MRI tmj at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,465.08
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.
$5,347.00
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.
$220.04 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 | $220.04 | ↓ -85% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↓ -80% |
| Humana | Commercial|All Plans | $317.64 | ↓ -78% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↓ -78% |
| Aetna | Medicare|All Plans | $317.64 | ↓ -78% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↓ -78% |
| United | Medicare|All Plans | $317.64 | ↓ -78% |
| Humana | Medicare|All Plans | $317.64 | ↓ -78% |
| Molina | Medicare|All Plans | $317.64 | ↓ -78% |
| Kaiser | Medicare|All Plans | $317.64 | ↓ -78% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↓ -78% |
| BrightHealth | Commercial|All Plans | $349.40 | ↓ -76% |
| BlueShield | Medicare|Trauma | $397.05 | ↓ -73% |
| Prison Healthcare | Medicaid|All Plans | $476.46 | ↓ -67% |
| United | Commercial|HMO | $517.79 | ↓ -65% |
| United | Commercial|Non-Options PPO | $517.79 | ↓ -65% |
| United | Commercial|Options PPO | $517.79 | ↓ -65% |
| United | Commercial|All Other Plans | $517.79 | ↓ -65% |
| WCMG | Commercial|All Plans | $588.17 | ↓ -60% |
| Aetna | Commercial|HMO | $1,263.96 | ↓ -14% |
| Aetna | Commercial|All Other Plans | $1,263.96 | ↓ -14% |
| Aetna | Commercial|PPO | $1,263.96 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $1,871.45 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,192.27 | ↑ +50% |
| BCBS - Anthem | Commercial|Connection EPO | $2,506.00 | ↑ +71% |
| Kaiser | Commercial|All Plans | $2,887.38 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $3,133.00 | ↑ +114% |
| First Health | Commercial|All Plans | $4,010.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $4,010.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,277.60 | ↑ +192% |
| BCBS - Anthem | Commercial|MCS | $4,386.00 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $4,438.01 | ↑ +203% |
| Cigna | Commercial|LocalPlus | $5,397.00 | ↑ +268% |
| Cigna | Commercial|All Other Plans | $7,195.00 | ↑ +391% |
Visitor-reported prices
Comments
MRI tmj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,440.98 | $307.13 – $4,346.94 |
| Petaluma Valley Hospital | Petaluma | $4,502.79 | $321.54 – $2,293.58 |
| Arroyo Grande Hospital | Santa Maria | $2,140.86 | $307.13 – $4,447.24 |
| Mark Twain Medical Center | San Andreas | $9,862.13 | $963.66 – $3,650.50 |
| French Hospital | San Luis Obispo | $1,626.80 | $307.13 – $2,111.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,300.36 | $307.13 – $2,804.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,286.34 | $307.13 – $2,768.95 |
| Queen of The Valley Medical Center | Napa | $3,974.43 | $338.78 – $2,898.51 |