Ob Ultrasound nuchal meas add-on at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$424.98
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.
$1,551.00
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.
$30.10 with Hill Physicians vs $1,551.00 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 | $30.10 | ↓ -93% |
| United | Medicaid|> 21 | $68.57 | ↓ -84% |
| United | Medicaid|< 21 | $68.57 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $75.43 | ↓ -82% |
| Aetna | Commercial|HMO | $112.17 | ↓ -74% |
| Aetna | Commercial|PPO | $112.17 | ↓ -74% |
| Aetna | Commercial|All Other Plans | $112.17 | ↓ -74% |
| Molina | Medicaid|All Plans | $128.91 | ↓ -70% |
| BCBS - Anthem | Medicaid|All Plans | $130.28 | ↓ -69% |
| California Health & Wellness | Medicaid|All Plans | $157.03 | ↓ -63% |
| Health Net | Medicaid|All Plans | $157.03 | ↓ -63% |
| WCMG | Commercial|All Plans | $170.61 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $294.85 | ↓ -31% |
| BCBS - Anthem | Commercial|Connection EPO | $461.83 | ↑ +9% |
| Western Health Advantage | Commercial|All Plans | $542.85 | ↑ +28% |
| BCBS - Anthem | Commercial|All Other Plans | $577.09 | ↑ +36% |
| Kaiser | Medicaid|All Plans | $635.91 | ↑ +50% |
| BCBS - Anthem | Commercial|MCS | $808.01 | ↑ +90% |
| Kaiser | Commercial|All Plans | $837.54 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,163.25 | ↑ +174% |
| First Health | Commercial|All Plans | $1,163.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,240.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,287.33 | ↑ +203% |
| United | Commercial|All Other Plans | $1,551.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $1,551.00 | ↑ +265% |
| United | Commercial|Options PPO | $1,551.00 | ↑ +265% |
| United | Commercial|HMO | $1,551.00 | ↑ +265% |
Visitor-reported prices
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Ob Ultrasound nuchal meas add-on at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $300.66 | $113.14 – $371.51 |
| Arroyo Grande Hospital | Santa Maria | $179.76 | $68.57 – $411.60 |
| French Hospital | San Luis Obispo | $164.64 | $68.57 – $411.60 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $262.56 | $185.63 – $343.40 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $125.26 | $38.64 – $161.00 |
| St. Mary Medical Center | Long Beach | $126.42 | $61.71 – $342.85 |
| St Jude Medical Center | Fullerton | $264.48 | $185.63 – $324.23 |
| Providence St Joseph Hospital Orange | Orange | $378.24 | $182.06 – $317.29 |