Tc-99m tilmanocept diag at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$1,051.20
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.
?
What you pay up front if you don't use insurance.
$3,650.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,174.71 with BCBS - Anthem vs $3,650.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $1,174.71 | ↑ +12% |
| BCBS - Anthem | Commercial|Connection EPO | $1,186.34 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $1,277.50 | ↑ +22% |
| BCBS - Anthem | Commercial|All Other Plans | $1,482.93 | ↑ +41% |
| Kaiser | Medicaid|All Plans | $1,496.50 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $1,569.61 | ↑ +49% |
| Health Net | Medicaid|All Plans | $1,825.00 | ↑ +74% |
| California Health & Wellness | Medicaid|All Plans | $1,825.00 | ↑ +74% |
| BCBS - Anthem | Commercial|MCS | $1,973.36 | ↑ +88% |
| Cigna | Commercial|All Other Plans | $2,093.26 | ↑ +99% |
| BCBS - Anthem | Commercial|BRMS | $2,737.50 | ↑ +160% |
| First Health | Commercial|All Plans | $2,737.50 | ↑ +160% |
| Kaiser | Commercial|All Plans | $2,883.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,920.00 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $2,956.50 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $3,029.50 | ↑ +188% |
| United | Commercial|HMO | $3,613.50 | ↑ +244% |
| United | Commercial|All Other Plans | $3,650.00 | ↑ +247% |
| United | Commercial|Options PPO | $3,650.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $3,650.00 | ↑ +247% |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $1,644.47 | not published |
| South Sacramento Medical Center | SACRAMENTO | $1,644.47 | not published |
| Mercy General Hospital | Sacramento | $795.70 | $684.95 – $3,650.00 |
| St. John's Camarillo Hospital | Camarillo | $800.23 | $321.90 – $1,425.06 |
| Redwood City Medical Center | Redwood City | $1,644.47 | not published |
| Santa Clara Medical Center | SANTA CLARA | $1,644.47 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $1,527.01 | not published |
| Riverside Medical Center | RIVERSIDE | $1,527.01 | not published |