Nerobehav stas exam phys/qhp f2f ea l hr at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$347.16
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.
$1,267.00
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.
$66.14 with Hill Physicians vs $16,950.00 with United — 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 | $66.14 | ↓ -81% |
| United | Medicaid|> 21 | $70.17 | ↓ -80% |
| United | Medicaid|< 21 | $70.17 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $77.19 | ↓ -78% |
| Molina | Medicaid|All Plans | $131.92 | ↓ -62% |
| BCBS - Anthem | Medicaid|All Plans | $133.32 | ↓ -62% |
| WCMG | Commercial|All Plans | $139.37 | ↓ -60% |
| Health Net | Medicaid|All Plans | $160.69 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $160.69 | ↓ -54% |
| Partnership Health Plan | Medicaid|All Plans | $301.73 | ↓ -13% |
| Western Health Advantage | Commercial|All Plans | $443.45 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $519.47 | ↑ +50% |
| Kaiser | Commercial|All Plans | $684.18 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $950.25 | ↑ +174% |
| First Health | Commercial|All Plans | $950.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,013.60 | ↑ +192% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +194% |
| MultiPlan | Commercial|All Plans | $1,051.61 | ↑ +203% |
| United | Commercial|Non-Options PPO | $1,267.00 | ↑ +265% |
| United | Commercial|HMO | $1,267.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +275% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +281% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +400% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +457% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +486% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +503% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +4782% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +4782% |
Visitor-reported prices
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Nerobehav stas exam phys/qhp f2f ea l hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $179.52 | $1,597.00 – $1,597.00 |
| St Jude Medical Center | Fullerton | $214.08 | $1,293.00 – $1,293.00 |
| Providence St Joseph Hospital Orange | Orange | $191.04 | $1,535.00 – $1,535.00 |
| Mercy General Hospital | Sacramento | $276.21 | $66.14 – $1,013.60 |
| Mercy Hospital of Folsom | Folsom | $492.87 | $66.14 – $1,038.94 |
| Woodland Memorial Hospital | Woodland | $347.16 | $70.17 – $1,267.00 |
| Methodist Hospital of Sacramento | Sacramento | $364.90 | $66.14 – $1,051.61 |
| Petaluma Valley Hospital | Petaluma | not published | $593.00 – $593.00 |