Measurement post void urine by ultrasound at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$181.39
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.
$662.00
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.
$12.70 with Hill Physicians vs $7,484.00 with BCBS - Anthem — 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 | $12.70 | ↓ -93% |
| WCMG | Commercial|All Plans | $21.78 | ↓ -88% |
| United | Medicaid|> 21 | $59.20 | ↓ -67% |
| United | Medicaid|< 21 | $59.20 | ↓ -67% |
| Hill Physicians | Medicaid|All Plans | $65.12 | ↓ -64% |
| Western Health Advantage | Commercial|All Plans | $69.30 | ↓ -62% |
| BCBS - Anthem | Medicare|All Other Plans | $73.61 | ↓ -59% |
| Humana | Commercial|All Plans | $78.06 | ↓ -57% |
| Humana | Medicare|All Plans | $78.06 | ↓ -57% |
| Aetna | Medicare|All Plans | $78.06 | ↓ -57% |
| Molina | Medicare|All Plans | $78.06 | ↓ -57% |
| United | Medicare|All Plans | $78.06 | ↓ -57% |
| Blue Shield CA | Medicare|PPO | $78.06 | ↓ -57% |
| Blue Shield CA | Medicare|HMO | $78.06 | ↓ -57% |
| Kaiser | Medicare|All Plans | $78.06 | ↓ -57% |
| BCBS - Anthem | Medicare|Imperial | $80.40 | ↓ -56% |
| Kaiser | Medicaid|All Plans | $81.18 | ↓ -55% |
| BrightHealth | Commercial|All Plans | $85.87 | ↓ -53% |
| BlueShield | Medicare|Trauma | $97.58 | ↓ -46% |
| Kaiser | Commercial|All Plans | $106.92 | ↓ -41% |
| Molina | Medicaid|All Plans | $111.30 | ↓ -39% |
| BCBS - Anthem | Medicaid|All Plans | $112.48 | ↓ -38% |
| Prison Healthcare | Medicaid|All Plans | $117.09 | ↓ -35% |
| California Health & Wellness | Medicaid|All Plans | $135.57 | ↓ -25% |
| Health Net | Medicaid|All Plans | $135.57 | ↓ -25% |
| Healthsmart | Commercial|All Plans | $148.50 | ↓ -18% |
| First Health | Commercial|All Plans | $148.50 | ↓ -18% |
| Sutter Health | Commercial|All Plans | $158.40 | ↓ -13% |
| MultiPlan | Commercial|All Plans | $164.34 | ↓ -9% |
| United | Commercial|All Other Plans | $198.00 | ↑ +9% |
| United | Commercial|Non-Options PPO | $198.00 | ↑ +9% |
| United | Commercial|Options PPO | $198.00 | ↑ +9% |
| Partnership Health Plan | Medicaid|All Plans | $198.00 | ↑ +9% |
| United | Commercial|HMO | $198.00 | ↑ +9% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +463% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +618% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +629% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +858% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +965% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +1021% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +1054% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1664% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +2258% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +2847% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +3100% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +4026% |
Visitor-reported prices
Comments
Measurement post void urine by ultrasound at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $95.05 | $58.59 – $169.26 |
| Petaluma Valley Hospital | Petaluma | $276.42 | $79.50 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $151.52 | $59.20 – $346.92 |
| Mark Twain Medical Center | San Andreas | $37.97 | $14.75 – $57.00 |
| French Hospital | San Luis Obispo | $138.77 | $56.43 – $204.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $70.87 | $59.20 – $152.80 |
| Bakersfield Memorial Hospital | Bakersfield | $70.10 | $59.20 – $150.89 |
| Queen of The Valley Medical Center | Napa | $133.11 | $83.76 – $6,200.00 |