Tobramycin peak therapeutic drug level at Methodist Hospital of Sacramento

7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$113.48

Cash price

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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.

$394.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$14.33 with Partnership Health Plan vs $394.00 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 →

Payer
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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
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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
Partnership Health Plan Medicaid|All Plans $14.33 ↓ -87%
BCBS - Anthem Medicare|All Other Plans $15.21 ↓ -87%
Kaiser Medicare|All Plans $16.13 ↓ -86%
Health Net Medicare|All Plans $16.13 ↓ -86%
Blue Shield CA Medicare|All Plans $16.13 ↓ -86%
Aetna Medicare|All Plans $16.13 ↓ -86%
Humana Medicare|All Plans $16.13 ↓ -86%
Hill Physicians Commercial|All Plans $16.13 ↓ -86%
Hill Physicians Medicare|All Plans $16.13 ↓ -86%
Connected Care Commercial|Intel $16.13 ↓ -86%
Humana Commercial|All Plans $16.13 ↓ -86%
United Medicare|All Plans $16.13 ↓ -86%
BCBS - Anthem Medicare|Imperial $16.61 ↓ -85%
United Commercial|All Other Plans $19.36 ↓ -83%
United Commercial|HMO $19.36 ↓ -83%
United Commercial|Options PPO $19.36 ↓ -83%
United Commercial|Non-Options PPO $19.36 ↓ -83%
United Medicaid|< 21 $20.55 ↓ -82%
United Medicaid|> 21 $20.55 ↓ -82%
Hill Physicians Medicaid|All Plans $22.60 ↓ -80%
Molina Medicaid|All Plans $26.94 ↓ -76%
Cigna Commercial|LocalPlus $35.71 ↓ -69%
BCBS - Anthem Medicaid|All Plans $41.12 ↓ -64%
California Health & Wellness Medicaid|All Plans $47.26 ↓ -58%
Health Net Medicaid|All Plans $47.26 ↓ -58%
Cigna Commercial|All Other Plans $47.61 ↓ -58%
Aetna Commercial|PPO $111.25 ↓ -2%
Aetna Commercial|All Other Plans $111.25 ↓ -2%
Aetna Commercial|HMO $111.25 ↓ -2%
Western Health Advantage Commercial|All Plans $137.90 ↑ +22%
Blue Shield CA Commercial|ACO Trio $145.78 ↑ +28%
Kaiser Medicaid|All Plans $161.54 ↑ +42%
Blue Shield CA Commercial|ACO Trio CalPers $185.18 ↑ +63%
Blue Shield CA Commercial|Exchange $193.06 ↑ +70%
Blue Shield CA Commercial|HMO $279.74 ↑ +147%
Blue Shield CA Commercial|CalPers $287.62 ↑ +153%
First Health Commercial|All Plans $295.50 ↑ +160%
BCBS - Anthem Commercial|BRMS $295.50 ↑ +160%
BCBS - Anthem Commercial|Connection EPO $305.47 ↑ +169%
Kaiser Commercial|All Plans $311.26 ↑ +174%
Sutter Health Commercial|All Plans $315.20 ↑ +178%
Healthsmart Commercial|All Plans $319.14 ↑ +181%
MultiPlan Commercial|All Plans $327.02 ↑ +188%
Blue Shield CA Commercial|All Other Plans $334.90 ↑ +195%
BCBS - Anthem Commercial|All Other Plans $381.84 ↑ +236%
BCBS - Anthem Commercial|MCS $394.00 ↑ +247%

Visitor-reported prices

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Tobramycin peak therapeutic drug level at other California hospitals

Hospital City Cash price Negotiated range
Mercy General Hospital Sacramento $85.90 $14.33 – $315.20
St. John's Camarillo Hospital Camarillo $83.22 $16.13 – $148.20
Banner Lassen Medical Center Susanville $10.64 $3.23 – $23.64
Petaluma Valley Hospital Petaluma $207.06 $15.81 – $131.57
Arroyo Grande Hospital Santa Maria $231.98 $16.13 – $49.00
Mark Twain Medical Center San Andreas $121.22 $16.13 – $39.53
French Hospital San Luis Obispo $212.47 $13.50 – $49.00
Mercy Hospitals – Bakersfield Bakersfield $126.89 $16.13 – $51.20

All California hospitals for this procedure →