Ins pq tunnld ip cath w/img at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,397.78
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.
$8,751.00
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.
$195.09 with United vs $12,770.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $195.09 | ↓ -92% |
| United | Medicaid|< 21 | $195.09 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $197.25 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $214.60 | ↓ -91% |
| Molina | Medicaid|All Plans | $366.77 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $370.37 | ↓ -85% |
| California Health & Wellness | Medicaid|All Plans | $446.76 | ↓ -81% |
| Health Net | Medicaid|All Plans | $446.76 | ↓ -81% |
| Partnership Health Plan | Medicaid|All Plans | $838.89 | ↓ -65% |
| WCMG | Commercial|All Plans | $924.11 | ↓ -61% |
| Western Health Advantage | Commercial|All Plans | $2,940.35 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $3,444.41 | ↑ +44% |
| BCBS - Anthem | Medicare|All Other Plans | $4,373.20 | ↑ +82% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +85% |
| Kaiser | Commercial|All Plans | $4,536.54 | ↑ +89% |
| United | Medicare|All Plans | $4,637.54 | ↑ +93% |
| Humana | Medicare|All Plans | $4,637.54 | ↑ +93% |
| Aetna | Medicare|All Plans | $4,637.54 | ↑ +93% |
| Molina | Medicare|All Plans | $4,637.54 | ↑ +93% |
| Humana | Commercial|All Plans | $4,637.54 | ↑ +93% |
| Kaiser | Medicare|All Plans | $4,637.54 | ↑ +93% |
| Blue Shield CA | Medicare|HMO | $4,637.54 | ↑ +93% |
| Blue Shield CA | Medicare|PPO | $4,637.54 | ↑ +93% |
| BCBS - Anthem | Medicare|Imperial | $4,776.67 | ↑ +99% |
| BrightHealth | Commercial|All Plans | $5,101.29 | ↑ +113% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +135% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +139% |
| BlueShield | Medicare|Trauma | $5,796.93 | ↑ +142% |
| First Health | Commercial|All Plans | $6,300.75 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $6,300.75 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $6,720.80 | ↑ +180% |
| Prison Healthcare | Medicaid|All Plans | $6,956.31 | ↑ +190% |
| MultiPlan | Commercial|All Plans | $6,972.83 | ↑ +191% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +201% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +202% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +202% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +202% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +214% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +249% |
| United | Commercial|HMO | $8,401.00 | ↑ +250% |
| United | Commercial|Options PPO | $8,401.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $8,401.00 | ↑ +250% |
| United | Commercial|All Other Plans | $8,401.00 | ↑ +250% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +267% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +276% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +278% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +426% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +433% |
Visitor-reported prices
Comments
Ins pq tunnld ip cath w/img at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,815.47 | $295.15 – $8,890.24 |
| Banner Lassen Medical Center | Susanville | $3,279.73 | $321.90 – $6,094.51 |
| Arroyo Grande Hospital | Santa Maria | $4,960.95 | $194.93 – $10,603.60 |
| French Hospital | San Luis Obispo | $4,543.68 | $194.93 – $10,603.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,579.41 | $195.09 – $7,100.80 |
| Bakersfield Memorial Hospital | Bakersfield | $3,257.50 | $195.09 – $7,012.04 |
| Providence St Joseph Hospital Eureka | Eureka | $5,330.52 | $4,604.99 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $4,397.07 | $0.80 – $2,076.00 |