Dup scan/lwr xtr vasc stdy bilat 93924 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$926.12
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.
$3,380.00
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.
$122.12 with United vs $16,950.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $122.12 | ↓ -87% |
| United | Medicaid|< 21 | $122.12 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $151.61 | ↓ -84% |
| BCBS - Anthem | Medicare|All Other Plans | $193.88 | ↓ -79% |
| Molina | Medicaid|All Plans | $200.07 | ↓ -78% |
| United | Medicare|All Plans | $205.60 | ↓ -78% |
| Blue Shield CA | Medicare|PPO | $205.60 | ↓ -78% |
| Blue Shield CA | Medicare|HMO | $205.60 | ↓ -78% |
| Kaiser | Medicare|All Plans | $205.60 | ↓ -78% |
| Humana | Medicare|All Plans | $205.60 | ↓ -78% |
| Humana | Commercial|All Plans | $205.60 | ↓ -78% |
| Aetna | Medicare|All Plans | $205.60 | ↓ -78% |
| Molina | Medicare|All Plans | $205.60 | ↓ -78% |
| BCBS - Anthem | Medicare|Imperial | $211.77 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $212.96 | ↓ -77% |
| BrightHealth | Commercial|All Plans | $226.16 | ↓ -76% |
| BlueShield | Medicare|Trauma | $257.00 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $290.04 | ↓ -69% |
| Prison Healthcare | Medicaid|All Plans | $308.40 | ↓ -67% |
| WCMG | Commercial|All Plans | $371.80 | ↓ -60% |
| California Health & Wellness | Medicaid|All Plans | $443.34 | ↓ -52% |
| Health Net | Medicaid|All Plans | $443.34 | ↓ -52% |
| Partnership Health Plan | Medicaid|All Plans | $656.39 | ↓ -29% |
| Cigna | Commercial|LocalPlus | $1,069.36 | ↑ +15% |
| Western Health Advantage | Commercial|All Plans | $1,183.00 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,385.80 | ↑ +50% |
| Cigna | Commercial|All Other Plans | $1,425.91 | ↑ +54% |
| BCBS - Anthem | Commercial|Connection EPO | $1,525.91 | ↑ +65% |
| Kaiser | Commercial|All Plans | $1,825.20 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $1,906.74 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $2,535.00 | ↑ +174% |
| First Health | Commercial|All Plans | $2,535.00 | ↑ +174% |
| BCBS - Anthem | Commercial|MCS | $2,669.70 | ↑ +188% |
| Sutter Health | Commercial|All Plans | $2,704.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,805.40 | ↑ +203% |
| United | Commercial|HMO | $3,380.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $3,380.00 | ↑ +265% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +1730% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +1730% |
Visitor-reported prices
Comments
Dup scan/lwr xtr vasc stdy bilat 93924 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $254.48 | $150.21 – $1,281.22 |
| Mark Twain Medical Center | San Andreas | $3,343.32 | $122.12 – $1,716.96 |
| French Hospital | San Luis Obispo | $485.69 | $122.12 – $1,462.63 |
| Mercy Hospitals – Bakersfield | Bakersfield | $175.86 | $122.12 – $1,387.62 |
| Bakersfield Memorial Hospital | Bakersfield | $173.96 | $122.12 – $1,387.62 |
| Providence St Joseph Hospital Eureka | Eureka | $654.84 | $277.71 – $1,013.31 |
| St. Joseph's Medical Center Stockton | Stockton | $1,706.97 | $122.12 – $4,760.92 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $447.36 | $236.06 – $513.77 |