Generator emblem MRI sicd subq at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$35,824.13
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.
$130,745.00
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.
$3,280.75 with WCMG vs $28,930.25 with BCBS - Anthem — 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 | $3,280.75 | ↓ -91% |
| Kaiser | Medicaid|All Plans | $6,859.75 | ↓ -81% |
| Kaiser | Commercial|All Plans | $6,859.75 | ↓ -81% |
| Kaiser | Medicare|All Plans | $6,859.75 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $7,158.00 | ↓ -80% |
| Partnership Health Plan | Medicaid|All Plans | $7,456.25 | ↓ -79% |
| Molina | Medicaid|All Plans | $7,754.50 | ↓ -78% |
| Health Net | Medicaid|All Plans | $8,351.00 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $8,351.00 | ↓ -77% |
| Health Net | Commercial|EPPO | $11,631.75 | ↓ -68% |
| Cigna | Commercial|LocalPlus | $11,930.00 | ↓ -67% |
| United | Commercial|Non-Options PPO | $15,509.00 | ↓ -57% |
| Cigna | Commercial|All Other Plans | $15,807.25 | ↓ -56% |
| United | Commercial|Options PPO | $16,702.00 | ↓ -53% |
| United | Commercial|HMO | $16,702.00 | ↓ -53% |
| United | Commercial|All Other Plans | $16,702.00 | ↓ -53% |
| Blue Shield CA | Commercial|ACO Trio | $19,386.25 | ↓ -46% |
| Western Health Advantage | Commercial|All Plans | $19,386.25 | ↓ -46% |
| Health Net | Commercial|FFS | $21,175.75 | ↓ -41% |
| First Health | Commercial|All Plans | $22,368.75 | ↓ -38% |
| Healthsmart | Commercial|All Plans | $22,368.75 | ↓ -38% |
| BCBS - Anthem | Commercial|Connection EPO | $23,263.50 | ↓ -35% |
| Sutter Health | Commercial|All Plans | $23,860.00 | ↓ -33% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $24,456.50 | ↓ -32% |
| Blue Shield CA | Commercial|Exchange | $24,456.50 | ↓ -32% |
| MultiPlan | Commercial|All Plans | $24,754.75 | ↓ -31% |
| Aetna | Commercial|HMO | $25,351.25 | ↓ -29% |
| Aetna | Commercial|All Other Plans | $25,351.25 | ↓ -29% |
| Aetna | Commercial|PPO | $25,351.25 | ↓ -29% |
| Blue Shield CA | Commercial|PPO Tandem | $26,842.50 | ↓ -25% |
| Blue Shield CA | Commercial|PPO | $26,842.50 | ↓ -25% |
| Blue Shield CA | Commercial|HMO | $26,842.50 | ↓ -25% |
| Blue Shield CA | Commercial|CalPers | $27,439.00 | ↓ -23% |
| BCBS - Anthem | Commercial|MCS | $28,930.25 | ↓ -19% |
| BCBS - Anthem | Commercial|All Other Plans | $28,930.25 | ↓ -19% |
Visitor-reported prices
Comments
Generator emblem MRI sicd subq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $49,197.04 | $5,698.56 – $18,520.32 |
| Banner Lassen Medical Center | Susanville | $61,070.50 | $17,958.00 – $42,486.00 |
| Petaluma Valley Hospital | Petaluma | $60,375.84 | not published |
| Arroyo Grande Hospital | Santa Maria | $43,704.80 | $7,100.10 – $30,252.60 |
| French Hospital | San Luis Obispo | $40,028.69 | $5,865.30 – $30,252.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42,093.66 | $6,596.25 – $23,746.50 |
| Bakersfield Memorial Hospital | Bakersfield | $41,639.82 | $6,596.25 – $25,593.45 |
| Queen of The Valley Medical Center | Napa | $60,375.84 | not published |