Replace duod/jej tube perc at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$587.24
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.
$2,039.00
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.
$86.10 with Hill Physicians vs $9,228.00 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 | $86.10 | ↓ -85% |
| United | Medicaid|> 21 | $677.96 | ↑ +15% |
| United | Medicaid|< 21 | $677.96 | ↑ +15% |
| Western Health Advantage | Commercial|All Plans | $685.30 | ↑ +17% |
| Hill Physicians | Medicaid|All Plans | $745.76 | ↑ +27% |
| Hill Physicians | Medicare|All Plans | $785.02 | ↑ +34% |
| Kaiser | Medicaid|All Plans | $802.78 | ↑ +37% |
| BCBS - Anthem | Medicare|All Other Plans | $1,161.82 | ↑ +98% |
| Humana | Commercial|All Plans | $1,232.05 | ↑ +110% |
| Humana | Medicare|All Plans | $1,232.05 | ↑ +110% |
| Aetna | Medicare|All Plans | $1,232.05 | ↑ +110% |
| Health Net | Medicare|All Plans | $1,232.05 | ↑ +110% |
| Kaiser | Medicare|All Plans | $1,232.05 | ↑ +110% |
| Connected Care | Commercial|Intel | $1,232.05 | ↑ +110% |
| Blue Shield CA | Medicare|All Plans | $1,232.05 | ↑ +110% |
| United | Medicare|All Plans | $1,256.70 | ↑ +114% |
| BCBS - Anthem | Medicare|Imperial | $1,269.01 | ↑ +116% |
| Molina | Medicaid|All Plans | $1,274.56 | ↑ +117% |
| BCBS - Anthem | Medicaid|All Plans | $1,288.12 | ↑ +119% |
| First Health | Commercial|All Plans | $1,468.50 | ↑ +150% |
| Kaiser | Commercial|All Plans | $1,546.82 | ↑ +163% |
| California Health & Wellness | Medicaid|All Plans | $1,559.31 | ↑ +166% |
| Health Net | Medicaid|All Plans | $1,559.31 | ↑ +166% |
| Sutter Health | Commercial|All Plans | $1,566.40 | ↑ +167% |
| BCBS - Anthem | Commercial|BRMS | $1,566.40 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $1,585.98 | ↑ +170% |
| MultiPlan | Commercial|All Plans | $1,625.14 | ↑ +177% |
| United | Commercial|HMO | $1,938.42 | ↑ +230% |
| United | Commercial|All Other Plans | $1,958.00 | ↑ +233% |
| Partnership Health Plan | Medicaid|All Plans | $1,958.00 | ↑ +233% |
| United | Commercial|Options PPO | $1,958.00 | ↑ +233% |
| United | Commercial|Non-Options PPO | $1,958.00 | ↑ +233% |
| Health Net | Commercial|EPPO | $4,808.00 | ↑ +719% |
| Aetna | Commercial|All Other Plans | $5,532.00 | ↑ +842% |
| Aetna | Commercial|PPO | $5,532.00 | ↑ +842% |
| Aetna | Commercial|HMO | $5,532.00 | ↑ +842% |
| BCBS - Anthem | Commercial|Connection EPO | $5,537.00 | ↑ +843% |
| BCBS - Anthem | Commercial|All Other Plans | $6,921.00 | ↑ +1079% |
| BCBS - Anthem | Commercial|MCS | $9,205.00 | ↑ +1468% |
| Health Net | Commercial|FFS | $9,228.00 | ↑ +1471% |
Visitor-reported prices
Comments
Replace duod/jej tube perc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $444.51 | $86.10 – $1,958.00 |
| St. John's Camarillo Hospital | Camarillo | $559.77 | $345.06 – $2,072.04 |
| Petaluma Valley Hospital | Petaluma | $1,671.27 | $1,222.26 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $919.35 | $677.96 – $2,076.62 |
| French Hospital | San Luis Obispo | $1,007.44 | $523.53 – $1,900.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $957.56 | $677.96 – $1,633.88 |
| Bakersfield Memorial Hospital | Bakersfield | $966.32 | $677.96 – $1,633.88 |
| Queen of The Valley Medical Center | Napa | $1,858.44 | $1,287.79 – $7,483.00 |