Ivc venogram s&i at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,749.49
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.
$6,385.00
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.
$68.24 with Hill Physicians vs $15,423.39 with Cigna — 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 | $68.24 | ↓ -96% |
| United | Medicaid|> 21 | $148.49 | ↓ -92% |
| United | Medicaid|< 21 | $148.49 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $163.34 | ↓ -91% |
| Molina | Medicaid|All Plans | $194.62 | ↓ -89% |
| California Health & Wellness | Medicaid|All Plans | $340.04 | ↓ -81% |
| Health Net | Medicaid|All Plans | $340.04 | ↓ -81% |
| Aetna | Commercial|HMO | $518.60 | ↓ -70% |
| Aetna | Commercial|PPO | $518.60 | ↓ -70% |
| Aetna | Commercial|All Other Plans | $518.60 | ↓ -70% |
| Partnership Health Plan | Medicaid|All Plans | $638.50 | ↓ -64% |
| WCMG | Commercial|All Plans | $702.35 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $703.78 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $2,234.75 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,617.85 | ↑ +50% |
| Kaiser | Commercial|All Plans | $3,447.90 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +123% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +136% |
| Humana | Medicare|All Plans | $4,136.13 | ↑ +136% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +136% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +136% |
| United | Medicare|All Plans | $4,136.13 | ↑ +136% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +136% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +136% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +136% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +144% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +160% |
| Healthsmart | Commercial|All Plans | $4,788.75 | ↑ +174% |
| First Health | Commercial|All Plans | $4,788.75 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $5,108.00 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $5,108.00 | ↑ +192% |
| BlueShield | Medicare|Trauma | $5,170.16 | ↑ +196% |
| MultiPlan | Commercial|All Plans | $5,299.55 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +255% |
| BCBS - Anthem | Commercial|All Other Plans | $6,385.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $6,385.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $6,385.00 | ↑ +265% |
| United | Commercial|Options PPO | $6,385.00 | ↑ +265% |
| United | Commercial|HMO | $6,385.00 | ↑ +265% |
| United | Commercial|All Other Plans | $6,385.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $11,566.70 | ↑ +561% |
| Cigna | Commercial|All Other Plans | $15,423.39 | ↑ +782% |
Visitor-reported prices
Comments
Ivc venogram s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,235.51 | $224.65 – $13,858.31 |
| Arroyo Grande Hospital | Santa Maria | $7,790.03 | $148.49 – $13,457.70 |
| French Hospital | San Luis Obispo | $6,471.14 | $148.49 – $15,820.61 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,954.28 | $148.49 – $15,009.21 |
| Bakersfield Memorial Hospital | Bakersfield | $2,922.43 | $148.49 – $15,009.21 |
| Queen of The Valley Medical Center | Napa | $4,628.76 | $1,215.65 – $4,434.05 |
| Providence St Joseph Hospital Eureka | Eureka | $6,609.60 | $4,061.05 – $4,434.05 |
| St. Joseph's Medical Center Stockton | Stockton | $1,558.50 | $0.80 – $4,029.00 |