CT orbit/sella/ or posterior outer inner or middle ear w/contrast 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.
$145.45 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 | $145.45 | ↓ -93% |
| BCBS - Anthem | Medicare|All Other Plans | $220.61 | ↓ -89% |
| Blue Shield CA | Medicare|PPO | $233.94 | ↓ -88% |
| Blue Shield CA | Medicare|HMO | $233.94 | ↓ -88% |
| Aetna | Medicare|All Plans | $233.94 | ↓ -88% |
| United | Medicare|All Plans | $233.94 | ↓ -88% |
| Humana | Medicare|All Plans | $233.94 | ↓ -88% |
| Molina | Medicare|All Plans | $233.94 | ↓ -88% |
| Kaiser | Medicare|All Plans | $233.94 | ↓ -88% |
| Humana | Commercial|All Plans | $233.94 | ↓ -88% |
| BCBS - Anthem | Medicare|Imperial | $240.96 | ↓ -88% |
| United | Medicaid|< 21 | $251.61 | ↓ -87% |
| United | Medicaid|> 21 | $251.61 | ↓ -87% |
| BrightHealth | Commercial|All Plans | $257.33 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $276.77 | ↓ -86% |
| BlueShield | Medicare|Trauma | $292.43 | ↓ -85% |
| Molina | Medicaid|All Plans | $329.77 | ↓ -83% |
| Prison Healthcare | Medicaid|All Plans | $350.91 | ↓ -82% |
| United | Commercial|HMO | $401.74 | ↓ -79% |
| United | Commercial|Options PPO | $401.74 | ↓ -79% |
| United | Commercial|Non-Options PPO | $401.74 | ↓ -79% |
| United | Commercial|All Other Plans | $401.74 | ↓ -79% |
| California Health & Wellness | Medicaid|All Plans | $576.19 | ↓ -70% |
| Health Net | Medicaid|All Plans | $576.19 | ↓ -70% |
| BCBS - Anthem | Medicaid|All Plans | $627.27 | ↓ -68% |
| WCMG | Commercial|All Plans | $780.89 | ↓ -60% |
| Aetna | Commercial|PPO | $1,029.58 | ↓ -47% |
| Aetna | Commercial|HMO | $1,029.58 | ↓ -47% |
| Aetna | Commercial|All Other Plans | $1,029.58 | ↓ -47% |
| Partnership Health Plan | Medicaid|All Plans | $1,081.91 | ↓ -44% |
| BCBS - Anthem | Commercial|Connection EPO | $1,638.00 | ↓ -16% |
| BCBS - Anthem | Commercial|All Other Plans | $2,047.00 | ↑ +5% |
| Western Health Advantage | Commercial|All Plans | $2,484.65 | ↑ +28% |
| BCBS - Anthem | Commercial|MCS | $2,866.00 | ↑ +47% |
| Kaiser | Medicaid|All Plans | $2,910.59 | ↑ +50% |
| Kaiser | Commercial|All Plans | $3,833.46 | ↑ +97% |
| Cigna | Commercial|LocalPlus | $3,925.00 | ↑ +102% |
| Cigna | Commercial|All Other Plans | $5,233.00 | ↑ +169% |
| Healthsmart | Commercial|All Plans | $5,324.25 | ↑ +174% |
| First Health | 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 orbit/sella/ or posterior outer inner or middle ear w/contrast at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,985.90 | $226.19 – $3,536.52 |
| Banner Lassen Medical Center | Susanville | $1,040.82 | $35.60 – $1,796.44 |
| Petaluma Valley Hospital | Petaluma | $3,650.07 | $236.37 – $1,315.89 |
| Arroyo Grande Hospital | Santa Maria | $2,494.82 | $226.19 – $4,740.26 |
| Mark Twain Medical Center | San Andreas | $6,719.94 | $251.61 – $1,811.04 |
| French Hospital | San Luis Obispo | $1,987.44 | $226.19 – $1,768.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,321.14 | $226.19 – $2,848.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,306.89 | $226.19 – $2,813.19 |