Assess cyst contrast inject at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$114.81
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.
$419.00
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.
$36.41 with Hill Physicians vs $7,484.00 with BCBS - Anthem — 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 | $36.41 | ↓ -68% |
| United | Medicaid|> 21 | $41.01 | ↓ -64% |
| United | Medicaid|< 21 | $41.01 | ↓ -64% |
| WCMG | Commercial|All Plans | $44.33 | ↓ -61% |
| Molina | Medicaid|All Plans | $67.19 | ↓ -41% |
| Hill Physicians | Medicaid|All Plans | $71.12 | ↓ -38% |
| BCBS - Anthem | Medicaid|All Plans | $97.41 | ↓ -15% |
| Western Health Advantage | Commercial|All Plans | $141.05 | ↑ +23% |
| Health Net | Medicaid|All Plans | $148.05 | ↑ +29% |
| California Health & Wellness | Medicaid|All Plans | $148.05 | ↑ +29% |
| Kaiser | Medicaid|All Plans | $165.23 | ↑ +44% |
| Kaiser | Commercial|All Plans | $217.62 | ↑ +90% |
| Partnership Health Plan | Medicaid|All Plans | $220.44 | ↑ +92% |
| Healthsmart | Commercial|All Plans | $302.25 | ↑ +163% |
| First Health | Commercial|All Plans | $302.25 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $322.40 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $334.49 | ↑ +191% |
| United | Commercial|Non-Options PPO | $403.00 | ↑ +251% |
| United | Commercial|HMO | $403.00 | ↑ +251% |
| United | Commercial|All Other Plans | $403.00 | ↑ +251% |
| United | Commercial|Options PPO | $403.00 | ↑ +251% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +3625% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +4410% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +4410% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +4410% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +4556% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +6419% |
Visitor-reported prices
Comments
Assess cyst contrast inject at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $180.02 | $50.44 – $320.58 |
| Arroyo Grande Hospital | Santa Maria | $140.39 | $41.01 – $299.88 |
| French Hospital | San Luis Obispo | $128.58 | $41.01 – $298.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $198.12 | $41.01 – $455.68 |
| Bakersfield Memorial Hospital | Bakersfield | $195.98 | $41.01 – $528.66 |
| Queen of The Valley Medical Center | Napa | $499.29 | $300.44 – $6,200.00 |
| St. Joseph's Medical Center Stockton | Stockton | $590.36 | $41.01 – $409.92 |
| Santa Rosa Memorial Hospital | Santa Rosa | $262.65 | $290.27 – $4,042.00 |