Emg 2 ext w-w/o paraspinal area 95861 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$131.52
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.
$480.00
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.
$52.80 with WCMG 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $52.80 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $83.94 | ↓ -36% |
| United | Medicaid|> 21 | $112.92 | ↓ -14% |
| United | Medicaid|< 21 | $112.92 | ↓ -14% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $168.00 | ↑ +28% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↑ +29% |
| Humana | Commercial|All Plans | $169.39 | ↑ +29% |
| Humana | Medicare|All Plans | $169.39 | ↑ +29% |
| Aetna | Medicare|All Plans | $169.39 | ↑ +29% |
| Molina | Medicare|All Plans | $169.39 | ↑ +29% |
| United | Medicare|All Plans | $169.39 | ↑ +29% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↑ +29% |
| Kaiser | Medicare|All Plans | $169.39 | ↑ +29% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↑ +33% |
| Molina | Medicaid|All Plans | $184.99 | ↑ +41% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +42% |
| Kaiser | Medicaid|All Plans | $196.80 | ↑ +50% |
| Hill Physicians | Medicaid|All Plans | $196.91 | ↑ +50% |
| BlueShield | Medicare|Trauma | $211.74 | ↑ +61% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +93% |
| Kaiser | Commercial|All Plans | $259.20 | ↑ +97% |
| BCBS - Anthem | Medicaid|All Plans | $268.17 | ↑ +104% |
| First Health | Commercial|All Plans | $360.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $360.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $384.00 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $384.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $398.40 | ↑ +203% |
| California Health & Wellness | Medicaid|All Plans | $409.93 | ↑ +212% |
| Health Net | Medicaid|All Plans | $409.93 | ↑ +212% |
| United | Commercial|Non-Options PPO | $480.00 | ↑ +265% |
| United | Commercial|HMO | $480.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $480.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $480.00 | ↑ +265% |
| Partnership Health Plan | Medicaid|All Plans | $480.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +2333% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +4314% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +12788% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +12788% |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $410.85 | $111.51 – $322.14 |
| Arroyo Grande Hospital | Santa Maria | $157.94 | $112.92 – $361.62 |
| Mark Twain Medical Center | San Andreas | $173.83 | $67.53 – $255.78 |
| French Hospital | San Luis Obispo | $144.65 | $99.63 – $361.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $114.27 | $112.92 – $308.00 |
| Bakersfield Memorial Hospital | Bakersfield | $470.87 | $112.92 – $308.00 |
| St. Joseph's Medical Center Stockton | Stockton | $209.33 | $112.92 – $583.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,122.72 | $145.45 – $316.58 |