CT hrt w/3d image at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,945.13
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.
$7,099.00
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 $5,892.17 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $167.69 | ↓ -91% |
| United | Medicaid|> 21 | $218.16 | ↓ -89% |
| United | Medicaid|< 21 | $218.16 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $239.98 | ↓ -88% |
| United | Commercial|All Other Plans | $401.74 | ↓ -79% |
| United | Commercial|Non-Options PPO | $401.74 | ↓ -79% |
| United | Commercial|Options PPO | $401.74 | ↓ -79% |
| United | Commercial|HMO | $401.74 | ↓ -79% |
| Molina | Medicaid|All Plans | $410.14 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $414.50 | ↓ -79% |
| BCBS - Anthem | Medicare|All Other Plans | $442.55 | ↓ -77% |
| Blue Shield CA | Medicare|PPO | $469.30 | ↓ -76% |
| United | Medicare|All Plans | $469.30 | ↓ -76% |
| Aetna | Medicare|All Plans | $469.30 | ↓ -76% |
| Humana | Commercial|All Plans | $469.30 | ↓ -76% |
| Molina | Medicare|All Plans | $469.30 | ↓ -76% |
| Humana | Medicare|All Plans | $469.30 | ↓ -76% |
| Blue Shield CA | Medicare|HMO | $469.30 | ↓ -76% |
| Kaiser | Medicare|All Plans | $469.30 | ↓ -76% |
| BCBS - Anthem | Medicare|Imperial | $483.38 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $499.59 | ↓ -74% |
| Health Net | Medicaid|All Plans | $499.59 | ↓ -74% |
| BrightHealth | Commercial|All Plans | $516.23 | ↓ -73% |
| BlueShield | Medicare|Trauma | $586.63 | ↓ -70% |
| Prison Healthcare | Medicaid|All Plans | $703.95 | ↓ -64% |
| Aetna | Commercial|HMO | $722.98 | ↓ -63% |
| Aetna | Commercial|All Other Plans | $722.98 | ↓ -63% |
| Aetna | Commercial|PPO | $722.98 | ↓ -63% |
| WCMG | Commercial|All Plans | $780.89 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $938.09 | ↓ -52% |
| BCBS - Anthem | Commercial|Connection EPO | $2,292.78 | ↑ +18% |
| Western Health Advantage | Commercial|All Plans | $2,484.65 | ↑ +28% |
| BCBS - Anthem | Commercial|All Other Plans | $2,865.00 | ↑ +47% |
| Kaiser | Medicaid|All Plans | $2,910.59 | ↑ +50% |
| Kaiser | Commercial|All Plans | $3,833.46 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $4,011.39 | ↑ +106% |
| First Health | Commercial|All Plans | $5,324.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $5,324.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $5,679.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $5,892.17 | ↑ +203% |
Visitor-reported prices
Comments
CT hrt w/3d image at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,184.75 | $330.06 – $3,890.64 |
| Arroyo Grande Hospital | Santa Maria | $1,095.26 | $218.16 – $2,295.16 |
| Mark Twain Medical Center | San Andreas | $5,708.96 | $218.16 – $1,533.70 |
| French Hospital | San Luis Obispo | $873.38 | $218.16 – $994.70 |
| Mercy Hospitals – Bakersfield | Bakersfield | $290.50 | $218.16 – $626.40 |
| Bakersfield Memorial Hospital | Bakersfield | $287.37 | $218.16 – $618.57 |
| Queen of The Valley Medical Center | Napa | $2,701.47 | $291.55 – $1,392.37 |
| Providence St Joseph Hospital Eureka | Eureka | $2,141.49 | $291.55 – $1,522.57 |