MRI chest w IV cont at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,091.17
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.
$7,632.00
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.
$332.96 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 | $332.96 | ↓ -84% |
| United | Medicaid|< 21 | $374.13 | ↓ -82% |
| United | Medicaid|> 21 | $374.13 | ↓ -82% |
| Hill Physicians | Medicaid|All Plans | $411.54 | ↓ -80% |
| Molina | Medicaid|All Plans | $703.36 | ↓ -66% |
| BCBS - Anthem | Medicaid|All Plans | $710.85 | ↓ -66% |
| WCMG | Commercial|All Plans | $839.52 | ↓ -60% |
| California Health & Wellness | Medicaid|All Plans | $856.76 | ↓ -59% |
| Health Net | Medicaid|All Plans | $856.76 | ↓ -59% |
| BCBS - Anthem | Medicare|All Other Plans | $979.04 | ↓ -53% |
| Blue Shield CA | Medicare|PPO | $1,038.22 | ↓ -50% |
| Humana | Medicare|All Plans | $1,038.22 | ↓ -50% |
| Aetna | Medicare|All Plans | $1,038.22 | ↓ -50% |
| Molina | Medicare|All Plans | $1,038.22 | ↓ -50% |
| United | Medicare|All Plans | $1,038.22 | ↓ -50% |
| Kaiser | Medicare|All Plans | $1,038.22 | ↓ -50% |
| Blue Shield CA | Medicare|HMO | $1,038.22 | ↓ -50% |
| Humana | Commercial|All Plans | $1,038.22 | ↓ -50% |
| BCBS - Anthem | Medicare|Imperial | $1,069.37 | ↓ -49% |
| BrightHealth | Commercial|All Plans | $1,142.04 | ↓ -45% |
| Aetna | Commercial|All Other Plans | $1,263.96 | ↓ -40% |
| Aetna | Commercial|PPO | $1,263.96 | ↓ -40% |
| Aetna | Commercial|HMO | $1,263.96 | ↓ -40% |
| BlueShield | Medicare|Trauma | $1,297.78 | ↓ -38% |
| Prison Healthcare | Medicaid|All Plans | $1,557.33 | ↓ -26% |
| Partnership Health Plan | Medicaid|All Plans | $1,608.76 | ↓ -23% |
| United | Commercial|All Other Plans | $1,609.16 | ↓ -23% |
| United | Commercial|Non-Options PPO | $1,609.16 | ↓ -23% |
| United | Commercial|Options PPO | $1,609.16 | ↓ -23% |
| United | Commercial|HMO | $1,609.16 | ↓ -23% |
| BCBS - Anthem | Commercial|Connection EPO | $2,506.00 | ↑ +20% |
| Western Health Advantage | Commercial|All Plans | $2,671.20 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $3,129.12 | ↑ +50% |
| BCBS - Anthem | Commercial|All Other Plans | $3,133.00 | ↑ +50% |
| Kaiser | Commercial|All Plans | $4,121.28 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $4,386.00 | ↑ +110% |
| Cigna | Commercial|LocalPlus | $5,397.00 | ↑ +158% |
| Healthsmart | Commercial|All Plans | $5,724.00 | ↑ +174% |
| First Health | Commercial|All Plans | $5,724.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $6,105.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $6,334.56 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $7,195.00 | ↑ +244% |
Visitor-reported prices
Comments
MRI chest w IV cont at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,777.41 | $566.02 – $3,165.24 |
| Banner Lassen Medical Center | Susanville | $1,869.55 | $158.01 – $2,609.30 |
| Arroyo Grande Hospital | Santa Maria | $2,293.66 | $374.13 – $4,805.92 |
| Mark Twain Medical Center | San Andreas | $8,668.66 | $374.13 – $3,209.50 |
| French Hospital | San Luis Obispo | $1,830.25 | $374.13 – $2,338.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,200.93 | $374.13 – $2,589.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,187.98 | $374.13 – $2,557.23 |
| Providence St Joseph Hospital Eureka | Eureka | $3,994.32 | $1,008.25 – $4,526.67 |