Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,357.95
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.
$4,956.00
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.
$58.88 with United vs $7,484.00 with BCBS - Anthem — 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 | $58.88 | ↓ -96% |
| United | Medicaid|> 21 | $58.88 | ↓ -96% |
| Hill Physicians | Commercial|All Plans | $58.92 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $71.27 | ↓ -95% |
| Molina | Medicaid|All Plans | $96.59 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $97.49 | ↓ -93% |
| Health Net | Medicaid|All Plans | $148.37 | ↓ -89% |
| California Health & Wellness | Medicaid|All Plans | $148.37 | ↓ -89% |
| Partnership Health Plan | Medicaid|All Plans | $220.93 | ↓ -84% |
| WCMG | Commercial|All Plans | $545.16 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $1,734.60 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,031.96 | ↑ +50% |
| Kaiser | Commercial|All Plans | $2,676.24 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $3,717.00 | ↑ +174% |
| First Health | Commercial|All Plans | $3,717.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,964.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,113.48 | ↑ +203% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +215% |
| United | Commercial|Non-Options PPO | $4,956.00 | ↑ +265% |
| United | Commercial|Options PPO | $4,956.00 | ↑ +265% |
| United | Commercial|HMO | $4,956.00 | ↑ +265% |
| United | Commercial|All Other Plans | $4,956.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +281% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +281% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +281% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +294% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +451% |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,183.00 | $58.88 – $2,708.72 |
| Mark Twain Medical Center | San Andreas | $1,652.35 | $58.88 – $368.48 |
| French Hospital | San Luis Obispo | $1,083.49 | $58.88 – $2,708.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,342.65 | $58.88 – $3,220.91 |
| Providence St Joseph Hospital Eureka | Eureka | $4,277.37 | $2,699.00 – $21,319.00 |
| Healdsburg Hospital | Healdsburg | $189.72 | $3,982.87 – $3,982.87 |
| St. Joseph's Medical Center Stockton | Stockton | $1,013.13 | $51.31 – $2,894.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,462.17 | $1,716.00 – $12,908.00 |