Myelography via inj w/s&i lumbosacral at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,032.16
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.
$3,767.00
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.
$117.20 with Hill Physicians vs $12,615.00 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 | $117.20 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $352.91 | ↓ -66% |
| WCMG | Commercial|All Plans | $398.53 | ↓ -61% |
| BCBS - Anthem | Medicare|All Other Plans | $979.04 | ↓ -5% |
| Blue Shield CA | Medicare|PPO | $1,038.22 | ↑ +1% |
| Blue Shield CA | Medicare|HMO | $1,038.22 | ↑ +1% |
| Molina | Medicare|All Plans | $1,038.22 | ↑ +1% |
| Kaiser | Medicare|All Plans | $1,038.22 | ↑ +1% |
| Humana | Medicare|All Plans | $1,038.22 | ↑ +1% |
| Humana | Commercial|All Plans | $1,038.22 | ↑ +1% |
| Aetna | Medicare|All Plans | $1,038.22 | ↑ +1% |
| United | Medicare|All Plans | $1,038.22 | ↑ +1% |
| BCBS - Anthem | Medicare|Imperial | $1,069.37 | ↑ +4% |
| BrightHealth | Commercial|All Plans | $1,142.04 | ↑ +11% |
| Western Health Advantage | Commercial|All Plans | $1,268.05 | ↑ +23% |
| BlueShield | Medicare|Trauma | $1,297.78 | ↑ +26% |
| Kaiser | Medicaid|All Plans | $1,485.43 | ↑ +44% |
| Prison Healthcare | Medicaid|All Plans | $1,557.33 | ↑ +51% |
| Health Net | Medicaid|All Plans | $1,811.50 | ↑ +76% |
| California Health & Wellness | Medicaid|All Plans | $1,811.50 | ↑ +76% |
| Kaiser | Commercial|All Plans | $1,956.42 | ↑ +90% |
| Molina | Medicaid|All Plans | $2,504.00 | ↑ +143% |
| Healthsmart | Commercial|All Plans | $2,717.25 | ↑ +163% |
| First Health | Commercial|All Plans | $2,717.25 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $2,898.40 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $3,007.09 | ↑ +191% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +221% |
| United | Commercial|HMO | $3,623.00 | ↑ +251% |
| United | Commercial|All Other Plans | $3,623.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $3,623.00 | ↑ +251% |
| United | Commercial|Options PPO | $3,623.00 | ↑ +251% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +309% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +315% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +360% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +402% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +402% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +402% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +445% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +506% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +538% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +556% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +598% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +734% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +773% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +1122% |
Visitor-reported prices
Comments
Myelography via inj w/s&i lumbosacral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $962.29 | $593.19 – $1,859.28 |
| Banner Lassen Medical Center | Susanville | $626.92 | $158.01 – $1,164.97 |
| Arroyo Grande Hospital | Santa Maria | $1,790.33 | $1,003.85 – $4,099.34 |
| French Hospital | San Luis Obispo | $1,577.02 | $696.33 – $2,527.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $857.39 | $623.97 – $1,848.80 |
| Bakersfield Memorial Hospital | Bakersfield | $848.14 | $245.18 – $1,825.69 |
| Queen of The Valley Medical Center | Napa | $2,758.08 | $1,113.06 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,836.95 | $1,008.25 – $8,018.00 |