Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray bone survey infant CPT 77076 | $389.09 | $1,351.00 | $63.60 – $1,121.33 | 17 |
| X-ray cervical spine 2-3 views CPT 72040 | $303.56 | $1,054.00 | $32.34 – $874.82 | 17 |
| X-ray cervical spine 4-5 views CPT 72050 | $336.96 | $1,170.00 | $45.80 – $971.10 | 17 |
| X-ray cervical spine >= 6 views CPT 72052 | $336.96 | $1,170.00 | $53.28 – $971.10 | 17 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $486.44 | $1,689.00 | $74.46 – $1,401.87 | 17 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $486.44 | $1,689.00 | $90.14 – $1,401.87 | 17 |
| Xray endovasc thor ao repr CPT 75956 | $2,981.67 | $10,353.00 | $326.19 – $8,592.99 | 14 |
| Xray endovasc thor ao repr CPT 75957 | $3,339.36 | $11,595.00 | $279.43 – $9,623.85 | 14 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $501.70 | $1,742.00 | $54.64 – $1,445.86 | 17 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $337.54 | $1,172.00 | $61.12 – $972.76 | 17 |
| X-ray exam of eye sockets CPT 70200 | $373.25 | $1,296.00 | $38.32 – $1,075.68 | 17 |
| X-ray exam of sinuses CPT 70210 | $318.82 | $1,107.00 | $26.73 – $918.81 | 17 |
| X-ray exam thorac spine4/>vw CPT 72074 | $338.40 | $1,175.00 | $36.83 – $975.25 | 17 |
| X-ray facial bones complete > 3 views CPT 70150 | $306.44 | $1,064.00 | $38.32 – $883.12 | 17 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $336.96 | $1,170.00 | $34.21 – $971.10 | 17 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $336.96 | $1,170.00 | $43.85 – $971.10 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $336.96 | $1,170.00 | $51.04 – $971.10 | 17 |
| X-ray knee ap standing bilateral CPT 73565 | $321.70 | $1,117.00 | $27.28 – $927.11 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $338.40 | $1,175.00 | $33.46 – $975.25 | 17 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $338.40 | $1,175.00 | $43.93 – $975.25 | 17 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $338.40 | $1,175.00 | $52.16 – $975.25 | 17 |
| X-ray mandible complete > 4 views CPT 70110 | $370.66 | $1,287.00 | $35.33 – $1,068.21 | 17 |
| X-ray mandible ltd <4 views CPT 70100 | $333.51 | $1,158.00 | $33.46 – $961.14 | 17 |
| X-ray nasal bones complete > 3 views CPT 70160 | $333.80 | $1,159.00 | $32.71 – $961.97 | 17 |
| X-ray neck soft tissue CPT 70360 | $303.56 | $1,054.00 | $24.82 – $874.82 | 17 |
| X-ray nose to rectum for foreign body child CPT 76010 | $303.56 | $1,054.00 | $22.99 – $874.82 | 17 |
| X-ray pelvis 1-2 views CPT 72170 | $338.40 | $1,175.00 | $21.87 – $975.25 | 17 |
| X-ray pelvis complete > 3 views CPT 72190 | $338.40 | $1,175.00 | $33.46 – $975.25 | 17 |
| Xray place dist ext thor ao CPT 75959 | $948.10 | $3,292.00 | $163.19 – $2,732.36 | 14 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $801.51 | $2,783.00 | $60.01 – $2,309.89 | 17 |
| X-ray ribs 3 views bilateral CPT 71110 | $338.40 | $1,175.00 | $33.46 – $975.25 | 17 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $338.40 | $1,175.00 | $41.31 – $975.25 | 17 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $336.96 | $1,170.00 | $31.96 – $971.10 | 17 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $303.56 | $1,054.00 | $27.10 – $874.82 | 17 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $318.82 | $1,107.00 | $30.47 – $918.81 | 17 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $680.55 | $2,363.00 | $39.44 – $1,961.29 | 17 |
| X-ray skull < 4 views CPT 70250 | $338.40 | $1,175.00 | $30.47 – $975.25 | 17 |
| X-ray skull > 4 views complete CPT 70260 | $338.40 | $1,175.00 | $34.96 – $975.25 | 17 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $551.81 | $1,916.00 | $91.79 – $1,590.28 | 17 |
| X-ray small intestine follow-through study CPT 74248 | $662.12 | $2,299.00 | $54.03 – $1,908.17 | 14 |
| X-ray spine single view CPT 72020 | $303.56 | $1,054.00 | $18.50 – $874.82 | 17 |
| X-ray sternum > 2 views CPT 71120 | $303.56 | $1,054.00 | $26.73 – $874.82 | 17 |
| X-ray surgical specimen CPT 76098 | $506.88 | $1,760.00 | $20.77 – $1,952.35 | 17 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $501.70 | $1,742.00 | $74.46 – $1,445.86 | 17 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $318.82 | $1,107.00 | $46.55 – $918.81 | 17 |
| X-ray thoracic spine 2 views CPT 72070 | $338.40 | $1,175.00 | $25.98 – $975.25 | 17 |
| X-ray thoracic spine 3 views CPT 72072 | $338.40 | $1,175.00 | $31.96 – $975.25 | 17 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $303.56 | $1,054.00 | $27.48 – $874.82 | 17 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $303.84 | $1,055.00 | $34.21 – $875.65 | 17 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $337.54 | $1,172.00 | $56.31 – $972.76 | 17 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $452.74 | $1,572.00 | $105.63 – $1,304.76 | 17 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $501.70 | $1,742.00 | $92.54 – $1,445.86 | 17 |
| Xylose absorption test blood &/or urine CPT 84620 | $3.72 | $12.90 | $4.52 – $28.58 | 18 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $49,061.38 | $170,352.00 | $59,623.20 – $158,495.36 | 17 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $40.61 | $141.00 | $0.02 – $94.62 | 13 |
| Zika virus dna/rna amp probe CPT 87662 | $38.02 | $132.00 | $45.61 – $113.62 | 18 |
| Zika virus igm antibody CPT 86794 | $21.55 | $74.80 | $14.97 – $62.09 | 18 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $75.75 | $263.00 | $5.49 – $41.50 | 16 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,456.64 | $8,530.00 | $9.24 – $433.26 | 16 |
| Zoster vaccine-live inj CPT 90736 | $294.05 | $1,021.00 | $217.13 – $639.10 | 15 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.