Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$647.47
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.
$2,363.00
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.
$59.47 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 | $59.47 | ↓ -91% |
| United | Medicaid|< 21 | $91.42 | ↓ -86% |
| United | Medicaid|> 21 | $91.42 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $110.52 | ↓ -83% |
| Molina | Medicaid|All Plans | $149.78 | ↓ -77% |
| BCBS - Anthem | Medicaid|All Plans | $151.37 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $230.08 | ↓ -64% |
| Health Net | Medicaid|All Plans | $230.08 | ↓ -64% |
| WCMG | Commercial|All Plans | $259.93 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $342.58 | ↓ -47% |
| Western Health Advantage | Commercial|All Plans | $827.05 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $968.83 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,276.02 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,772.25 | ↑ +174% |
| First Health | Commercial|All Plans | $1,772.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,890.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,961.29 | ↑ +203% |
| United | Commercial|Options PPO | $2,363.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,363.00 | ↑ +265% |
| United | Commercial|HMO | $2,363.00 | ↑ +265% |
| United | Commercial|All Other Plans | $2,363.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +411% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +551% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +561% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +561% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +700% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +700% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +700% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +726% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +769% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +866% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +917% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +947% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1056% |
Visitor-reported prices
Comments
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $459.47 | $112.45 – $818.22 |
| Banner Lassen Medical Center | Susanville | $870.41 | $112.75 – $266.75 |
| Arroyo Grande Hospital | Santa Maria | $420.73 | $91.42 – $963.34 |
| Mark Twain Medical Center | San Andreas | $2,358.98 | $40.88 – $154.84 |
| French Hospital | San Luis Obispo | $385.34 | $91.42 – $796.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $432.59 | $91.42 – $1,037.74 |
| Providence St Joseph Hospital Eureka | Eureka | $7,588.80 | $2,699.00 – $21,319.00 |
| Healdsburg Hospital | Healdsburg | $325.89 | $2,335.00 – $3,982.87 |