - Anthem | Medicare|All Other Plans | $3.72 | ↓ -77% |
| Kaiser | Medicare|All Plans | $3.94 | ↓ -75% |
| Health Net | Medicare|All Plans | $3.94 | ↓ -75% |
| Blue Shield CA | Medicare|All Plans | $3.94 | ↓ -75% |
| Aetna | Medicare|All Plans | $3.94 | ↓ -75% |
| Humana | Medicare|All Plans | $3.94 | ↓ -75% |
| Hill Physicians | Commercial|All Plans | $3.94 | ↓ -75% |
| Hill Physicians | Medicare|All Plans | $3.94 | ↓ -75% |
| Connected Care | Commercial|Intel | $3.94 | ↓ -75% |
| Humana | Commercial|All Plans | $3.94 | ↓ -75% |
| United | Medicare|All Plans | $3.94 | ↓ -75% |
| BCBS - Anthem | Medicare|Imperial | $4.06 | ↓ -74% |
| United | Commercial|All Other Plans | $4.73 | ↓ -70% |
| United | Commercial|HMO | $4.73 | ↓ -70% |
| United | Commercial|Options PPO | $4.73 | ↓ -70% |
| United | Commercial|Non-Options PPO | $4.73 | ↓ -70% |
| United | Medicaid|< 21 | $5.03 | ↓ -68% |
| United | Medicaid|> 21 | $5.03 | ↓ -68% |
| Hill Physicians | Medicaid|All Plans | $5.53 | ↓ -65% |
| Molina | Medicaid|All Plans | $6.60 | ↓ -58% |
| Cigna | Commercial|LocalPlus | $8.72 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $9.12 | ↓ -42% |
| California Health & Wellness | Medicaid|All Plans | $11.57 | ↓ -27% |
| Health Net | Medicaid|All Plans | $11.57 | ↓ -27% |
| Cigna | Commercial|All Other Plans | $11.63 | ↓ -27% |
| Western Health Advantage | Commercial|All Plans | $19.25 | ↑ +22% |
| Blue Shield CA | Commercial|ACO Trio | $20.35 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $22.55 | ↑ +42% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $25.85 | ↑ +63% |
| Blue Shield CA | Commercial|Exchange | $26.95 | ↑ +70% |
| Aetna | Commercial|HMO | $27.19 | ↑ +72% |
| Aetna | Commercial|All Other Plans | $27.19 | ↑ +72% |
| Aetna | Commercial|PPO | $27.19 | ↑ +72% |
| Blue Shield CA | Commercial|HMO | $39.05 | ↑ +147% |
| Blue Shield CA | Commercial|CalPers | $40.15 | ↑ +153% |
| First Health | Commercial|All Plans | $41.25 | ↑ +160% |
| BCBS - Anthem | Commercial|BRMS | $41.25 | ↑ +160% |
| Kaiser | Commercial|All Plans | $43.45 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $44.00 | ↑ +178% |
| Sutter Health | Commercial|All Plans | $44.00 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $44.55 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $45.65 | ↑ +188% |
| Blue Shield CA | Commercial|All Other Plans | $46.75 | ↑ +195% |
| BCBS - Anthem | Commercial|MCS | $55.00 | ↑ +247% |
| BCBS - Anthem | Commercial|All Other Plans | $55.00 | ↑ +247% |
Visitor-reported prices
Comments
Prothrombin time substitution plasma fractions each at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $11.99 | $3.51 – $44.00 |
| St. John's Camarillo Hospital | Camarillo | $5.90 | $3.64 – $10.50 |
| Banner Lassen Medical Center | Susanville | $34.57 | $0.79 – $56.26 |
| Petaluma Valley Hospital | Petaluma | $5.65 | $3.86 – $32.15 |
| Arroyo Grande Hospital | Santa Maria | $32.10 | $3.94 – $10.15 |
| French Hospital | San Luis Obispo | $29.40 | $2.70 – $11.93 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5.57 | $3.94 – $12.12 |
| Bakersfield Memorial Hospital | Bakersfield | $5.51 | $3.94 – $11.32 |