Rmvl icd gen w/rplc icd gen sgl lead sys at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$5,252.84
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.
$18,239.00
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.
$301.56 with United vs $51,021.00 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 | $301.56 | ↓ -94% |
| United | Medicaid|< 21 | $301.56 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $331.72 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $364.08 | ↓ -93% |
| Hill Physicians | Medicare|All Plans | $383.94 | ↓ -93% |
| Molina | Medicaid|All Plans | $566.93 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $573.31 | ↓ -89% |
| Health Net | Medicaid|All Plans | $693.59 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $693.59 | ↓ -87% |
| Partnership Health Plan | Medicaid|All Plans | $1,296.71 | ↓ -75% |
| BCBS - Anthem | Commercial|Connection EPO | $5,537.00 | ↑ +5% |
| Western Health Advantage | Commercial|All Plans | $6,383.65 | ↑ +22% |
| BCBS - Anthem | Commercial|All Other Plans | $6,921.00 | ↑ +32% |
| Kaiser | Medicaid|All Plans | $7,477.99 | ↑ +42% |
| Aetna | Commercial|HMO | $8,848.00 | ↑ +68% |
| Aetna | Commercial|PPO | $8,848.00 | ↑ +68% |
| Aetna | Commercial|All Other Plans | $8,848.00 | ↑ +68% |
| BCBS - Anthem | Commercial|MCS | $9,205.00 | ↑ +75% |
| First Health | Commercial|All Plans | $13,679.25 | ↑ +160% |
| Kaiser | Commercial|All Plans | $14,408.81 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $14,591.20 | ↑ +178% |
| BCBS - Anthem | Commercial|BRMS | $14,591.20 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $14,773.59 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $15,138.37 | ↑ +188% |
| BCBS - Anthem | Medicare|All Other Plans | $17,199.38 | ↑ +227% |
| United | Commercial|HMO | $18,056.61 | ↑ +244% |
| Humana | Commercial|All Plans | $18,239.00 | ↑ +247% |
| Humana | Medicare|All Plans | $18,239.00 | ↑ +247% |
| Aetna | Medicare|All Plans | $18,239.00 | ↑ +247% |
| United | Commercial|All Other Plans | $18,239.00 | ↑ +247% |
| United | Commercial|Options PPO | $18,239.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $18,239.00 | ↑ +247% |
| Health Net | Medicare|All Plans | $18,239.00 | ↑ +247% |
| Kaiser | Medicare|All Plans | $18,239.00 | ↑ +247% |
| Connected Care | Commercial|Intel | $18,239.00 | ↑ +247% |
| United | Medicare|All Plans | $18,603.78 | ↑ +254% |
| BCBS - Anthem | Medicare|Imperial | $18,786.17 | ↑ +258% |
| Health Net | Commercial|EPPO | $26,578.00 | ↑ +406% |
| Blue Shield CA | Medicare|All Plans | $29,496.54 | ↑ +462% |
| Health Net | Commercial|FFS | $51,021.00 | ↑ +871% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen sgl lead sys at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $3,976.11 | $301.56 – $20,062.90 |
| St. John's Camarillo Hospital | Camarillo | $29,632.89 | $456.23 – $57,040.26 |
| Arroyo Grande Hospital | Santa Maria | $35,761.54 | $301.56 – $81,883.90 |
| French Hospital | San Luis Obispo | $33,117.34 | $301.56 – $82,793.34 |
| Bakersfield Memorial Hospital | Bakersfield | $27,680.61 | $301.56 – $59,584.96 |
| Queen of The Valley Medical Center | Napa | $58,773.42 | $6,200.00 – $113,226.00 |
| Providence St Joseph Hospital Eureka | Eureka | $33,080.64 | $7,809.00 – $113,226.00 |
| St. Joseph's Medical Center Stockton | Stockton | $18,120.99 | $301.56 – $51,774.24 |