Warde adenosine deaminase pleural fluid 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

$9.32

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.

$32.34

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.

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

$2.32 with Western Health Advantage vs $23.94 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.

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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.

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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
Western Health Advantage Commercial|All Plans $2.32 ↓ -75%
Blue Shield CA Commercial|ACO Trio $2.45 ↓ -74%
Kaiser Medicaid|All Plans $2.72 ↓ -71%
Blue Shield CA Commercial|ACO Trio CalPers $3.12 ↓ -67%
Blue Shield CA Commercial|Exchange $3.25 ↓ -65%
Blue Shield CA Commercial|HMO $4.71 ↓ -49%
Blue Shield CA Commercial|CalPers $4.84 ↓ -48%
First Health Commercial|All Plans $4.97 ↓ -47%
BCBS - Anthem Commercial|BRMS $4.97 ↓ -47%
Kaiser Commercial|All Plans $5.23 ↓ -44%
BCBS - Anthem Commercial|Connection EPO $5.30 ↓ -43%
Sutter Health Commercial|All Plans $5.30 ↓ -43%
Healthsmart Commercial|All Plans $5.37 ↓ -42%
MultiPlan Commercial|All Plans $5.50 ↓ -41%
Blue Shield CA Commercial|All Other Plans $5.63 ↓ -40%
BCBS - Anthem Medicare|All Other Plans $6.25 ↓ -33%
Partnership Health Plan Medicaid|All Plans $6.48 ↓ -30%
Connected Care Commercial|Intel $6.62 ↓ -29%
BCBS - Anthem Commercial|All Other Plans $6.62 ↓ -29%
BCBS - Anthem Medicaid|All Plans $6.62 ↓ -29%
Humana Commercial|All Plans $6.62 ↓ -29%
Blue Shield CA Medicare|All Plans $6.62 ↓ -29%
BCBS - Anthem Commercial|MCS $6.62 ↓ -29%
Humana Medicare|All Plans $6.62 ↓ -29%
Aetna Commercial|All Other Plans $6.62 ↓ -29%
Aetna Commercial|PPO $6.62 ↓ -29%
Aetna Medicare|All Plans $6.62 ↓ -29%
Aetna Commercial|HMO $6.62 ↓ -29%
Molina Medicaid|All Plans $6.62 ↓ -29%
United Commercial|All Other Plans $6.62 ↓ -29%
United Medicare|All Plans $6.62 ↓ -29%
United Commercial|HMO $6.62 ↓ -29%
United Commercial|Options PPO $6.62 ↓ -29%
United Commercial|Non-Options PPO $6.62 ↓ -29%
United Medicaid|< 21 $6.62 ↓ -29%
United Medicaid|> 21 $6.62 ↓ -29%
Health Net Medicaid|All Plans $6.62 ↓ -29%
Health Net Medicare|All Plans $6.62 ↓ -29%
Kaiser Medicare|All Plans $6.62 ↓ -29%
Hill Physicians Commercial|All Plans $6.62 ↓ -29%
Hill Physicians Medicaid|All Plans $6.62 ↓ -29%
Hill Physicians Medicare|All Plans $6.62 ↓ -29%
California Health & Wellness Medicaid|All Plans $6.62 ↓ -29%
BCBS - Anthem Medicare|Imperial $6.82 ↓ -27%
Cigna Commercial|LocalPlus $17.95 ↑ +93%
Cigna Commercial|All Other Plans $23.94 ↑ +157%

Visitor-reported prices

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Warde adenosine deaminase pleural fluid at other California hospitals

Hospital City Cash price Negotiated range
Mercy General Hospital Sacramento $7.06 $2.32 – $17.95
St. John's Camarillo Hospital Camarillo $14.17 $2.31 – $21.51
Banner Lassen Medical Center Susanville $66.98 $1.62 – $10.69
Petaluma Valley Hospital Petaluma $35.57 $7.94 – $57.10
Arroyo Grande Hospital Santa Maria $51.36 $4.27 – $20.89
Mark Twain Medical Center San Andreas $101.40 $4.63 – $8.54
French Hospital San Luis Obispo $47.04 $2.31 – $24.56
Mercy Hospitals – Bakersfield Bakersfield $102.61 $1.86 – $23.30

All California hospitals for this procedure →