Pericardiocentesis wwo imaging at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,065.96
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.
$7,540.00
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.
$200.67 with United vs $12,615.00 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 | $200.67 | ↓ -90% |
| United | Medicaid|< 21 | $200.67 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $220.74 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $221.57 | ↓ -89% |
| Molina | Medicaid|All Plans | $377.26 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $381.58 | ↓ -82% |
| Health Net | Medicaid|All Plans | $459.53 | ↓ -78% |
| California Health & Wellness | Medicaid|All Plans | $459.53 | ↓ -78% |
| WCMG | Commercial|All Plans | $563.97 | ↓ -73% |
| Partnership Health Plan | Medicaid|All Plans | $862.88 | ↓ -58% |
| Western Health Advantage | Commercial|All Plans | $1,794.45 | ↓ -13% |
| BCBS - Anthem | Medicare|All Other Plans | $1,925.02 | ↓ -7% |
| United | Medicare|All Plans | $2,041.38 | ↓ -1% |
| Kaiser | Medicare|All Plans | $2,041.38 | ↓ -1% |
| Blue Shield CA | Medicare|PPO | $2,041.38 | ↓ -1% |
| Blue Shield CA | Medicare|HMO | $2,041.38 | ↓ -1% |
| Molina | Medicare|All Plans | $2,041.38 | ↓ -1% |
| Aetna | Medicare|All Plans | $2,041.38 | ↓ -1% |
| Humana | Commercial|All Plans | $2,041.38 | ↓ -1% |
| Humana | Medicare|All Plans | $2,041.38 | ↓ -1% |
| Kaiser | Medicaid|All Plans | $2,102.07 | ↑ +2% |
| BCBS - Anthem | Medicare|Imperial | $2,102.62 | ↑ +2% |
| BrightHealth | Commercial|All Plans | $2,245.52 | ↑ +9% |
| BlueShield | Medicare|Trauma | $2,551.73 | ↑ +24% |
| Kaiser | Commercial|All Plans | $2,768.58 | ↑ +34% |
| Prison Healthcare | Medicaid|All Plans | $3,062.07 | ↑ +48% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +60% |
| First Health | Commercial|All Plans | $3,845.25 | ↑ +86% |
| Healthsmart | Commercial|All Plans | $3,845.25 | ↑ +86% |
| Sutter Health | Commercial|All Plans | $4,101.60 | ↑ +99% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $4,255.41 | ↑ +106% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +107% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +130% |
| United | Commercial|All Other Plans | $5,127.00 | ↑ +148% |
| United | Commercial|Non-Options PPO | $5,127.00 | ↑ +148% |
| United | Commercial|Options PPO | $5,127.00 | ↑ +148% |
| United | Commercial|HMO | $5,127.00 | ↑ +148% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +172% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +203% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +219% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +228% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +249% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +251% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +251% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +251% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +317% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +336% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +511% |
Visitor-reported prices
Comments
Pericardiocentesis wwo imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,876.40 | $303.59 – $3,734.50 |
| Banner Lassen Medical Center | Susanville | $920.00 | $310.69 – $1,836.21 |
| Petaluma Valley Hospital | Petaluma | $3,012.57 | $1,921.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $2,157.55 | $200.67 – $4,195.38 |
| French Hospital | San Luis Obispo | $1,976.08 | $200.67 – $4,195.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,829.41 | $200.67 – $3,829.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,809.68 | $200.67 – $3,781.73 |
| Queen of The Valley Medical Center | Napa | $2,887.62 | $2,235.08 – $9,858.00 |