Exercise w/hemodynamic meas at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,693.15
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.
$9,829.00
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.
$142.08 with Hill Physicians vs $9,829.00 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 | $142.08 | ↓ -95% |
| United | Medicaid|< 21 | $257.97 | ↓ -90% |
| United | Medicaid|> 21 | $257.97 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $313.64 | ↓ -88% |
| Molina | Medicaid|All Plans | $422.64 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $427.14 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $652.95 | ↓ -76% |
| Health Net | Medicaid|All Plans | $652.95 | ↓ -76% |
| Partnership Health Plan | Medicaid|All Plans | $966.68 | ↓ -64% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↓ -62% |
| WCMG | Commercial|All Plans | $1,081.19 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↓ -52% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↓ -51% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↓ -36% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↓ -28% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↓ -25% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↓ -22% |
| BCBS - Anthem | Commercial|Connection EPO | $3,271.82 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $3,440.15 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,029.89 | ↑ +50% |
| BCBS - Anthem | Commercial|All Other Plans | $4,088.39 | ↑ +52% |
| Kaiser | Commercial|All Plans | $5,307.66 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $5,724.30 | ↑ +113% |
| Healthsmart | Commercial|All Plans | $7,371.75 | ↑ +174% |
| First Health | Commercial|All Plans | $7,371.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $7,863.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $8,158.07 | ↑ +203% |
| United | Commercial|All Other Plans | $9,829.00 | ↑ +265% |
| United | Commercial|HMO | $9,829.00 | ↑ +265% |
| United | Commercial|Options PPO | $9,829.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $9,829.00 | ↑ +265% |
Visitor-reported prices
Comments
Exercise w/hemodynamic meas at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $237.40 | $146.34 – $422.76 |
| Arroyo Grande Hospital | Santa Maria | $240.11 | $257.97 – $549.78 |
| French Hospital | San Luis Obispo | $212.86 | $146.61 – $532.14 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,315.68 | $1,200.00 – $2,551.01 |
| Dominican Hospital | Santa Cruz | $53.10 | $76.70 – $317.30 |
| Northridge Hospital Medical Center | Northridge | $255.01 | $210.22 – $1,184.08 |
| California Hospital Medical Center | Los Angeles | $635.35 | $256.62 – $1,425.65 |
| Providence St Joseph Hospital Orange | Orange | $670.08 | $1,394.00 – $2,357.03 |