Nm imaging cardiac blood pooling planar single study at rest or stress at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,209.44
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.
$4,414.00
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.
$180.21 with Hill Physicians vs $4,239.43 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 | $180.21 | ↓ -85% |
| United | Medicaid|> 21 | $240.65 | ↓ -80% |
| United | Medicaid|< 21 | $240.65 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $264.71 | ↓ -78% |
| Molina | Medicaid|All Plans | $315.41 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $457.24 | ↓ -62% |
| WCMG | Commercial|All Plans | $485.54 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $497.94 | ↓ -59% |
| Blue Shield CA | Medicare|PPO | $528.04 | ↓ -56% |
| Humana | Medicare|All Plans | $528.04 | ↓ -56% |
| Aetna | Medicare|All Plans | $528.04 | ↓ -56% |
| Molina | Medicare|All Plans | $528.04 | ↓ -56% |
| United | Medicare|All Plans | $528.04 | ↓ -56% |
| Kaiser | Medicare|All Plans | $528.04 | ↓ -56% |
| Blue Shield CA | Medicare|HMO | $528.04 | ↓ -56% |
| Humana | Commercial|All Plans | $528.04 | ↓ -56% |
| BCBS - Anthem | Medicare|Imperial | $543.88 | ↓ -55% |
| Health Net | Medicaid|All Plans | $551.09 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $551.09 | ↓ -54% |
| BrightHealth | Commercial|All Plans | $580.84 | ↓ -52% |
| BlueShield | Medicare|Trauma | $660.05 | ↓ -45% |
| Aetna | Commercial|PPO | $699.51 | ↓ -42% |
| Aetna | Commercial|All Other Plans | $699.51 | ↓ -42% |
| Aetna | Commercial|HMO | $699.51 | ↓ -42% |
| Prison Healthcare | Medicaid|All Plans | $792.06 | ↓ -35% |
| United | Commercial|Non-Options PPO | $848.52 | ↓ -30% |
| United | Commercial|HMO | $848.52 | ↓ -30% |
| United | Commercial|Options PPO | $848.52 | ↓ -30% |
| United | Commercial|All Other Plans | $848.52 | ↓ -30% |
| Partnership Health Plan | Medicaid|All Plans | $1,034.79 | ↓ -14% |
| Cigna | Commercial|LocalPlus | $1,523.13 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $1,544.90 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,809.74 | ↑ +50% |
| Cigna | Commercial|All Other Plans | $2,030.99 | ↑ +68% |
| Kaiser | Commercial|All Plans | $2,383.56 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $2,423.12 | ↑ +100% |
| BCBS - Anthem | Commercial|All Other Plans | $3,027.87 | ↑ +150% |
| First Health | Commercial|All Plans | $3,310.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $3,310.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,531.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $3,663.62 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $4,239.43 | ↑ +251% |
Visitor-reported prices
Comments
Nm imaging cardiac blood pooling planar single study at rest or stress at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $566.78 | $349.38 – $1,824.90 |
| Banner Lassen Medical Center | Susanville | $1,867.39 | $80.37 – $2,699.51 |
| Petaluma Valley Hospital | Petaluma | $2,615.28 | $538.74 – $1,122.83 |
| Mark Twain Medical Center | San Andreas | $3,511.16 | $240.65 – $2,433.34 |
| Mercy Hospitals – Bakersfield | Bakersfield | $819.91 | $240.65 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $811.07 | $240.65 – $1,976.45 |
| Queen of The Valley Medical Center | Napa | $2,638.74 | $567.62 – $1,418.97 |
| Providence St Joseph Hospital Eureka | Eureka | $2,641.80 | $514.17 – $1,609.13 |