Intracranial limited study at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$563.90
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.
$2,058.00
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.
$131.77 with BCBS - Anthem 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $131.77 | ↓ -77% |
| Humana | Medicare|All Plans | $139.74 | ↓ -75% |
| Humana | Commercial|All Plans | $139.74 | ↓ -75% |
| Kaiser | Medicare|All Plans | $139.74 | ↓ -75% |
| Aetna | Medicare|All Plans | $139.74 | ↓ -75% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↓ -75% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↓ -75% |
| Molina | Medicare|All Plans | $139.74 | ↓ -75% |
| United | Medicare|All Plans | $139.74 | ↓ -75% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↓ -74% |
| United | Medicaid|> 21 | $149.36 | ↓ -74% |
| United | Medicaid|< 21 | $149.36 | ↓ -74% |
| BrightHealth | Commercial|All Plans | $153.71 | ↓ -73% |
| BlueShield | Medicare|Trauma | $174.68 | ↓ -69% |
| Prison Healthcare | Medicaid|All Plans | $209.61 | ↓ -63% |
| WCMG | Commercial|All Plans | $226.38 | ↓ -60% |
| Molina | Medicaid|All Plans | $244.70 | ↓ -57% |
| Hill Physicians | Medicaid|All Plans | $260.47 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $354.73 | ↓ -37% |
| Cigna | Commercial|LocalPlus | $439.91 | ↓ -22% |
| Health Net | Medicaid|All Plans | $542.25 | ↓ -4% |
| California Health & Wellness | Medicaid|All Plans | $542.25 | ↓ -4% |
| Cigna | Commercial|All Other Plans | $586.59 | ↑ +4% |
| Western Health Advantage | Commercial|All Plans | $720.30 | ↑ +28% |
| Partnership Health Plan | Medicaid|All Plans | $802.82 | ↑ +42% |
| Kaiser | Medicaid|All Plans | $843.78 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,111.32 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $1,525.08 | ↑ +170% |
| Healthsmart | Commercial|All Plans | $1,543.50 | ↑ +174% |
| First Health | Commercial|All Plans | $1,543.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,646.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,708.14 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $1,905.70 | ↑ +238% |
| United | Commercial|Non-Options PPO | $2,058.00 | ↑ +265% |
| United | Commercial|HMO | $2,058.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $2,058.00 | ↑ +265% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +2906% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +2906% |
Visitor-reported prices
Comments
Intracranial limited study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $352.16 | $135.12 – $627.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $371.38 | $135.12 – $570.84 |
| Bakersfield Memorial Hospital | Bakersfield | $367.37 | $135.12 – $570.84 |
| St. Joseph's Behavioral Health Center | Stockton | $261.52 | $45.80 – $366.40 |
| St. Joseph's Medical Center Stockton | Stockton | $221.39 | $78.96 – $376.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $780.48 | $114.29 – $248.76 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $129.93 | $40.08 – $167.00 |
| Mercy Medical Center Merced | Merced | $391.40 | $135.12 – $406.00 |