Cardiac perf planar sgl/ef/wm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,651.50
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.
$9,677.00
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.
$176.60 with United vs $8,031.91 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $176.60 | ↓ -93% |
| United | Medicaid|> 21 | $176.60 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $194.26 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $243.78 | ↓ -91% |
| Molina | Medicaid|All Plans | $332.01 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $335.54 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $404.41 | ↓ -85% |
| Health Net | Medicaid|All Plans | $404.41 | ↓ -85% |
| Partnership Health Plan | Medicaid|All Plans | $759.38 | ↓ -71% |
| Aetna | Commercial|HMO | $845.15 | ↓ -68% |
| Aetna | Commercial|PPO | $845.15 | ↓ -68% |
| Aetna | Commercial|All Other Plans | $845.15 | ↓ -68% |
| WCMG | Commercial|All Plans | $1,064.47 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $1,617.74 | ↓ -39% |
| Blue Shield CA | Medicare|PPO | $1,715.53 | ↓ -35% |
| Humana | Medicare|All Plans | $1,715.53 | ↓ -35% |
| Aetna | Medicare|All Plans | $1,715.53 | ↓ -35% |
| Molina | Medicare|All Plans | $1,715.53 | ↓ -35% |
| United | Medicare|All Plans | $1,715.53 | ↓ -35% |
| Kaiser | Medicare|All Plans | $1,715.53 | ↓ -35% |
| Blue Shield CA | Medicare|HMO | $1,715.53 | ↓ -35% |
| Humana | Commercial|All Plans | $1,715.53 | ↓ -35% |
| BCBS - Anthem | Medicare|Imperial | $1,767.00 | ↓ -33% |
| BCBS - Anthem | Commercial|Connection EPO | $1,870.08 | ↓ -29% |
| BrightHealth | Commercial|All Plans | $1,887.08 | ↓ -29% |
| BlueShield | Medicare|Trauma | $2,144.41 | ↓ -19% |
| BCBS - Anthem | Commercial|All Other Plans | $2,336.82 | ↓ -12% |
| Prison Healthcare | Medicaid|All Plans | $2,573.30 | ↓ -3% |
| United | Commercial|Non-Options PPO | $2,938.37 | ↑ +11% |
| United | Commercial|Options PPO | $2,938.37 | ↑ +11% |
| United | Commercial|HMO | $2,938.37 | ↑ +11% |
| United | Commercial|All Other Plans | $2,938.37 | ↑ +11% |
| BCBS - Anthem | Commercial|MCS | $3,271.86 | ↑ +23% |
| Western Health Advantage | Commercial|All Plans | $3,386.95 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $3,967.57 | ↑ +50% |
| Kaiser | Commercial|All Plans | $5,225.58 | ↑ +97% |
| Cigna | Commercial|LocalPlus | $5,280.13 | ↑ +99% |
| Cigna | Commercial|All Other Plans | $7,040.70 | ↑ +166% |
| Healthsmart | Commercial|All Plans | $7,257.75 | ↑ +174% |
| First Health | Commercial|All Plans | $7,257.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $7,741.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $8,031.91 | ↑ +203% |
Visitor-reported prices
Comments
Cardiac perf planar sgl/ef/wm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,895.62 | $267.18 – $6,326.24 |
| Mark Twain Medical Center | San Andreas | $4,827.84 | $176.60 – $3,361.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,306.30 | $176.60 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $1,292.21 | $176.60 – $6,851.62 |
| Providence St Joseph Hospital Eureka | Eureka | $1,896.69 | $1,241.87 – $2,035.50 |
| St. Joseph's Medical Center Stockton | Stockton | $967.56 | $176.60 – $1,754.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,908.44 | $240.18 – $2,403.94 |
| Mercy Medical Center Merced | Merced | $2,046.61 | $176.60 – $1,848.00 |