Tc-99m succimer (dmsa) at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$524.74
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.
$1,822.00
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.
$101.30 with United vs $1,896.59 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $101.30 | ↓ -81% |
| Partnership Health Plan | Medicaid|All Plans | $101.30 | ↓ -81% |
| United | Medicaid|> 21 | $101.30 | ↓ -81% |
| Hill Physicians | Medicaid|All Plans | $111.43 | ↓ -79% |
| Molina | Medicaid|All Plans | $190.44 | ↓ -64% |
| BCBS - Anthem | Medicaid|All Plans | $192.47 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $232.99 | ↓ -56% |
| Health Net | Medicaid|All Plans | $232.99 | ↓ -56% |
| BCBS - Anthem | Commercial|Connection EPO | $614.35 | ↑ +17% |
| Western Health Advantage | Commercial|All Plans | $637.70 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $747.02 | ↑ +42% |
| BCBS - Anthem | Commercial|All Other Plans | $767.93 | ↑ +46% |
| United | Commercial|All Other Plans | $970.83 | ↑ +85% |
| United | Commercial|Options PPO | $970.83 | ↑ +85% |
| United | Commercial|HMO | $970.83 | ↑ +85% |
| BCBS - Anthem | Commercial|MCS | $1,021.90 | ↑ +95% |
| United | Commercial|Non-Options PPO | $1,084.33 | ↑ +107% |
| First Health | Commercial|All Plans | $1,366.50 | ↑ +160% |
| BCBS - Anthem | Commercial|BRMS | $1,366.50 | ↑ +160% |
| Cigna | Commercial|LocalPlus | $1,422.14 | ↑ +171% |
| Kaiser | Commercial|All Plans | $1,439.38 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,457.60 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $1,475.82 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $1,512.26 | ↑ +188% |
| Cigna | Commercial|All Other Plans | $1,896.59 | ↑ +261% |
Visitor-reported prices
Comments
Tc-99m succimer (dmsa) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $397.20 | $101.30 – $1,457.60 |
| Mercy Medical Center Merced | Merced | $84.98 | $99.00 – $165.00 |
| Mercy San Juan Medical Center | Carmichael | $499.23 | $101.30 – $1,512.26 |
| Mercy Hospital of Folsom | Folsom | $708.76 | $101.30 – $1,494.04 |
| Woodland Memorial Hospital | Woodland | $499.23 | $101.30 – $1,822.00 |
| Petaluma Valley Hospital | Petaluma | not published | $156.03 – $1,431.23 |
| Queen of The Valley Medical Center | Napa | not published | $168.90 – $1,431.23 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $201.47 – $1,431.23 |