Electrophysiology evaluation at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,342.88
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.
$4,901.00
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.
$91.03 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $91.03 | ↓ -93% |
| WCMG | Commercial|All Plans | $539.11 | ↓ -60% |
| United | Medicaid|> 21 | $602.28 | ↓ -55% |
| United | Medicaid|< 21 | $602.28 | ↓ -55% |
| Molina | Medicaid|All Plans | $986.72 | ↓ -27% |
| Hill Physicians | Medicaid|All Plans | $1,050.30 | ↓ -22% |
| BCBS - Anthem | Medicaid|All Plans | $1,430.40 | ↑ +7% |
| BCBS - Anthem | Medicare|All Other Plans | $1,504.37 | ↑ +12% |
| Blue Shield CA | Medicare|PPO | $1,595.30 | ↑ +19% |
| Humana | Medicare|All Plans | $1,595.30 | ↑ +19% |
| Aetna | Medicare|All Plans | $1,595.30 | ↑ +19% |
| Molina | Medicare|All Plans | $1,595.30 | ↑ +19% |
| United | Medicare|All Plans | $1,595.30 | ↑ +19% |
| Kaiser | Medicare|All Plans | $1,595.30 | ↑ +19% |
| Blue Shield CA | Medicare|HMO | $1,595.30 | ↑ +19% |
| Humana | Commercial|All Plans | $1,595.30 | ↑ +19% |
| BCBS - Anthem | Medicare|Imperial | $1,643.16 | ↑ +22% |
| Western Health Advantage | Commercial|All Plans | $1,715.35 | ↑ +28% |
| BrightHealth | Commercial|All Plans | $1,754.83 | ↑ +31% |
| BlueShield | Medicare|Trauma | $1,994.13 | ↑ +48% |
| Kaiser | Medicaid|All Plans | $2,009.41 | ↑ +50% |
| Health Net | Medicaid|All Plans | $2,186.54 | ↑ +63% |
| California Health & Wellness | Medicaid|All Plans | $2,186.54 | ↑ +63% |
| Prison Healthcare | Medicaid|All Plans | $2,392.95 | ↑ +78% |
| Kaiser | Commercial|All Plans | $2,646.54 | ↑ +97% |
| Cigna | Commercial|LocalPlus | $3,185.65 | ↑ +137% |
| Partnership Health Plan | Medicaid|All Plans | $3,237.23 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $3,675.75 | ↑ +174% |
| First Health | Commercial|All Plans | $3,675.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,920.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,067.83 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $4,214.86 | ↑ +214% |
| United | Commercial|Non-Options PPO | $4,901.00 | ↑ +265% |
| United | Commercial|HMO | $4,901.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +437% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +571% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +839% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +1134% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +1134% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +1134% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +1162% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +1162% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,054.71 | $650.16 – $2,803.82 |
| Arroyo Grande Hospital | Santa Maria | $1,724.42 | $602.28 – $4,029.00 |
| French Hospital | San Luis Obispo | $1,538.60 | $602.28 – $3,846.50 |
| Bakersfield Memorial Hospital | Bakersfield | $2,369.36 | $602.28 – $6,262.32 |
| Queen of The Valley Medical Center | Napa | $12,216.03 | $1,728.74 – $7,455.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,910.12 | $602.28 – $5,327.54 |
| Santa Rosa Memorial Hospital | Santa Rosa | $26,546.52 | $1,694.16 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,556.16 | $1,331.06 – $3,281.00 |