Apply interstit radiat compl at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,097.10
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.
$4,004.00
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.
$440.44 with WCMG vs $4,004.00 with United — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $440.44 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $524.52 | ↓ -52% |
| BCBS - Anthem | Medicare|All Other Plans | $859.77 | ↓ -22% |
| Blue Shield CA | Medicare|HMO | $911.74 | ↓ -17% |
| Aetna | Medicare|All Plans | $911.74 | ↓ -17% |
| United | Medicare|All Plans | $911.74 | ↓ -17% |
| Kaiser | Medicare|All Plans | $911.74 | ↓ -17% |
| Blue Shield CA | Medicare|PPO | $911.74 | ↓ -17% |
| Molina | Medicare|All Plans | $911.74 | ↓ -17% |
| Humana | Medicare|All Plans | $911.74 | ↓ -17% |
| Humana | Commercial|All Plans | $911.74 | ↓ -17% |
| BCBS - Anthem | Medicare|Imperial | $939.09 | ↓ -14% |
| Aetna | Commercial|HMO | $940.95 | ↓ -14% |
| Aetna | Commercial|PPO | $940.95 | ↓ -14% |
| Aetna | Commercial|All Other Plans | $940.95 | ↓ -14% |
| BrightHealth | Commercial|All Plans | $1,002.91 | ↓ -9% |
| United | Medicaid|< 21 | $1,053.70 | ↓ -4% |
| United | Medicaid|> 21 | $1,053.70 | ↓ -4% |
| BlueShield | Medicare|Trauma | $1,139.67 | ↑ +4% |
| Hill Physicians | Medicaid|All Plans | $1,159.07 | ↑ +6% |
| Prison Healthcare | Medicaid|All Plans | $1,367.61 | ↑ +25% |
| Molina | Medicaid|All Plans | $1,381.03 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $1,401.40 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,641.64 | ↑ +50% |
| Kaiser | Commercial|All Plans | $2,162.16 | ↑ +97% |
| Health Net | Medicaid|All Plans | $2,412.97 | ↑ +120% |
| California Health & Wellness | Medicaid|All Plans | $2,412.97 | ↑ +120% |
| BCBS - Anthem | Commercial|Connection EPO | $2,655.93 | ↑ +142% |
| BCBS - Anthem | Medicaid|All Plans | $2,915.04 | ↑ +166% |
| Healthsmart | Commercial|All Plans | $3,003.00 | ↑ +174% |
| First Health | Commercial|All Plans | $3,003.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,203.20 | ↑ +192% |
| BCBS - Anthem | Commercial|All Other Plans | $3,318.79 | ↑ +203% |
| MultiPlan | Commercial|All Plans | $3,323.32 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $4,004.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $4,004.00 | ↑ +265% |
| United | Commercial|All Other Plans | $4,004.00 | ↑ +265% |
| Partnership Health Plan | Medicaid|All Plans | $4,004.00 | ↑ +265% |
| United | Commercial|HMO | $4,004.00 | ↑ +265% |
| United | Commercial|Options PPO | $4,004.00 | ↑ +265% |
Visitor-reported prices
Comments
Apply interstit radiat compl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,142.75 | $704.43 – $2,269.83 |
| Queen of The Valley Medical Center | Napa | $2,908.02 | $988.90 – $1,555.31 |
| Providence St Joseph Hospital Eureka | Eureka | $3,558.78 | $895.78 – $1,763.73 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,240.94 | $969.12 – $1,323.19 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,714.08 | $761.42 – $1,657.20 |
| Dominican Hospital | Santa Cruz | $901.35 | $953.20 – $2,983.52 |
| Northridge Hospital Medical Center | Northridge | $863.51 | $390.53 – $4,836.48 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,524.25 | $453.58 – $1,657.20 |