Icd crtd cobalt hf MRI is1 df1 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$52,449.08
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.
$191,420.00
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.
$5,545.10 with WCMG vs $48,897.70 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 | $5,545.10 | ↓ -89% |
| Kaiser | Medicaid|All Plans | $11,594.30 | ↓ -78% |
| Kaiser | Commercial|All Plans | $11,594.30 | ↓ -78% |
| Kaiser | Medicare|All Plans | $11,594.30 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $12,098.40 | ↓ -77% |
| Partnership Health Plan | Medicaid|All Plans | $12,602.50 | ↓ -76% |
| Molina | Medicaid|All Plans | $13,106.60 | ↓ -75% |
| Health Net | Medicaid|All Plans | $14,114.80 | ↓ -73% |
| California Health & Wellness | Medicaid|All Plans | $14,114.80 | ↓ -73% |
| Health Net | Commercial|EPPO | $19,659.90 | ↓ -63% |
| Cigna | Commercial|LocalPlus | $20,164.00 | ↓ -62% |
| United | Commercial|Non-Options PPO | $26,213.20 | ↓ -50% |
| Cigna | Commercial|All Other Plans | $26,717.30 | ↓ -49% |
| United | Commercial|Options PPO | $28,229.60 | ↓ -46% |
| United | Commercial|HMO | $28,229.60 | ↓ -46% |
| United | Commercial|All Other Plans | $28,229.60 | ↓ -46% |
| Blue Shield CA | Commercial|ACO Trio | $32,766.50 | ↓ -38% |
| Western Health Advantage | Commercial|All Plans | $32,766.50 | ↓ -38% |
| Health Net | Commercial|FFS | $35,791.10 | ↓ -32% |
| First Health | Commercial|All Plans | $37,807.50 | ↓ -28% |
| Healthsmart | Commercial|All Plans | $37,807.50 | ↓ -28% |
| BCBS - Anthem | Commercial|Connection EPO | $39,319.80 | ↓ -25% |
| Sutter Health | Commercial|All Plans | $40,328.00 | ↓ -23% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $41,336.20 | ↓ -21% |
| Blue Shield CA | Commercial|Exchange | $41,336.20 | ↓ -21% |
| MultiPlan | Commercial|All Plans | $41,840.30 | ↓ -20% |
| Aetna | Commercial|HMO | $42,848.50 | ↓ -18% |
| Aetna | Commercial|All Other Plans | $42,848.50 | ↓ -18% |
| Aetna | Commercial|PPO | $42,848.50 | ↓ -18% |
| Blue Shield CA | Commercial|PPO Tandem | $45,369.00 | ↓ -13% |
| Blue Shield CA | Commercial|PPO | $45,369.00 | ↓ -13% |
| Blue Shield CA | Commercial|HMO | $45,369.00 | ↓ -13% |
| Blue Shield CA | Commercial|CalPers | $46,377.20 | ↓ -12% |
| BCBS - Anthem | Commercial|MCS | $48,897.70 | ↓ -7% |
| BCBS - Anthem | Commercial|All Other Plans | $48,897.70 | ↓ -7% |
Visitor-reported prices
Comments
Icd crtd cobalt hf MRI is1 df1 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $59,528.15 | $9,631.92 – $31,303.74 |
| Banner Lassen Medical Center | Susanville | $74,444.91 | $25,141.20 – $59,480.40 |
| Petaluma Valley Hospital | Petaluma | $46,206.00 | not published |
| Arroyo Grande Hospital | Santa Maria | $52,882.40 | $9,231.28 – $39,333.28 |
| French Hospital | San Luis Obispo | $48,434.35 | $7,625.84 – $39,333.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $50,932.74 | $11,148.75 – $40,135.50 |
| Bakersfield Memorial Hospital | Bakersfield | $50,383.60 | $11,148.75 – $43,257.15 |
| Queen of The Valley Medical Center | Napa | $46,206.00 | not published |