Valvuloplasty mitral at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$3,763.30
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.
$13,067.00
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.
$1,197.84 with United vs $21,269.00 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 →
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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 | $1,197.84 | ↓ -68% |
| United | Medicaid|> 21 | $1,197.84 | ↓ -68% |
| Hill Physicians | Commercial|All Plans | $1,313.44 | ↓ -65% |
| Hill Physicians | Medicare|All Plans | $1,374.41 | ↓ -63% |
| Molina | Medicaid|All Plans | $1,962.44 | ↓ -48% |
| Hill Physicians | Medicaid|All Plans | $2,088.92 | ↓ -44% |
| BCBS - Anthem | Medicaid|All Plans | $2,844.87 | ↓ -24% |
| California Health & Wellness | Medicaid|All Plans | $4,367.75 | ↑ +16% |
| Health Net | Medicaid|All Plans | $4,367.75 | ↑ +16% |
| Western Health Advantage | Commercial|All Plans | $4,573.45 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $5,357.47 | ↑ +42% |
| Partnership Health Plan | Medicaid|All Plans | $6,438.38 | ↑ +71% |
| First Health | Commercial|All Plans | $9,800.25 | ↑ +160% |
| Kaiser | Commercial|All Plans | $10,322.93 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $10,453.60 | ↑ +178% |
| BCBS - Anthem | Commercial|BRMS | $10,453.60 | ↑ +178% |
| Healthsmart | Commercial|All Plans | $10,584.27 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $10,845.61 | ↑ +188% |
| BCBS - Anthem | Medicare|All Other Plans | $12,322.19 | ↑ +227% |
| BCBS - Anthem | Commercial|Connection EPO | $12,794.00 | ↑ +240% |
| United | Commercial|HMO | $12,936.33 | ↑ +244% |
| United | Commercial|Non-Options PPO | $13,067.00 | ↑ +247% |
| United | Commercial|Options PPO | $13,067.00 | ↑ +247% |
| Health Net | Medicare|All Plans | $13,067.00 | ↑ +247% |
| Humana | Commercial|All Plans | $13,067.00 | ↑ +247% |
| United | Commercial|All Other Plans | $13,067.00 | ↑ +247% |
| Kaiser | Medicare|All Plans | $13,067.00 | ↑ +247% |
| Connected Care | Commercial|Intel | $13,067.00 | ↑ +247% |
| Aetna | Medicare|All Plans | $13,067.00 | ↑ +247% |
| Humana | Medicare|All Plans | $13,067.00 | ↑ +247% |
| United | Medicare|All Plans | $13,328.34 | ↑ +254% |
| BCBS - Anthem | Medicare|Imperial | $13,459.01 | ↑ +258% |
| Blue Shield CA | Medicare|All Plans | $14,902.64 | ↑ +296% |
| BCBS - Anthem | Commercial|All Other Plans | $15,992.00 | ↑ +325% |
| Aetna | Commercial|HMO | $17,701.00 | ↑ +370% |
| Aetna | Commercial|PPO | $17,701.00 | ↑ +370% |
| Aetna | Commercial|All Other Plans | $17,701.00 | ↑ +370% |
| BCBS - Anthem | Commercial|MCS | $21,269.00 | ↑ +465% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO | $16,335.20 | not published |
| South Sacramento Medical Center | SACRAMENTO | $16,335.20 | not published |
| Mercy General Hospital | Sacramento | $2,848.61 | $1,197.84 – $14,373.70 |
| Fresno Medical Center | FRESNO | $16,335.20 | not published |
| St. John's Camarillo Hospital | Camarillo | $5,950.23 | $1,473.34 – $26,644.42 |
| Antioch Medical Center | ANTIOCH | $16,335.20 | not published |
| Redwood City Medical Center | Redwood City | $16,335.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $16,335.20 | not published |