Injection for ureter x-ray at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$107.41
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.
$392.00
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.
$41.47 with WCMG 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $41.47 | ↓ -61% |
| Hill Physicians | Commercial|All Plans | $71.81 | ↓ -33% |
| Western Health Advantage | Commercial|All Plans | $131.95 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $154.57 | ↑ +44% |
| Kaiser | Commercial|All Plans | $203.58 | ↑ +90% |
| Healthsmart | Commercial|All Plans | $282.75 | ↑ +163% |
| First Health | Commercial|All Plans | $282.75 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $301.60 | ↑ +181% |
| United | Medicaid|> 21 | $308.45 | ↑ +187% |
| United | Medicaid|< 21 | $308.45 | ↑ +187% |
| MultiPlan | Commercial|All Plans | $312.91 | ↑ +191% |
| Health Net | Medicaid|All Plans | $377.00 | ↑ +251% |
| Molina | Medicaid|All Plans | $377.00 | ↑ +251% |
| United | Commercial|All Other Plans | $377.00 | ↑ +251% |
| BCBS - Anthem | Medicaid|All Plans | $377.00 | ↑ +251% |
| United | Commercial|HMO | $377.00 | ↑ +251% |
| United | Commercial|Options PPO | $377.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $377.00 | ↑ +251% |
| Partnership Health Plan | Medicaid|All Plans | $377.00 | ↑ +251% |
| California Health & Wellness | Medicaid|All Plans | $377.00 | ↑ +251% |
| Hill Physicians | Medicaid|All Plans | $377.00 | ↑ +251% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +3882% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +4721% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +4721% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +4721% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +4877% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +6868% |
Visitor-reported prices
Comments
Injection for ureter x-ray at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $156.37 | $96.39 – $357.00 |
| Arroyo Grande Hospital | Santa Maria | $964.72 | $308.45 – $2,208.92 |
| French Hospital | San Luis Obispo | $883.57 | $308.45 – $2,208.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $935.30 | $308.45 – $2,243.69 |
| Bakersfield Memorial Hospital | Bakersfield | $925.21 | $308.45 – $2,495.79 |
| St. Joseph's Medical Center Stockton | Stockton | $705.02 | $244.44 – $1,164.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $334.56 | $542.12 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $512.16 | $1,200.00 – $5,357.00 |