Tc-99m pyroph diag per dose up to 25 mci at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$49.25
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.
$171.00
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.
$59.85 with Western Health Advantage vs $202.65 with Cigna — 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $59.85 | ↑ +22% |
| United | Commercial|All Other Plans | $63.51 | ↑ +29% |
| United | Commercial|HMO | $63.51 | ↑ +29% |
| United | Commercial|Options PPO | $63.51 | ↑ +29% |
| United | Medicaid|> 21 | $64.05 | ↑ +30% |
| Partnership Health Plan | Medicaid|All Plans | $64.05 | ↑ +30% |
| United | Medicaid|< 21 | $64.05 | ↑ +30% |
| Kaiser | Medicaid|All Plans | $70.11 | ↑ +42% |
| Hill Physicians | Medicaid|All Plans | $70.46 | ↑ +43% |
| United | Commercial|Non-Options PPO | $71.38 | ↑ +45% |
| BCBS - Anthem | Commercial|Connection EPO | $119.83 | ↑ +143% |
| Molina | Medicaid|All Plans | $120.41 | ↑ +144% |
| BCBS - Anthem | Medicaid|All Plans | $121.70 | ↑ +147% |
| First Health | Commercial|All Plans | $128.25 | ↑ +160% |
| BCBS - Anthem | Commercial|BRMS | $128.25 | ↑ +160% |
| Kaiser | Commercial|All Plans | $135.09 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $136.80 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $138.51 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $141.93 | ↑ +188% |
| California Health & Wellness | Medicaid|All Plans | $147.32 | ↑ +199% |
| Health Net | Medicaid|All Plans | $147.32 | ↑ +199% |
| BCBS - Anthem | Commercial|All Other Plans | $149.79 | ↑ +204% |
| Cigna | Commercial|LocalPlus | $151.96 | ↑ +209% |
| BCBS - Anthem | Commercial|MCS | $171.00 | ↑ +247% |
| Cigna | Commercial|All Other Plans | $202.65 | ↑ +311% |
Visitor-reported prices
Comments
Tc-99m pyroph diag per dose up to 25 mci at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $37.28 | $59.85 – $151.96 |
| St. John's Camarillo Hospital | Camarillo | $393.33 | $32.52 – $700.44 |
| Arroyo Grande Hospital | Santa Maria | $384.35 | $19.76 – $880.04 |
| Mark Twain Medical Center | San Andreas | $286.38 | $64.05 – $359.66 |
| French Hospital | San Luis Obispo | $281.85 | $19.76 – $704.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $208.51 | $63.51 – $449.60 |
| Bakersfield Memorial Hospital | Bakersfield | $206.26 | $48.59 – $443.98 |
| St. Joseph's Medical Center Stockton | Stockton | $165.23 | $63.51 – $460.84 |