MRI compatible system at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,690.58
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.
$6,170.00
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.
$678.70 with WCMG vs $5,984.90 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $678.70 | ↓ -60% |
| United | Medicaid|> 21 | $733.62 | ↓ -57% |
| United | Medicaid|< 21 | $733.62 | ↓ -57% |
| Hill Physicians | Medicaid|All Plans | $806.98 | ↓ -52% |
| Molina | Medicaid|All Plans | $1,379.21 | ↓ -18% |
| BCBS - Anthem | Medicaid|All Plans | $1,393.88 | ↓ -18% |
| Kaiser | Medicaid|All Plans | $1,419.10 | ↓ -16% |
| Kaiser | Commercial|All Plans | $1,419.10 | ↓ -16% |
| Kaiser | Medicare|All Plans | $1,419.10 | ↓ -16% |
| Partnership Health Plan | Medicaid|All Plans | $1,542.50 | ↓ -9% |
| California Health & Wellness | Medicaid|All Plans | $1,679.99 | ↓ -1% |
| Health Net | Medicaid|All Plans | $1,679.99 | ↓ -1% |
| Health Net | Commercial|EPPO | $2,406.30 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $2,468.00 | ↑ +46% |
| United | Commercial|Non-Options PPO | $3,208.40 | ↑ +90% |
| Cigna | Commercial|All Other Plans | $3,270.10 | ↑ +93% |
| United | Commercial|Options PPO | $3,455.20 | ↑ +104% |
| United | Commercial|All Other Plans | $3,455.20 | ↑ +104% |
| United | Commercial|HMO | $3,455.20 | ↑ +104% |
| Western Health Advantage | Commercial|All Plans | $4,010.50 | ↑ +137% |
| Blue Shield CA | Commercial|ACO Trio | $4,010.50 | ↑ +137% |
| Health Net | Commercial|FFS | $4,380.70 | ↑ +159% |
| Healthsmart | Commercial|All Plans | $4,627.50 | ↑ +174% |
| First Health | Commercial|All Plans | $4,627.50 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $4,812.60 | ↑ +185% |
| Sutter Health | Commercial|All Plans | $4,936.00 | ↑ +192% |
| Blue Shield CA | Commercial|Exchange | $5,059.40 | ↑ +199% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,059.40 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $5,121.10 | ↑ +203% |
| Aetna | Commercial|HMO | $5,244.50 | ↑ +210% |
| Aetna | Commercial|PPO | $5,244.50 | ↑ +210% |
| Aetna | Commercial|All Other Plans | $5,244.50 | ↑ +210% |
| Blue Shield CA | Commercial|HMO | $5,553.00 | ↑ +228% |
| Blue Shield CA | Commercial|PPO Tandem | $5,553.00 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $5,553.00 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $5,676.40 | ↑ +236% |
| BCBS - Anthem | Commercial|MCS | $5,984.90 | ↑ +254% |
| BCBS - Anthem | Commercial|All Other Plans | $5,984.90 | ↑ +254% |
Visitor-reported prices
Comments
MRI compatible system at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,654.77 | $906.72 – $2,946.84 |
| Petaluma Valley Hospital | Petaluma | $3,990.75 | not published |
| Queen of The Valley Medical Center | Napa | $3,672.00 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $3,349.31 | not published |
| Healdsburg Hospital | Healdsburg | $2,422.50 | not published |
| Redwood Memorial Hospital | Fortuna | $2,856.00 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,990.75 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,318.00 | not published |