Rmvl ndwellg tun pleural cath at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$563.04
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.
$1,955.00
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.
$157.70 with Hill Physicians vs $9,205.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $157.70 | ↓ -72% |
| United | Medicaid|> 21 | $175.16 | ↓ -69% |
| United | Medicaid|< 21 | $175.16 | ↓ -69% |
| Hill Physicians | Medicare|All Plans | $193.83 | ↓ -66% |
| Hill Physicians | Medicaid|All Plans | $211.75 | ↓ -62% |
| Molina | Medicaid|All Plans | $286.96 | ↓ -49% |
| BCBS - Anthem | Medicaid|All Plans | $290.02 | ↓ -48% |
| Health Net | Medicaid|All Plans | $442.75 | ↓ -21% |
| California Health & Wellness | Medicaid|All Plans | $442.75 | ↓ -21% |
| Partnership Health Plan | Medicaid|All Plans | $656.35 | ↑ +17% |
| Western Health Advantage | Commercial|All Plans | $658.00 | ↑ +17% |
| BCBS - Anthem | Medicare|All Other Plans | $766.15 | ↑ +36% |
| Kaiser | Medicaid|All Plans | $770.80 | ↑ +37% |
| Humana | Commercial|All Plans | $812.46 | ↑ +44% |
| Humana | Medicare|All Plans | $812.46 | ↑ +44% |
| Aetna | Medicare|All Plans | $812.46 | ↑ +44% |
| Health Net | Medicare|All Plans | $812.46 | ↑ +44% |
| Kaiser | Medicare|All Plans | $812.46 | ↑ +44% |
| Connected Care | Commercial|Intel | $812.46 | ↑ +44% |
| Blue Shield CA | Medicare|All Plans | $812.46 | ↑ +44% |
| United | Medicare|All Plans | $828.71 | ↑ +47% |
| BCBS - Anthem | Medicare|Imperial | $836.83 | ↑ +49% |
| First Health | Commercial|All Plans | $1,410.00 | ↑ +150% |
| Kaiser | Commercial|All Plans | $1,485.20 | ↑ +164% |
| BCBS - Anthem | Commercial|BRMS | $1,504.00 | ↑ +167% |
| Sutter Health | Commercial|All Plans | $1,504.00 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $1,522.80 | ↑ +170% |
| MultiPlan | Commercial|All Plans | $1,560.40 | ↑ +177% |
| United | Commercial|HMO | $1,861.20 | ↑ +231% |
| United | Commercial|Options PPO | $1,880.00 | ↑ +234% |
| United | Commercial|All Other Plans | $1,880.00 | ↑ +234% |
| United | Commercial|Non-Options PPO | $1,880.00 | ↑ +234% |
| Health Net | Commercial|EPPO | $3,882.00 | ↑ +589% |
| Aetna | Commercial|HMO | $5,532.00 | ↑ +883% |
| Aetna | Commercial|PPO | $5,532.00 | ↑ +883% |
| Aetna | Commercial|All Other Plans | $5,532.00 | ↑ +883% |
| BCBS - Anthem | Commercial|Connection EPO | $5,537.00 | ↑ +883% |
| BCBS - Anthem | Commercial|All Other Plans | $6,921.00 | ↑ +1129% |
| Health Net | Commercial|FFS | $7,452.00 | ↑ +1224% |
| BCBS - Anthem | Commercial|MCS | $9,205.00 | ↑ +1535% |
Visitor-reported prices
Comments
Rmvl ndwellg tun pleural cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $426.19 | $157.70 – $1,504.00 |
| St. John's Camarillo Hospital | Camarillo | $686.35 | $215.45 – $1,452.04 |
| Petaluma Valley Hospital | Petaluma | $1,171.47 | $593.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,459.06 | $175.16 – $961.38 |
| French Hospital | San Luis Obispo | $1,336.33 | $125.55 – $465.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,024.71 | $175.16 – $2,209.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,013.66 | $175.16 – $2,181.98 |
| Queen of The Valley Medical Center | Napa | $1,302.54 | $890.68 – $6,200.00 |