CT limited or localized follow-up study at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$649.38
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.
$2,370.00
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.
$98.52 with Hill Physicians vs $5,233.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $98.52 | ↓ -85% |
| BCBS - Anthem | Medicare|All Other Plans | $109.11 | ↓ -83% |
| Humana | Commercial|All Plans | $115.71 | ↓ -82% |
| Blue Shield CA | Medicare|PPO | $115.71 | ↓ -82% |
| Aetna | Medicare|All Plans | $115.71 | ↓ -82% |
| Blue Shield CA | Medicare|HMO | $115.71 | ↓ -82% |
| Kaiser | Medicare|All Plans | $115.71 | ↓ -82% |
| Humana | Medicare|All Plans | $115.71 | ↓ -82% |
| Molina | Medicare|All Plans | $115.71 | ↓ -82% |
| United | Medicare|All Plans | $115.71 | ↓ -82% |
| BCBS - Anthem | Medicare|Imperial | $119.18 | ↓ -82% |
| BrightHealth | Commercial|All Plans | $127.28 | ↓ -80% |
| BlueShield | Medicare|Trauma | $144.64 | ↓ -78% |
| Prison Healthcare | Medicaid|All Plans | $173.56 | ↓ -73% |
| United | Commercial|Non-Options PPO | $182.03 | ↓ -72% |
| United | Commercial|All Other Plans | $182.03 | ↓ -72% |
| United | Commercial|Options PPO | $182.03 | ↓ -72% |
| United | Commercial|HMO | $182.03 | ↓ -72% |
| United | Medicaid|< 21 | $182.57 | ↓ -72% |
| United | Medicaid|> 21 | $182.57 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $200.83 | ↓ -69% |
| Molina | Medicaid|All Plans | $239.29 | ↓ -63% |
| WCMG | Commercial|All Plans | $260.70 | ↓ -60% |
| Aetna | Commercial|All Other Plans | $391.75 | ↓ -40% |
| Aetna | Commercial|HMO | $391.75 | ↓ -40% |
| Aetna | Commercial|PPO | $391.75 | ↓ -40% |
| Health Net | Medicaid|All Plans | $418.09 | ↓ -36% |
| California Health & Wellness | Medicaid|All Plans | $418.09 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $436.41 | ↓ -33% |
| Partnership Health Plan | Medicaid|All Plans | $785.05 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $829.50 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $971.70 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,279.80 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $1,606.79 | ↑ +147% |
| Healthsmart | Commercial|All Plans | $1,777.50 | ↑ +174% |
| First Health | Commercial|All Plans | $1,777.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,896.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,967.10 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $2,007.81 | ↑ +209% |
| BCBS - Anthem | Commercial|MCS | $2,370.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $3,925.00 | ↑ +504% |
| Cigna | Commercial|All Other Plans | $5,233.00 | ↑ +706% |
Visitor-reported prices
Comments
CT limited or localized follow-up study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $130.53 | $80.46 – $298.00 |
| Banner Lassen Medical Center | Susanville | $537.88 | $17.61 – $1,031.11 |
| Petaluma Valley Hospital | Petaluma | $2,248.08 | $117.28 – $744.56 |
| Mark Twain Medical Center | San Andreas | $3,086.91 | $182.57 – $829.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $429.25 | $111.88 – $1,130.00 |
| Bakersfield Memorial Hospital | Bakersfield | $424.62 | $111.88 – $1,130.00 |
| Queen of The Valley Medical Center | Napa | $1,546.83 | $123.56 – $940.94 |
| Providence St Joseph Hospital Eureka | Eureka | $2,195.04 | $111.93 – $1,067.03 |