Abdominal CT scan (without contrast) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,287.53
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.
$4,699.00
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.
$92.54 with Hill Physicians vs $5,233.00 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.
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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $92.54 | ↓ -93% |
| BCBS - Anthem | Medicare|All Other Plans | $131.77 | ↓ -90% |
| Humana | Commercial|All Plans | $139.74 | ↓ -89% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↓ -89% |
| Aetna | Medicare|All Plans | $139.74 | ↓ -89% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↓ -89% |
| Kaiser | Medicare|All Plans | $139.74 | ↓ -89% |
| Humana | Medicare|All Plans | $139.74 | ↓ -89% |
| Molina | Medicare|All Plans | $139.74 | ↓ -89% |
| United | Medicare|All Plans | $139.74 | ↓ -89% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↓ -89% |
| BrightHealth | Commercial|All Plans | $153.71 | ↓ -88% |
| BlueShield | Medicare|Trauma | $174.68 | ↓ -86% |
| United | Medicaid|> 21 | $188.16 | ↓ -85% |
| United | Medicaid|< 21 | $188.16 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $206.98 | ↓ -84% |
| Prison Healthcare | Medicaid|All Plans | $209.61 | ↓ -84% |
| United | Commercial|HMO | $245.18 | ↓ -81% |
| United | Commercial|All Other Plans | $245.18 | ↓ -81% |
| United | Commercial|Non-Options PPO | $245.18 | ↓ -81% |
| United | Commercial|Options PPO | $245.18 | ↓ -81% |
| Molina | Medicaid|All Plans | $246.62 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $430.89 | ↓ -67% |
| Health Net | Medicaid|All Plans | $430.89 | ↓ -67% |
| WCMG | Commercial|All Plans | $516.89 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $634.22 | ↓ -51% |
| Aetna | Commercial|All Other Plans | $651.33 | ↓ -49% |
| Aetna | Commercial|PPO | $651.33 | ↓ -49% |
| Aetna | Commercial|HMO | $651.33 | ↓ -49% |
| Partnership Health Plan | Medicaid|All Plans | $809.11 | ↓ -37% |
| BCBS - Anthem | Commercial|Connection EPO | $1,638.00 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $1,644.65 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,926.59 | ↑ +50% |
| BCBS - Anthem | Commercial|All Other Plans | $2,047.00 | ↑ +59% |
| Kaiser | Commercial|All Plans | $2,537.46 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $2,866.00 | ↑ +123% |
| First Health | Commercial|All Plans | $3,524.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $3,524.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,759.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $3,900.17 | ↑ +203% |
| Cigna | Commercial|LocalPlus | $3,925.00 | ↑ +205% |
| Cigna | Commercial|All Other Plans | $5,233.00 | ↑ +306% |
Visitor-reported prices
Comments
Abdominal CT scan (without contrast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,312.25 | $135.12 – $2,336.88 |
| Banner Lassen Medical Center | Susanville | $1,511.26 | $21.27 – $2,576.32 |
| Petaluma Valley Hospital | Petaluma | $5,051.04 | $140.89 – $1,313.25 |
| Arroyo Grande Hospital | Santa Maria | $2,471.70 | $135.12 – $4,747.12 |
| Mark Twain Medical Center | San Andreas | $4,340.99 | $188.16 – $1,387.68 |
| French Hospital | San Luis Obispo | $1,995.68 | $134.19 – $1,768.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,346.36 | $135.12 – $2,903.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,331.85 | $135.12 – $2,866.91 |