Eeg over 1 hour 95813 - 26 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$786.93
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.
$2,872.00
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.
$127.76 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 | $127.76 | ↓ -84% |
| United | Medicaid|< 21 | $127.76 | ↓ -84% |
| Molina | Medicaid|All Plans | $209.32 | ↓ -73% |
| Hill Physicians | Medicaid|All Plans | $222.81 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $303.45 | ↓ -61% |
| WCMG | Commercial|All Plans | $315.92 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $385.89 | ↓ -51% |
| Hill Physicians | Commercial|All Plans | $402.32 | ↓ -49% |
| Humana | Commercial|All Plans | $409.21 | ↓ -48% |
| Humana | Medicare|All Plans | $409.21 | ↓ -48% |
| Aetna | Medicare|All Plans | $409.21 | ↓ -48% |
| Molina | Medicare|All Plans | $409.21 | ↓ -48% |
| United | Medicare|All Plans | $409.21 | ↓ -48% |
| Kaiser | Medicare|All Plans | $409.21 | ↓ -48% |
| Blue Shield CA | Medicare|HMO | $409.21 | ↓ -48% |
| Blue Shield CA | Medicare|PPO | $409.21 | ↓ -48% |
| BCBS - Anthem | Medicare|Imperial | $421.49 | ↓ -46% |
| BrightHealth | Commercial|All Plans | $450.13 | ↓ -43% |
| Health Net | Medicaid|All Plans | $463.84 | ↓ -41% |
| California Health & Wellness | Medicaid|All Plans | $463.84 | ↓ -41% |
| BlueShield | Medicare|Trauma | $511.51 | ↓ -35% |
| Prison Healthcare | Medicaid|All Plans | $613.82 | ↓ -22% |
| Partnership Health Plan | Medicaid|All Plans | $686.74 | ↓ -13% |
| BCBS - Anthem | Commercial|Connection EPO | $896.62 | ↑ +14% |
| Western Health Advantage | Commercial|All Plans | $1,005.20 | ↑ +28% |
| BCBS - Anthem | Commercial|All Other Plans | $1,120.39 | ↑ +42% |
| Kaiser | Medicaid|All Plans | $1,177.52 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,550.88 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $1,568.70 | ↑ +99% |
| Healthsmart | Commercial|All Plans | $2,154.00 | ↑ +174% |
| First Health | Commercial|All Plans | $2,154.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,297.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,383.76 | ↑ +203% |
| United | Commercial|HMO | $2,872.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,872.00 | ↑ +265% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +2054% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +2054% |
Visitor-reported prices
Comments
Eeg over 1 hour 95813 - 26 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $788.84 | $157.14 – $1,404.78 |
| Arroyo Grande Hospital | Santa Maria | $646.28 | $127.76 – $1,345.54 |
| Mark Twain Medical Center | San Andreas | $684.65 | $127.76 – $1,007.44 |
| French Hospital | San Luis Obispo | $591.92 | $127.76 – $1,479.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $729.39 | $127.76 – $1,572.80 |
| Bakersfield Memorial Hospital | Bakersfield | $721.53 | $127.76 – $1,553.14 |
| Queen of The Valley Medical Center | Napa | $594.15 | $306.58 – $525.06 |
| Providence St Joseph Hospital Eureka | Eureka | $800.19 | $277.71 – $595.42 |