Endoluminl ivus oct c 1st at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,952.63
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.
$10,776.00
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.
$323.01 with United vs $16,573.00 with Aetna — 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 | $323.01 | ↓ -89% |
| United | Medicaid|< 21 | $323.01 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $355.31 | ↓ -88% |
| Molina | Medicaid|All Plans | $423.36 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $613.72 | ↓ -79% |
| Health Net | Medicaid|All Plans | $739.69 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $739.69 | ↓ -75% |
| WCMG | Commercial|All Plans | $1,185.36 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $1,388.95 | ↓ -53% |
| Western Health Advantage | Commercial|All Plans | $3,771.60 | ↑ +28% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $4,418.16 | ↑ +50% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +81% |
| Kaiser | Commercial|All Plans | $5,819.04 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +153% |
| Healthsmart | Commercial|All Plans | $8,082.00 | ↑ +174% |
| First Health | Commercial|All Plans | $8,082.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $8,620.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $8,944.08 | ↑ +203% |
| United | Commercial|HMO | $10,776.00 | ↑ +265% |
| United | Commercial|Options PPO | $10,776.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $10,776.00 | ↑ +265% |
| United | Commercial|All Other Plans | $10,776.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +461% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +461% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +461% |
Visitor-reported prices
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Endoluminl ivus oct c 1st at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,335.81 | $488.68 – $5,940.48 |
| Arroyo Grande Hospital | Santa Maria | $3,857.57 | $323.01 – $8,832.74 |
| French Hospital | San Luis Obispo | $3,604.05 | $323.01 – $9,010.12 |
| Bakersfield Memorial Hospital | Bakersfield | $1,789.86 | $323.01 – $4,828.23 |
| Queen of The Valley Medical Center | Napa | $17,827.05 | $1,659.53 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,157.19 | $2,699.00 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,620.30 | $323.01 – $18,915.12 |
| Santa Rosa Memorial Hospital | Santa Rosa | $13,929.12 | $1,633.34 – $4,042.00 |