Nuclear rx intra-arterial at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$652.40
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.
$2,381.00
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.
$200.51 with United vs $2,271.71 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $200.51 | ↓ -69% |
| United | Medicaid|< 21 | $200.51 | ↓ -69% |
| Hill Physicians | Medicaid|All Plans | $220.56 | ↓ -66% |
| WCMG | Commercial|All Plans | $261.91 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $277.74 | ↓ -57% |
| Humana | Commercial|All Plans | $294.53 | ↓ -55% |
| Humana | Medicare|All Plans | $294.53 | ↓ -55% |
| Aetna | Medicare|All Plans | $294.53 | ↓ -55% |
| Molina | Medicare|All Plans | $294.53 | ↓ -55% |
| United | Medicare|All Plans | $294.53 | ↓ -55% |
| Kaiser | Medicare|All Plans | $294.53 | ↓ -55% |
| Blue Shield CA | Medicare|HMO | $294.53 | ↓ -55% |
| Blue Shield CA | Medicare|PPO | $294.53 | ↓ -55% |
| BCBS - Anthem | Medicare|Imperial | $303.37 | ↓ -53% |
| BrightHealth | Commercial|All Plans | $323.98 | ↓ -50% |
| Aetna | Commercial|All Other Plans | $333.12 | ↓ -49% |
| Aetna | Commercial|HMO | $333.12 | ↓ -49% |
| Aetna | Commercial|PPO | $333.12 | ↓ -49% |
| BlueShield | Medicare|Trauma | $368.16 | ↓ -44% |
| Molina | Medicaid|All Plans | $376.96 | ↓ -42% |
| BCBS - Anthem | Medicaid|All Plans | $380.95 | ↓ -42% |
| Prison Healthcare | Medicaid|All Plans | $441.79 | ↓ -32% |
| California Health & Wellness | Medicaid|All Plans | $459.17 | ↓ -30% |
| Health Net | Medicaid|All Plans | $459.17 | ↓ -30% |
| United | Commercial|HMO | $561.65 | ↓ -14% |
| United | Commercial|Options PPO | $561.65 | ↓ -14% |
| United | Commercial|Non-Options PPO | $561.65 | ↓ -14% |
| United | Commercial|All Other Plans | $561.65 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $833.35 | ↑ +28% |
| Partnership Health Plan | Medicaid|All Plans | $862.19 | ↑ +32% |
| Kaiser | Medicaid|All Plans | $976.21 | ↑ +50% |
| Cigna | Commercial|LocalPlus | $1,022.37 | ↑ +57% |
| Kaiser | Commercial|All Plans | $1,285.74 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $1,298.43 | ↑ +99% |
| Cigna | Commercial|All Other Plans | $1,363.26 | ↑ +109% |
| BCBS - Anthem | Commercial|All Other Plans | $1,622.49 | ↑ +149% |
| First Health | Commercial|All Plans | $1,785.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $1,785.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,904.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,976.23 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $2,271.71 | ↑ +248% |
Visitor-reported prices
Comments
Nuclear rx intra-arterial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,097.63 | $284.78 – $1,446.12 |
| Arroyo Grande Hospital | Santa Maria | $1,153.89 | $200.50 – $2,517.62 |
| French Hospital | San Luis Obispo | $1,015.28 | $200.50 – $1,398.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $380.65 | $200.51 – $1,326.65 |
| Queen of The Valley Medical Center | Napa | $1,013.88 | $331.30 – $760.36 |
| Providence St Joseph Hospital Eureka | Eureka | $1,151.07 | $300.11 – $862.25 |
| St. Joseph's Medical Center Stockton | Stockton | $292.53 | $104.58 – $498.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,020.00 | $324.68 – $646.88 |