Dilat xst trc new access rcs at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,470.39
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.
$9,016.00
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.
$218.91 with United vs $35,580.00 with Blue Shield CA — 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 | $218.91 | ↓ -91% |
| United | Medicaid|> 21 | $218.91 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $240.80 | ↓ -90% |
| Hill Physicians | Commercial|All Plans | $249.78 | ↓ -90% |
| Molina | Medicaid|All Plans | $411.55 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $456.61 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $501.30 | ↓ -80% |
| Health Net | Medicaid|All Plans | $501.30 | ↓ -80% |
| Partnership Health Plan | Medicaid|All Plans | $941.31 | ↓ -62% |
| WCMG | Commercial|All Plans | $991.76 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $3,155.60 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $3,696.56 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $4,273.95 | ↑ +73% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +73% |
| United | Medicare|All Plans | $4,532.29 | ↑ +83% |
| Humana | Medicare|All Plans | $4,532.29 | ↑ +83% |
| Aetna | Medicare|All Plans | $4,532.29 | ↑ +83% |
| Molina | Medicare|All Plans | $4,532.29 | ↑ +83% |
| Humana | Commercial|All Plans | $4,532.29 | ↑ +83% |
| Kaiser | Medicare|All Plans | $4,532.29 | ↑ +83% |
| Blue Shield CA | Medicare|HMO | $4,532.29 | ↑ +83% |
| Blue Shield CA | Medicare|PPO | $4,532.29 | ↑ +83% |
| BCBS - Anthem | Medicare|Imperial | $4,668.26 | ↑ +89% |
| Kaiser | Commercial|All Plans | $4,868.64 | ↑ +97% |
| BrightHealth | Commercial|All Plans | $4,985.52 | ↑ +102% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +116% |
| BlueShield | Medicare|Trauma | $5,665.36 | ↑ +129% |
| First Health | Commercial|All Plans | $6,762.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $6,762.00 | ↑ +174% |
| Prison Healthcare | Medicaid|All Plans | $6,798.44 | ↑ +175% |
| Sutter Health | Commercial|All Plans | $7,212.80 | ↑ +192% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +194% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +194% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +194% |
| MultiPlan | Commercial|All Plans | $7,483.28 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +203% |
| United | Commercial|Non-Options PPO | $9,016.00 | ↑ +265% |
| United | Commercial|Options PPO | $9,016.00 | ↑ +265% |
| United | Commercial|HMO | $9,016.00 | ↑ +265% |
| United | Commercial|All Other Plans | $9,016.00 | ↑ +265% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +417% |
| Blue Shield CA | Commercial|ACO Trio | $16,598.00 | ↑ +572% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $21,162.00 | ↑ +757% |
| Blue Shield CA | Commercial|Exchange | $22,950.00 | ↑ +829% |
| Blue Shield CA | Commercial|PPO Tandem | $29,592.00 | ↑ +1098% |
| Blue Shield CA | Commercial|HMO | $31,379.00 | ↑ +1170% |
| Blue Shield CA | Commercial|CalPers | $33,036.00 | ↑ +1237% |
| Blue Shield CA | Commercial|PPO | $35,580.00 | ↑ +1340% |
Visitor-reported prices
Comments
Dilat xst trc new access rcs at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $490.13 | $302.13 – $2,238.00 |
| Arroyo Grande Hospital | Santa Maria | $5,608.52 | $218.91 – $12,841.92 |
| French Hospital | San Luis Obispo | $5,136.77 | $218.91 – $12,841.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,674.17 | $218.91 – $5,766.40 |
| Bakersfield Memorial Hospital | Bakersfield | $2,645.34 | $218.91 – $5,694.32 |
| St. Joseph's Medical Center Stockton | Stockton | $787.04 | $218.91 – $2,677.00 |
| Mercy Medical Center Merced | Merced | $1,490.93 | $218.91 – $2,895.00 |
| Dominican Hospital | Santa Cruz | $3,971.25 | $218.91 – $14,831.19 |