Carotid Artery Ultrasound (Duplex) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$765.29
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.
$2,793.00
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.
$167.69 with Hill Physicians vs $16,950.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $167.69 | ↓ -78% |
| United | Medicaid|> 21 | $179.75 | ↓ -77% |
| United | Medicaid|< 21 | $179.75 | ↓ -77% |
| Molina | Medicaid|All Plans | $294.48 | ↓ -62% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -61% |
| WCMG | Commercial|All Plans | $307.23 | ↓ -60% |
| Hill Physicians | Medicaid|All Plans | $313.46 | ↓ -59% |
| Molina | Medicare|All Plans | $317.64 | ↓ -58% |
| United | Medicare|All Plans | $317.64 | ↓ -58% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↓ -58% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↓ -58% |
| Humana | Commercial|All Plans | $317.64 | ↓ -58% |
| Humana | Medicare|All Plans | $317.64 | ↓ -58% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -58% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -58% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -57% |
| BrightHealth | Commercial|All Plans | $349.40 | ↓ -54% |
| BlueShield | Medicare|Trauma | $397.05 | ↓ -48% |
| BCBS - Anthem | Medicaid|All Plans | $426.89 | ↓ -44% |
| Prison Healthcare | Medicaid|All Plans | $476.46 | ↓ -38% |
| California Health & Wellness | Medicaid|All Plans | $652.56 | ↓ -15% |
| Health Net | Medicaid|All Plans | $652.56 | ↓ -15% |
| Cigna | Commercial|LocalPlus | $929.74 | ↑ +21% |
| Partnership Health Plan | Medicaid|All Plans | $966.14 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $977.55 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,145.13 | ↑ +50% |
| Cigna | Commercial|All Other Plans | $1,239.74 | ↑ +62% |
| Kaiser | Commercial|All Plans | $1,508.22 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $2,094.75 | ↑ +174% |
| First Health | Commercial|All Plans | $2,094.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,234.40 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $2,234.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,318.19 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $2,793.00 | ↑ +265% |
| United | Commercial|HMO | $2,793.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,793.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $2,793.00 | ↑ +265% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +2115% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +2115% |
Visitor-reported prices
Comments
Carotid Artery Ultrasound (Duplex) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,241.30 | $221.09 – $2,210.52 |
| Banner Lassen Medical Center | Susanville | $1,143.52 | $48.34 – $1,830.39 |
| Petaluma Valley Hospital | Petaluma | $1,428.51 | $321.54 – $1,094.08 |
| Arroyo Grande Hospital | Santa Maria | $1,436.80 | $179.75 – $2,597.98 |
| Mark Twain Medical Center | San Andreas | $6,036.63 | $120.30 – $455.70 |
| French Hospital | San Luis Obispo | $2,157.57 | $179.75 – $1,809.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,031.01 | $179.75 – $2,223.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,019.90 | $179.75 – $2,195.41 |