Leg Vein Ultrasound (DVT study, both legs) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$789.40
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.
$2,881.00
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.
$170.31 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 | $170.31 | ↓ -78% |
| United | Medicaid|< 21 | $193.06 | ↓ -76% |
| United | Medicaid|> 21 | $193.06 | ↓ -76% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -62% |
| Molina | Medicaid|All Plans | $316.29 | ↓ -60% |
| WCMG | Commercial|All Plans | $316.91 | ↓ -60% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -60% |
| Humana | Medicare|All Plans | $317.64 | ↓ -60% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -60% |
| Molina | Medicare|All Plans | $317.64 | ↓ -60% |
| United | Medicare|All Plans | $317.64 | ↓ -60% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↓ -60% |
| Humana | Commercial|All Plans | $317.64 | ↓ -60% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↓ -60% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -59% |
| Hill Physicians | Medicaid|All Plans | $336.68 | ↓ -57% |
| BrightHealth | Commercial|All Plans | $349.40 | ↓ -56% |
| BlueShield | Medicare|Trauma | $397.05 | ↓ -50% |
| BCBS - Anthem | Medicaid|All Plans | $458.51 | ↓ -42% |
| Prison Healthcare | Medicaid|All Plans | $476.46 | ↓ -40% |
| Health Net | Medicaid|All Plans | $700.90 | ↓ -11% |
| California Health & Wellness | Medicaid|All Plans | $700.90 | ↓ -11% |
| Cigna | Commercial|LocalPlus | $929.74 | ↑ +18% |
| Western Health Advantage | Commercial|All Plans | $1,008.35 | ↑ +28% |
| Partnership Health Plan | Medicaid|All Plans | $1,037.69 | ↑ +31% |
| Kaiser | Medicaid|All Plans | $1,181.21 | ↑ +50% |
| Cigna | Commercial|All Other Plans | $1,239.74 | ↑ +57% |
| Kaiser | Commercial|All Plans | $1,555.74 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $2,160.75 | ↑ +174% |
| First Health | Commercial|All Plans | $2,160.75 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $2,244.03 | ↑ +184% |
| Sutter Health | Commercial|All Plans | $2,304.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,391.23 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $2,804.09 | ↑ +255% |
| United | Commercial|HMO | $2,881.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $2,881.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,881.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +305% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +635% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +2047% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +2047% |
Visitor-reported prices
Comments
Leg Vein Ultrasound (DVT study, both legs) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,794.05 | $237.46 – $3,194.88 |
| Banner Lassen Medical Center | Susanville | $757.50 | $48.34 – $1,212.50 |
| Petaluma Valley Hospital | Petaluma | $1,355.07 | $321.54 – $1,039.84 |
| Arroyo Grande Hospital | Santa Maria | $775.54 | $193.06 – $1,537.62 |
| Mark Twain Medical Center | San Andreas | $4,227.11 | $193.06 – $1,721.86 |
| French Hospital | San Luis Obispo | $1,060.36 | $193.06 – $1,324.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $851.45 | $193.06 – $1,836.00 |
| Bakersfield Memorial Hospital | Bakersfield | $842.27 | $193.06 – $1,813.05 |