Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$313.35
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.
$1,088.00
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.
$5.38 with Hill Physicians vs $1,085.00 with United — 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 | $5.38 | ↓ -98% |
| United | Medicaid|> 21 | $53.85 | ↓ -83% |
| United | Medicaid|< 21 | $53.85 | ↓ -83% |
| Partnership Health Plan | Medicaid|All Plans | $53.85 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $59.23 | ↓ -81% |
| Hill Physicians | Medicare|All Plans | $63.14 | ↓ -80% |
| Molina | Medicaid|All Plans | $101.24 | ↓ -68% |
| BCBS - Anthem | Medicaid|All Plans | $102.32 | ↓ -67% |
| California Health & Wellness | Medicaid|All Plans | $123.86 | ↓ -60% |
| Health Net | Medicaid|All Plans | $123.86 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $379.75 | ↑ +21% |
| Kaiser | Medicaid|All Plans | $444.85 | ↑ +42% |
| First Health | Commercial|All Plans | $813.75 | ↑ +160% |
| Kaiser | Commercial|All Plans | $857.15 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $868.00 | ↑ +177% |
| Healthsmart | Commercial|All Plans | $878.85 | ↑ +180% |
| MultiPlan | Commercial|All Plans | $900.55 | ↑ +187% |
| United | Commercial|HMO | $1,074.15 | ↑ +243% |
| United | Commercial|All Other Plans | $1,085.00 | ↑ +246% |
| United | Commercial|Options PPO | $1,085.00 | ↑ +246% |
| United | Commercial|Non-Options PPO | $1,085.00 | ↑ +246% |
Visitor-reported prices
Comments
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $237.19 | $5.38 – $868.00 |
| Arroyo Grande Hospital | Santa Maria | $188.32 | $53.85 – $431.20 |
| French Hospital | San Luis Obispo | $172.48 | $53.85 – $431.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $613.64 | $53.85 – $1,323.20 |
| Bakersfield Memorial Hospital | Bakersfield | $607.02 | $53.85 – $1,637.46 |
| St. Joseph's Medical Center Stockton | Stockton | $399.84 | $53.85 – $1,142.40 |
| Mercy Medical Center Merced | Merced | $850.78 | $53.85 – $1,635.48 |
| Dominican Hospital | Santa Cruz | $180.45 | $53.85 – $360.90 |