Peritoneogram rs&i at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$647.47
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.
$2,363.00
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.
$49.53 with United vs $2,603.32 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $49.53 | ↓ -92% |
| United | Medicaid|> 21 | $49.53 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $54.48 | ↓ -92% |
| Molina | Medicaid|All Plans | $64.92 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $94.11 | ↓ -85% |
| Health Net | Medicaid|All Plans | $113.42 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $113.42 | ↓ -82% |
| Partnership Health Plan | Medicaid|All Plans | $212.98 | ↓ -67% |
| WCMG | Commercial|All Plans | $259.93 | ↓ -60% |
| BCBS - Anthem | Commercial|Connection EPO | $653.25 | ↑ +1% |
| BCBS - Anthem | Medicare|All Other Plans | $679.45 | ↑ +5% |
| Humana | Commercial|All Plans | $720.52 | ↑ +11% |
| Humana | Medicare|All Plans | $720.52 | ↑ +11% |
| Aetna | Medicare|All Plans | $720.52 | ↑ +11% |
| Molina | Medicare|All Plans | $720.52 | ↑ +11% |
| United | Medicare|All Plans | $720.52 | ↑ +11% |
| Kaiser | Medicare|All Plans | $720.52 | ↑ +11% |
| Blue Shield CA | Medicare|HMO | $720.52 | ↑ +11% |
| Blue Shield CA | Medicare|PPO | $720.52 | ↑ +11% |
| BCBS - Anthem | Medicare|Imperial | $742.14 | ↑ +15% |
| BrightHealth | Commercial|All Plans | $792.57 | ↑ +22% |
| Aetna | Commercial|HMO | $794.63 | ↑ +23% |
| Aetna | Commercial|PPO | $794.63 | ↑ +23% |
| Aetna | Commercial|All Other Plans | $794.63 | ↑ +23% |
| BCBS - Anthem | Commercial|All Other Plans | $816.29 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $827.05 | ↑ +28% |
| BlueShield | Medicare|Trauma | $900.65 | ↑ +39% |
| Kaiser | Medicaid|All Plans | $968.83 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $1,080.78 | ↑ +67% |
| United | Commercial|Non-Options PPO | $1,086.50 | ↑ +68% |
| United | Commercial|All Other Plans | $1,086.50 | ↑ +68% |
| United | Commercial|HMO | $1,086.50 | ↑ +68% |
| United | Commercial|Options PPO | $1,086.50 | ↑ +68% |
| BCBS - Anthem | Commercial|MCS | $1,142.91 | ↑ +77% |
| Kaiser | Commercial|All Plans | $1,276.02 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,772.25 | ↑ +174% |
| First Health | Commercial|All Plans | $1,772.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,890.40 | ↑ +192% |
| Cigna | Commercial|LocalPlus | $1,952.35 | ↑ +202% |
| MultiPlan | Commercial|All Plans | $1,961.29 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $2,603.32 | ↑ +302% |
Visitor-reported prices
Comments
Peritoneogram rs&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $409.34 | $56.97 – $605.28 |
| Arroyo Grande Hospital | Santa Maria | $1,499.29 | $49.53 – $3,432.94 |
| French Hospital | San Luis Obispo | $1,373.18 | $49.53 – $3,432.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $561.33 | $49.53 – $2,533.41 |
| Bakersfield Memorial Hospital | Bakersfield | $555.28 | $49.53 – $2,533.41 |
| St. Joseph's Medical Center Stockton | Stockton | $528.32 | $49.53 – $899.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $780.81 | $325.45 – $775.83 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,500.96 | $485.74 – $1,300.14 |