Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,011.89
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.
$3,693.00
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.
$107.70 with Hill Physicians vs $8,609.00 with Health Net — 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 | $107.70 | ↓ -89% |
| United | Medicaid|< 21 | $184.56 | ↓ -82% |
| United | Medicaid|> 21 | $184.56 | ↓ -82% |
| Hill Physicians | Medicaid|All Plans | $223.10 | ↓ -78% |
| Molina | Medicaid|All Plans | $302.36 | ↓ -70% |
| BCBS - Anthem | Medicaid|All Plans | $305.58 | ↓ -70% |
| WCMG | Commercial|All Plans | $406.23 | ↓ -60% |
| Health Net | Medicaid|All Plans | $464.46 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $464.46 | ↓ -54% |
| Partnership Health Plan | Medicaid|All Plans | $691.57 | ↓ -32% |
| BCBS - Anthem | Medicare|All Other Plans | $1,103.24 | ↑ +9% |
| Kaiser | Medicare|All Plans | $1,169.93 | ↑ +16% |
| Humana | Medicare|All Plans | $1,169.93 | ↑ +16% |
| Humana | Commercial|All Plans | $1,169.93 | ↑ +16% |
| Aetna | Medicare|All Plans | $1,169.93 | ↑ +16% |
| Molina | Medicare|All Plans | $1,169.93 | ↑ +16% |
| United | Medicare|All Plans | $1,169.93 | ↑ +16% |
| Blue Shield CA | Medicare|PPO | $1,169.93 | ↑ +16% |
| Blue Shield CA | Medicare|HMO | $1,169.93 | ↑ +16% |
| BCBS - Anthem | Medicare|Imperial | $1,205.03 | ↑ +19% |
| BrightHealth | Commercial|All Plans | $1,286.92 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $1,292.55 | ↑ +28% |
| BlueShield | Medicare|Trauma | $1,462.41 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $1,514.13 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $1,754.89 | ↑ +73% |
| Kaiser | Commercial|All Plans | $1,994.22 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $2,769.75 | ↑ +174% |
| First Health | Commercial|All Plans | $2,769.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,954.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $3,065.19 | ↑ +203% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +227% |
| United | Commercial|HMO | $3,693.00 | ↑ +265% |
| United | Commercial|All Other Plans | $3,693.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $3,693.00 | ↑ +265% |
| United | Commercial|Options PPO | $3,693.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +317% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +323% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +323% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +369% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +412% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +412% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +412% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +428% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +456% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +518% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +551% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +570% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +640% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +751% |
Visitor-reported prices
Comments
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,313.57 | $227.01 – $2,339.22 |
| Banner Lassen Medical Center | Susanville | $2,068.87 | $198.03 – $468.51 |
| Arroyo Grande Hospital | Santa Maria | $1,529.68 | $184.56 – $3,502.52 |
| Mark Twain Medical Center | San Andreas | $2,749.92 | $50.45 – $191.10 |
| French Hospital | San Luis Obispo | $1,401.01 | $184.56 – $2,300.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,266.60 | $184.56 – $1,791.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,252.94 | $184.56 – $2,182.77 |
| Providence St Joseph Hospital Eureka | Eureka | $7,588.80 | $1,137.58 – $8,018.00 |