Cholangiography and/or pancreatography intraoperative supervision & interpretation at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$635.41
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.
$2,319.00
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.
$62.08 with United vs $2,319.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $62.08 | ↓ -90% |
| United | Medicaid|> 21 | $62.08 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $68.29 | ↓ -89% |
| Molina | Medicaid|All Plans | $81.37 | ↓ -87% |
| Aetna | Commercial|HMO | $114.55 | ↓ -82% |
| Aetna | Commercial|All Other Plans | $114.55 | ↓ -82% |
| Aetna | Commercial|PPO | $114.55 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $117.95 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $142.16 | ↓ -78% |
| Health Net | Medicaid|All Plans | $142.16 | ↓ -78% |
| WCMG | Commercial|All Plans | $255.09 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $266.95 | ↓ -58% |
| Western Health Advantage | Commercial|All Plans | $811.65 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $950.79 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,252.26 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,739.25 | ↑ +174% |
| First Health | Commercial|All Plans | $1,739.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,855.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,924.77 | ↑ +203% |
| United | Commercial|HMO | $2,319.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,319.00 | ↑ +265% |
| United | Commercial|Options PPO | $2,319.00 | ↑ +265% |
| United | Commercial|All Other Plans | $2,319.00 | ↑ +265% |
Visitor-reported prices
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Cholangiography and/or pancreatography intraoperative supervision & interpretation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $628.97 | $93.92 – $1,120.08 |
| Banner Lassen Medical Center | Susanville | $402.13 | $71.41 – $594.61 |
| Petaluma Valley Hospital | Petaluma | $1,069.98 | $180.86 – $180.86 |
| Arroyo Grande Hospital | Santa Maria | $515.74 | $62.08 – $1,180.90 |
| French Hospital | San Luis Obispo | $359.47 | $62.08 – $898.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $377.31 | $62.08 – $813.60 |
| Bakersfield Memorial Hospital | Bakersfield | $373.24 | $62.08 – $1,006.83 |
| Queen of The Valley Medical Center | Napa | $1,493.79 | $266.48 – $266.48 |