Abdominal Ultrasound (limited) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$513.48
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.
$1,874.00
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.
$65.99 with Hill Physicians vs $1,555.42 with MultiPlan — 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 | $65.99 | ↓ -87% |
| United | Medicaid|< 21 | $87.13 | ↓ -83% |
| United | Medicaid|> 21 | $87.13 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $95.84 | ↓ -81% |
| Molina | Medicaid|All Plans | $114.19 | ↓ -78% |
| BCBS - Anthem | Medicare|All Other Plans | $131.77 | ↓ -74% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↓ -73% |
| Humana | Medicare|All Plans | $139.74 | ↓ -73% |
| Aetna | Medicare|All Plans | $139.74 | ↓ -73% |
| Molina | Medicare|All Plans | $139.74 | ↓ -73% |
| United | Medicare|All Plans | $139.74 | ↓ -73% |
| Kaiser | Medicare|All Plans | $139.74 | ↓ -73% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↓ -73% |
| Humana | Commercial|All Plans | $139.74 | ↓ -73% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↓ -72% |
| BrightHealth | Commercial|All Plans | $153.71 | ↓ -70% |
| BCBS - Anthem | Medicaid|All Plans | $165.55 | ↓ -68% |
| BlueShield | Medicare|Trauma | $174.68 | ↓ -66% |
| Health Net | Medicaid|All Plans | $199.53 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $199.53 | ↓ -61% |
| WCMG | Commercial|All Plans | $206.14 | ↓ -60% |
| Prison Healthcare | Medicaid|All Plans | $209.61 | ↓ -59% |
| United | Commercial|Options PPO | $245.18 | ↓ -52% |
| United | Commercial|Non-Options PPO | $245.18 | ↓ -52% |
| United | Commercial|All Other Plans | $245.18 | ↓ -52% |
| United | Commercial|HMO | $245.18 | ↓ -52% |
| Aetna | Commercial|All Other Plans | $269.58 | ↓ -47% |
| Aetna | Commercial|PPO | $269.58 | ↓ -47% |
| Aetna | Commercial|HMO | $269.58 | ↓ -47% |
| Partnership Health Plan | Medicaid|All Plans | $374.64 | ↓ -27% |
| Cigna | Commercial|LocalPlus | $439.91 | ↓ -14% |
| Cigna | Commercial|All Other Plans | $586.59 | ↑ +14% |
| Western Health Advantage | Commercial|All Plans | $655.90 | ↑ +28% |
| BCBS - Anthem | Commercial|Connection EPO | $717.17 | ↑ +40% |
| Kaiser | Medicaid|All Plans | $768.34 | ↑ +50% |
| BCBS - Anthem | Commercial|All Other Plans | $896.17 | ↑ +75% |
| Kaiser | Commercial|All Plans | $1,011.96 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $1,254.75 | ↑ +144% |
| Healthsmart | Commercial|All Plans | $1,405.50 | ↑ +174% |
| First Health | Commercial|All Plans | $1,405.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,499.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,555.42 | ↑ +203% |
Visitor-reported prices
Comments
Abdominal Ultrasound (limited) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $555.39 | $131.82 – $989.04 |
| Banner Lassen Medical Center | Susanville | $814.83 | $21.27 – $1,006.86 |
| Petaluma Valley Hospital | Petaluma | $1,818.66 | $140.89 – $332.32 |
| Arroyo Grande Hospital | Santa Maria | $940.32 | $87.13 – $1,787.52 |
| Mark Twain Medical Center | San Andreas | $1,575.76 | $87.13 – $602.70 |
| French Hospital | San Luis Obispo | $749.12 | $87.13 – $601.70 |
| Mercy Hospitals – Bakersfield | Bakersfield | $403.65 | $87.13 – $870.40 |
| Bakersfield Memorial Hospital | Bakersfield | $399.30 | $87.13 – $859.52 |