Nuclear rx IV admin at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$371.00
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.
$1,354.00
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.
$59.82 with Hill Physicians vs $1,363.26 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 | $59.82 | ↓ -84% |
| United | Medicaid|< 21 | $126.14 | ↓ -66% |
| United | Medicaid|> 21 | $126.14 | ↓ -66% |
| Hill Physicians | Medicaid|All Plans | $138.75 | ↓ -63% |
| WCMG | Commercial|All Plans | $148.94 | ↓ -60% |
| Aetna | Commercial|All Other Plans | $204.99 | ↓ -45% |
| Aetna | Commercial|PPO | $204.99 | ↓ -45% |
| Aetna | Commercial|HMO | $204.99 | ↓ -45% |
| Molina | Medicaid|All Plans | $237.14 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $239.67 | ↓ -35% |
| BCBS - Anthem | Medicare|All Other Plans | $277.74 | ↓ -25% |
| Health Net | Medicaid|All Plans | $288.86 | ↓ -22% |
| California Health & Wellness | Medicaid|All Plans | $288.86 | ↓ -22% |
| Blue Shield CA | Medicare|PPO | $294.53 | ↓ -21% |
| Humana | Medicare|All Plans | $294.53 | ↓ -21% |
| Aetna | Medicare|All Plans | $294.53 | ↓ -21% |
| Molina | Medicare|All Plans | $294.53 | ↓ -21% |
| United | Medicare|All Plans | $294.53 | ↓ -21% |
| Kaiser | Medicare|All Plans | $294.53 | ↓ -21% |
| Blue Shield CA | Medicare|HMO | $294.53 | ↓ -21% |
| Humana | Commercial|All Plans | $294.53 | ↓ -21% |
| BCBS - Anthem | Medicare|Imperial | $303.37 | ↓ -18% |
| BrightHealth | Commercial|All Plans | $323.98 | ↓ -13% |
| BlueShield | Medicare|Trauma | $368.16 | ↓ -1% |
| Prison Healthcare | Medicaid|All Plans | $441.79 | ↑ +19% |
| Western Health Advantage | Commercial|All Plans | $473.90 | ↑ +28% |
| Partnership Health Plan | Medicaid|All Plans | $542.40 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $555.14 | ↑ +50% |
| United | Commercial|HMO | $561.65 | ↑ +51% |
| United | Commercial|All Other Plans | $561.65 | ↑ +51% |
| United | Commercial|Options PPO | $561.65 | ↑ +51% |
| United | Commercial|Non-Options PPO | $561.65 | ↑ +51% |
| Kaiser | Commercial|All Plans | $731.16 | ↑ +97% |
| First Health | Commercial|All Plans | $1,015.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $1,015.50 | ↑ +174% |
| Cigna | Commercial|LocalPlus | $1,022.37 | ↑ +176% |
| Sutter Health | Commercial|All Plans | $1,083.20 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $1,083.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,123.82 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $1,354.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $1,354.00 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $1,363.26 | ↑ +267% |
Visitor-reported prices
Comments
Nuclear rx IV admin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,211.67 | $126.14 – $2,643.06 |
| Mark Twain Medical Center | San Andreas | $908.43 | $126.14 – $630.14 |
| French Hospital | San Luis Obispo | $967.85 | $126.14 – $1,398.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $237.82 | $126.14 – $1,326.65 |
| Bakersfield Memorial Hospital | Bakersfield | $235.25 | $126.14 – $1,326.65 |
| Queen of The Valley Medical Center | Napa | $361.08 | $331.30 – $755.78 |
| St. Joseph's Medical Center Stockton | Stockton | $795.57 | $126.14 – $1,087.32 |
| Santa Rosa Memorial Hospital | Santa Rosa | $523.77 | $324.68 – $642.98 |