Cardiac perf spect sgl/ef/wm rst/strs at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,316.40
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.
$8,454.00
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.
$201.93 with United vs $7,040.70 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $201.93 | ↓ -91% |
| United | Medicaid|> 21 | $201.93 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $222.12 | ↓ -90% |
| Hill Physicians | Commercial|All Plans | $271.82 | ↓ -88% |
| Molina | Medicaid|All Plans | $379.63 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $383.67 | ↓ -83% |
| Health Net | Medicaid|All Plans | $462.42 | ↓ -80% |
| California Health & Wellness | Medicaid|All Plans | $462.42 | ↓ -80% |
| Partnership Health Plan | Medicaid|All Plans | $868.30 | ↓ -63% |
| WCMG | Commercial|All Plans | $929.94 | ↓ -60% |
| Aetna | Commercial|HMO | $949.70 | ↓ -59% |
| Aetna | Commercial|PPO | $949.70 | ↓ -59% |
| Aetna | Commercial|All Other Plans | $949.70 | ↓ -59% |
| BCBS - Anthem | Medicare|All Other Plans | $1,617.74 | ↓ -30% |
| Blue Shield CA | Medicare|PPO | $1,715.53 | ↓ -26% |
| Humana | Medicare|All Plans | $1,715.53 | ↓ -26% |
| Aetna | Medicare|All Plans | $1,715.53 | ↓ -26% |
| Molina | Medicare|All Plans | $1,715.53 | ↓ -26% |
| United | Medicare|All Plans | $1,715.53 | ↓ -26% |
| Kaiser | Medicare|All Plans | $1,715.53 | ↓ -26% |
| Blue Shield CA | Medicare|HMO | $1,715.53 | ↓ -26% |
| Humana | Commercial|All Plans | $1,715.53 | ↓ -26% |
| BCBS - Anthem | Medicare|Imperial | $1,767.00 | ↓ -24% |
| BrightHealth | Commercial|All Plans | $1,887.08 | ↓ -19% |
| BCBS - Anthem | Commercial|Connection EPO | $2,004.58 | ↓ -13% |
| BlueShield | Medicare|Trauma | $2,144.41 | ↓ -7% |
| BCBS - Anthem | Commercial|All Other Plans | $2,504.88 | ↑ +8% |
| Prison Healthcare | Medicaid|All Plans | $2,573.30 | ↑ +11% |
| United | Commercial|Options PPO | $2,938.37 | ↑ +27% |
| United | Commercial|Non-Options PPO | $2,938.37 | ↑ +27% |
| United | Commercial|All Other Plans | $2,938.37 | ↑ +27% |
| United | Commercial|HMO | $2,938.37 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $2,958.90 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $3,466.14 | ↑ +50% |
| BCBS - Anthem | Commercial|MCS | $3,507.17 | ↑ +51% |
| Kaiser | Commercial|All Plans | $4,565.16 | ↑ +97% |
| Cigna | Commercial|LocalPlus | $5,280.13 | ↑ +128% |
| First Health | Commercial|All Plans | $6,340.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $6,340.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $6,763.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $7,016.82 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $7,040.70 | ↑ +204% |
Visitor-reported prices
Comments
Cardiac perf spect sgl/ef/wm rst/strs at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,895.62 | $305.50 – $6,326.24 |
| Banner Lassen Medical Center | Susanville | $2,300.86 | $56.58 – $333.18 |
| Arroyo Grande Hospital | Santa Maria | $4,847.96 | $201.93 – $9,657.90 |
| Mark Twain Medical Center | San Andreas | $5,461.20 | $201.93 – $3,776.92 |
| French Hospital | San Luis Obispo | $3,863.16 | $201.93 – $7,222.02 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,464.19 | $201.93 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $2,437.62 | $201.93 – $6,851.62 |
| Queen of The Valley Medical Center | Napa | $2,838.15 | $1,217.35 – $2,035.50 |