Artery x-rays chest at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,665.10
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.
$6,077.00
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.
$120.57 with Hill Physicians vs $15,423.39 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 | $120.57 | ↓ -93% |
| United | Medicaid|> 21 | $208.55 | ↓ -87% |
| United | Medicaid|< 21 | $208.55 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $229.41 | ↓ -86% |
| Molina | Medicaid|All Plans | $273.33 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $477.58 | ↓ -71% |
| Health Net | Medicaid|All Plans | $477.58 | ↓ -71% |
| Aetna | Commercial|HMO | $614.92 | ↓ -63% |
| Aetna | Commercial|PPO | $614.92 | ↓ -63% |
| Aetna | Commercial|All Other Plans | $614.92 | ↓ -63% |
| WCMG | Commercial|All Plans | $668.47 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $896.75 | ↓ -46% |
| BCBS - Anthem | Medicaid|All Plans | $1,068.88 | ↓ -36% |
| Western Health Advantage | Commercial|All Plans | $2,126.95 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,491.57 | ↑ +50% |
| Kaiser | Commercial|All Plans | $3,281.58 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +134% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +148% |
| Humana | Medicare|All Plans | $4,136.13 | ↑ +148% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +148% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +148% |
| United | Medicare|All Plans | $4,136.13 | ↑ +148% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +148% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +148% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +148% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +156% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +173% |
| Healthsmart | Commercial|All Plans | $4,557.75 | ↑ +174% |
| First Health | Commercial|All Plans | $4,557.75 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $4,861.60 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $4,861.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $5,043.91 | ↑ +203% |
| BlueShield | Medicare|Trauma | $5,170.16 | ↑ +211% |
| BCBS - Anthem | Commercial|All Other Plans | $6,077.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $6,077.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $6,077.00 | ↑ +265% |
| United | Commercial|Options PPO | $6,077.00 | ↑ +265% |
| United | Commercial|HMO | $6,077.00 | ↑ +265% |
| United | Commercial|All Other Plans | $6,077.00 | ↑ +265% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +273% |
| Cigna | Commercial|LocalPlus | $11,566.70 | ↑ +595% |
| Cigna | Commercial|All Other Plans | $15,423.39 | ↑ +826% |
Visitor-reported prices
Comments
Artery x-rays chest at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,695.50 | $315.52 – $13,858.31 |
| Arroyo Grande Hospital | Santa Maria | $5,143.71 | $208.55 – $13,457.70 |
| French Hospital | San Luis Obispo | $4,711.06 | $208.55 – $15,820.61 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,022.54 | $208.55 – $15,009.21 |
| Bakersfield Memorial Hospital | Bakersfield | $2,989.95 | $208.55 – $15,009.21 |
| St. Joseph's Medical Center Stockton | Stockton | $1,881.02 | $208.55 – $6,337.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,535.68 | $1,016.79 – $7,512.94 |
| Mercy Medical Center Merced | Merced | $4,057.17 | $208.55 – $7,405.32 |