Interrog device eval heart at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$124.40
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.
$454.00
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.
$39.44 with Hill Physicians vs $16,950.00 with United — 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 | $39.44 | ↓ -68% |
| BCBS - Anthem | Medicare|All Other Plans | $46.21 | ↓ -63% |
| Humana | Commercial|All Plans | $49.00 | ↓ -61% |
| Aetna | Medicare|All Plans | $49.00 | ↓ -61% |
| Kaiser | Medicare|All Plans | $49.00 | ↓ -61% |
| Humana | Medicare|All Plans | $49.00 | ↓ -61% |
| Molina | Medicare|All Plans | $49.00 | ↓ -61% |
| Blue Shield CA | Medicare|PPO | $49.00 | ↓ -61% |
| United | Medicare|All Plans | $49.00 | ↓ -61% |
| Blue Shield CA | Medicare|HMO | $49.00 | ↓ -61% |
| WCMG | Commercial|All Plans | $49.94 | ↓ -60% |
| BCBS - Anthem | Medicare|Imperial | $50.47 | ↓ -59% |
| BrightHealth | Commercial|All Plans | $53.90 | ↓ -57% |
| United | Medicaid|> 21 | $58.20 | ↓ -53% |
| United | Medicaid|< 21 | $58.20 | ↓ -53% |
| BlueShield | Medicare|Trauma | $61.25 | ↓ -51% |
| Hill Physicians | Medicaid|All Plans | $64.02 | ↓ -49% |
| Prison Healthcare | Medicaid|All Plans | $73.50 | ↓ -41% |
| Molina | Medicaid|All Plans | $109.42 | ↓ -12% |
| BCBS - Anthem | Medicaid|All Plans | $110.58 | ↓ -11% |
| Health Net | Medicaid|All Plans | $133.28 | ↑ +7% |
| California Health & Wellness | Medicaid|All Plans | $133.28 | ↑ +7% |
| Western Health Advantage | Commercial|All Plans | $158.90 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $186.14 | ↑ +50% |
| Kaiser | Commercial|All Plans | $245.16 | ↑ +97% |
| Partnership Health Plan | Medicaid|All Plans | $250.26 | ↑ +101% |
| BCBS - Anthem | Commercial|Connection EPO | $326.27 | ↑ +162% |
| Healthsmart | Commercial|All Plans | $340.50 | ↑ +174% |
| First Health | Commercial|All Plans | $340.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $363.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $376.82 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $407.70 | ↑ +228% |
| United | Commercial|HMO | $454.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $454.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $454.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +2472% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +4566% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +13525% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +13525% |
Visitor-reported prices
Comments
Interrog device eval heart at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $66.06 | $47.38 – $142.20 |
| St. Joseph's Medical Center Stockton | Stockton | $38.22 | $27.30 – $130.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $86.19 | $51.93 – $162.55 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $99.36 | $40.80 – $88.80 |
| Mercy Medical Center Merced | Merced | $105.58 | $47.38 – $205.00 |
| St. Mary Medical Center | Long Beach | $155.23 | $47.38 – $361.00 |
| St Jude Medical Center | Fullerton | $69.12 | $40.80 – $88.80 |
| Community Hospital San Bernardino | San Bernardino | $41.45 | $47.38 – $8,268.00 |