Quant diff pulm perf w/imaging at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$1,271.24
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.
$4,414.00
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.
$165.44 with Hill Physicians vs $4,023.11 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $165.44 | ↓ -87% |
| United | Medicaid|> 21 | $177.59 | ↓ -86% |
| United | Medicaid|< 21 | $177.59 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $195.35 | ↓ -85% |
| Hill Physicians | Medicare|All Plans | $221.54 | ↓ -83% |
| Molina | Medicaid|All Plans | $333.87 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $337.42 | ↓ -73% |
| Health Net | Medicaid|All Plans | $408.46 | ↓ -68% |
| California Health & Wellness | Medicaid|All Plans | $408.46 | ↓ -68% |
| BCBS - Anthem | Medicare|All Other Plans | $497.94 | ↓ -61% |
| Humana | Medicare|All Plans | $528.04 | ↓ -58% |
| Aetna | Medicare|All Plans | $528.04 | ↓ -58% |
| Health Net | Medicare|All Plans | $528.04 | ↓ -58% |
| Humana | Commercial|All Plans | $528.04 | ↓ -58% |
| Blue Shield CA | Medicare|All Plans | $528.04 | ↓ -58% |
| Kaiser | Medicare|All Plans | $528.04 | ↓ -58% |
| Connected Care | Commercial|Intel | $528.04 | ↓ -58% |
| United | Medicare|All Plans | $538.61 | ↓ -58% |
| BCBS - Anthem | Medicare|Imperial | $543.88 | ↓ -57% |
| Aetna | Commercial|HMO | $607.39 | ↓ -52% |
| Aetna | Commercial|PPO | $607.39 | ↓ -52% |
| Aetna | Commercial|All Other Plans | $607.39 | ↓ -52% |
| Partnership Health Plan | Medicaid|All Plans | $763.64 | ↓ -40% |
| United | Commercial|Options PPO | $848.52 | ↓ -33% |
| United | Commercial|Non-Options PPO | $848.52 | ↓ -33% |
| United | Commercial|HMO | $848.52 | ↓ -33% |
| United | Commercial|All Other Plans | $848.52 | ↓ -33% |
| Cigna | Commercial|LocalPlus | $1,523.13 | ↑ +20% |
| Western Health Advantage | Commercial|All Plans | $1,544.90 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $1,809.74 | ↑ +42% |
| Cigna | Commercial|All Other Plans | $2,030.99 | ↑ +60% |
| BCBS - Anthem | Commercial|Connection EPO | $2,420.32 | ↑ +90% |
| BCBS - Anthem | Commercial|All Other Plans | $3,025.40 | ↑ +138% |
| First Health | Commercial|All Plans | $3,310.50 | ↑ +160% |
| Kaiser | Commercial|All Plans | $3,487.06 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,531.20 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $3,575.34 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $3,663.62 | ↑ +188% |
| BCBS - Anthem | Commercial|BRMS | $3,707.76 | ↑ +192% |
| BCBS - Anthem | Commercial|MCS | $4,023.11 | ↑ +216% |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $962.26 | $165.44 – $3,531.20 |
| Arroyo Grande Hospital | Santa Maria | $1,588.31 | $177.59 – $3,463.32 |
| Mark Twain Medical Center | San Andreas | $3,372.63 | $177.59 – $4,848.06 |
| French Hospital | San Luis Obispo | $1,267.73 | $177.59 – $2,083.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $279.00 | $177.59 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $275.99 | $177.59 – $1,976.45 |
| St. Joseph's Medical Center Stockton | Stockton | $207.86 | $111.51 – $531.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $987.84 | $437.05 – $951.22 |