MRI breast without cont bi at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,389.18
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.
$5,070.00
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.
$164.14 with Hill Physicians vs $7,195.00 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 | $164.14 | ↓ -88% |
| United | Medicaid|> 21 | $214.07 | ↓ -85% |
| United | Medicaid|< 21 | $214.07 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $235.48 | ↓ -83% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -78% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↓ -77% |
| Humana | Medicare|All Plans | $317.64 | ↓ -77% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -77% |
| Molina | Medicare|All Plans | $317.64 | ↓ -77% |
| United | Medicare|All Plans | $317.64 | ↓ -77% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -77% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↓ -77% |
| Humana | Commercial|All Plans | $317.64 | ↓ -77% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -76% |
| BrightHealth | Commercial|All Plans | $349.40 | ↓ -75% |
| BlueShield | Medicare|Trauma | $397.05 | ↓ -71% |
| Molina | Medicaid|All Plans | $402.45 | ↓ -71% |
| BCBS - Anthem | Medicaid|All Plans | $406.73 | ↓ -71% |
| Prison Healthcare | Medicaid|All Plans | $476.46 | ↓ -66% |
| Health Net | Medicaid|All Plans | $490.22 | ↓ -65% |
| California Health & Wellness | Medicaid|All Plans | $490.22 | ↓ -65% |
| United | Commercial|HMO | $517.79 | ↓ -63% |
| United | Commercial|Options PPO | $517.79 | ↓ -63% |
| United | Commercial|Non-Options PPO | $517.79 | ↓ -63% |
| United | Commercial|All Other Plans | $517.79 | ↓ -63% |
| WCMG | Commercial|All Plans | $557.70 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $920.50 | ↓ -34% |
| Aetna | Commercial|PPO | $1,263.96 | ↓ -9% |
| Aetna | Commercial|All Other Plans | $1,263.96 | ↓ -9% |
| Aetna | Commercial|HMO | $1,263.96 | ↓ -9% |
| Western Health Advantage | Commercial|All Plans | $1,774.50 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,078.70 | ↑ +50% |
| Kaiser | Commercial|All Plans | $2,737.80 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $2,910.80 | ↑ +110% |
| BCBS - Anthem | Commercial|All Other Plans | $3,637.27 | ↑ +162% |
| Healthsmart | Commercial|All Plans | $3,802.50 | ↑ +174% |
| First Health | Commercial|All Plans | $3,802.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,056.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,208.10 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $5,070.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $5,397.00 | ↑ +289% |
| Cigna | Commercial|All Other Plans | $7,195.00 | ↑ +418% |
Visitor-reported prices
Comments
MRI breast without cont bi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,141.82 | $307.13 – $3,814.20 |
| Banner Lassen Medical Center | Susanville | $1,241.96 | $48.34 – $1,733.39 |
| Arroyo Grande Hospital | Santa Maria | $1,581.89 | $214.07 – $3,294.76 |
| Mark Twain Medical Center | San Andreas | $10,247.08 | $214.07 – $3,829.84 |
| French Hospital | San Luis Obispo | $1,263.81 | $214.07 – $2,111.00 |
| Queen of The Valley Medical Center | Napa | $4,849.59 | $338.78 – $1,767.69 |
| Providence St Joseph Hospital Eureka | Eureka | $3,839.28 | $306.88 – $1,932.98 |
| St. Joseph's Medical Center Stockton | Stockton | $1,526.75 | $214.07 – $4,258.26 |