Dch pulmonary stress test at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$564.44
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.
$2,060.00
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.
$98.89 with Hill Physicians vs $2,060.00 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 | $98.89 | ↓ -82% |
| United | Medicaid|< 21 | $114.30 | ↓ -80% |
| United | Medicaid|> 21 | $114.30 | ↓ -80% |
| Molina | Medicaid|All Plans | $187.27 | ↓ -67% |
| Hill Physicians | Medicaid|All Plans | $199.34 | ↓ -65% |
| WCMG | Commercial|All Plans | $226.60 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $271.47 | ↓ -52% |
| BCBS - Anthem | Medicare|All Other Plans | $385.89 | ↓ -32% |
| Humana | Commercial|All Plans | $409.21 | ↓ -28% |
| Humana | Medicare|All Plans | $409.21 | ↓ -28% |
| Aetna | Medicare|All Plans | $409.21 | ↓ -28% |
| Molina | Medicare|All Plans | $409.21 | ↓ -28% |
| United | Medicare|All Plans | $409.21 | ↓ -28% |
| Kaiser | Medicare|All Plans | $409.21 | ↓ -28% |
| Blue Shield CA | Medicare|HMO | $409.21 | ↓ -28% |
| Blue Shield CA | Medicare|PPO | $409.21 | ↓ -28% |
| Health Net | Medicaid|All Plans | $414.99 | ↓ -26% |
| California Health & Wellness | Medicaid|All Plans | $414.99 | ↓ -26% |
| BCBS - Anthem | Medicare|Imperial | $421.49 | ↓ -25% |
| BrightHealth | Commercial|All Plans | $450.13 | ↓ -20% |
| BlueShield | Medicare|Trauma | $511.51 | ↓ -9% |
| Prison Healthcare | Medicaid|All Plans | $613.82 | ↑ +9% |
| Partnership Health Plan | Medicaid|All Plans | $614.39 | ↑ +9% |
| Western Health Advantage | Commercial|All Plans | $721.00 | ↑ +28% |
| BCBS - Anthem | Commercial|Connection EPO | $813.60 | ↑ +44% |
| Kaiser | Medicaid|All Plans | $844.60 | ↑ +50% |
| BCBS - Anthem | Commercial|All Other Plans | $1,016.65 | ↑ +80% |
| Kaiser | Commercial|All Plans | $1,112.40 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $1,423.45 | ↑ +152% |
| Healthsmart | Commercial|All Plans | $1,545.00 | ↑ +174% |
| First Health | Commercial|All Plans | $1,545.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,648.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,709.80 | ↑ +203% |
| United | Commercial|HMO | $2,060.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,060.00 | ↑ +265% |
| United | Commercial|Options PPO | $2,060.00 | ↑ +265% |
| United | Commercial|All Other Plans | $2,060.00 | ↑ +265% |
Visitor-reported prices
Comments
Dch pulmonary stress test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $888.53 | $114.30 – $2,034.48 |
| French Hospital | San Luis Obispo | $813.80 | $114.30 – $2,034.48 |
| St. Joseph's Medical Center Stockton | Stockton | $216.68 | $114.30 – $619.08 |
| Mercy Medical Center Merced | Merced | $331.66 | $114.30 – $637.56 |
| St. Mary Medical Center | Long Beach | $421.40 | $114.30 – $980.00 |
| Providence Saint Joseph Medical Center | Burbank | $1,110.55 | $279.65 – $887.89 |
| Mercy General Hospital | Sacramento | $449.08 | $98.89 – $1,648.00 |
| Mercy Hospital of Folsom | Folsom | $801.34 | $98.89 – $1,689.20 |