Ionm in operatng room 15 min at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$252.36
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.
$921.00
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.
$27.05 with United 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $27.05 | ↓ -89% |
| United | Medicaid|< 21 | $27.05 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $29.75 | ↓ -88% |
| Hill Physicians | Commercial|All Plans | $32.76 | ↓ -87% |
| Molina | Medicaid|All Plans | $50.85 | ↓ -80% |
| Health Net | Medicaid|All Plans | $61.94 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $61.94 | ↓ -75% |
| WCMG | Commercial|All Plans | $101.31 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $116.32 | ↓ -54% |
| Western Health Advantage | Commercial|All Plans | $322.35 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $377.61 | ↑ +50% |
| BCBS - Anthem | Medicaid|All Plans | $389.56 | ↑ +54% |
| BCBS - Anthem | Commercial|Connection EPO | $422.57 | ↑ +67% |
| Kaiser | Commercial|All Plans | $497.34 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $528.04 | ↑ +109% |
| Healthsmart | Commercial|All Plans | $690.75 | ↑ +174% |
| First Health | Commercial|All Plans | $690.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $736.80 | ↑ +192% |
| BCBS - Anthem | Commercial|MCS | $739.32 | ↑ +193% |
| MultiPlan | Commercial|All Plans | $764.43 | ↑ +203% |
| United | Commercial|HMO | $921.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $921.00 | ↑ +265% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +6617% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +6617% |
Visitor-reported prices
Comments
Ionm in operatng room 15 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $93.30 | $40.92 – $166.14 |
| Mercy Hospitals – Bakersfield | Bakersfield | $107.22 | $27.05 – $231.20 |
| Bakersfield Memorial Hospital | Bakersfield | $106.07 | $27.05 – $289.00 |
| St. Joseph's Medical Center Stockton | Stockton | $111.72 | $27.05 – $311.60 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $852.69 | $60.05 – $1,074.08 |
| Mercy Medical Center Merced | Merced | $228.66 | $27.05 – $444.00 |
| Northridge Hospital Medical Center | Northridge | $131.97 | $27.05 – $3,827.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $25.20 | $161.51 – $161.51 |