Ghs ng placement w fluoro guidance at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$606.91
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.
$2,215.00
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.
$39.37 with Hill Physicians vs $7,484.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $39.37 | ↓ -94% |
| United | Medicaid|< 21 | $149.10 | ↓ -75% |
| United | Medicaid|> 21 | $149.10 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $180.25 | ↓ -70% |
| WCMG | Commercial|All Plans | $233.86 | ↓ -61% |
| Molina | Medicaid|All Plans | $244.27 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $246.87 | ↓ -59% |
| Health Net | Medicaid|All Plans | $375.24 | ↓ -38% |
| California Health & Wellness | Medicaid|All Plans | $375.24 | ↓ -38% |
| BCBS - Anthem | Medicare|All Other Plans | $494.49 | ↓ -19% |
| Molina | Medicare|All Plans | $524.38 | ↓ -14% |
| Humana | Medicare|All Plans | $524.38 | ↓ -14% |
| Humana | Commercial|All Plans | $524.38 | ↓ -14% |
| Aetna | Medicare|All Plans | $524.38 | ↓ -14% |
| Kaiser | Medicare|All Plans | $524.38 | ↓ -14% |
| United | Medicare|All Plans | $524.38 | ↓ -14% |
| Blue Shield CA | Medicare|PPO | $524.38 | ↓ -14% |
| Blue Shield CA | Medicare|HMO | $524.38 | ↓ -14% |
| BCBS - Anthem | Medicare|Imperial | $540.11 | ↓ -11% |
| Partnership Health Plan | Medicaid|All Plans | $558.70 | ↓ -8% |
| BrightHealth | Commercial|All Plans | $576.82 | ↓ -5% |
| BlueShield | Medicare|Trauma | $655.48 | ↑ +8% |
| Western Health Advantage | Commercial|All Plans | $744.10 | ↑ +23% |
| Prison Healthcare | Medicaid|All Plans | $786.57 | ↑ +30% |
| Kaiser | Medicaid|All Plans | $871.66 | ↑ +44% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +68% |
| Kaiser | Commercial|All Plans | $1,148.04 | ↑ +89% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +115% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +118% |
| First Health | Commercial|All Plans | $1,594.50 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $1,594.50 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $1,700.80 | ↑ +180% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +186% |
| MultiPlan | Commercial|All Plans | $1,764.58 | ↑ +191% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +218% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +235% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +245% |
| United | Commercial|All Other Plans | $2,126.00 | ↑ +250% |
| United | Commercial|HMO | $2,126.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $2,126.00 | ↑ +250% |
| United | Commercial|Options PPO | $2,126.00 | ↑ +250% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +542% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +605% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +781% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +1065% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +1095% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +1095% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +1095% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1133% |
Visitor-reported prices
Comments
Ghs ng placement w fluoro guidance at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $204.55 | $126.09 – $934.00 |
| Banner Lassen Medical Center | Susanville | $184.79 | $79.81 – $343.38 |
| Petaluma Valley Hospital | Petaluma | $1,069.98 | $593.00 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $1,671.34 | $149.10 – $453.00 |
| Mark Twain Medical Center | San Andreas | $1,300.04 | $28.20 – $149.10 |
| French Hospital | San Luis Obispo | $1,530.76 | $124.47 – $461.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $159.16 | $149.10 – $429.00 |
| Bakersfield Memorial Hospital | Bakersfield | $157.45 | $149.10 – $429.00 |