Pet CT whole body initial at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,130.80
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.
$4,127.00
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.
$453.97 with WCMG vs $10,303.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $453.97 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $1,444.45 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,692.07 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $1,807.48 | ↑ +60% |
| Blue Shield CA | Medicare|PPO | $1,916.73 | ↑ +70% |
| Blue Shield CA | Medicare|HMO | $1,916.73 | ↑ +70% |
| Molina | Medicare|All Plans | $1,916.73 | ↑ +70% |
| Kaiser | Medicare|All Plans | $1,916.73 | ↑ +70% |
| Humana | Medicare|All Plans | $1,916.73 | ↑ +70% |
| Humana | Commercial|All Plans | $1,916.73 | ↑ +70% |
| Aetna | Medicare|All Plans | $1,916.73 | ↑ +70% |
| United | Medicare|All Plans | $1,916.73 | ↑ +70% |
| BCBS - Anthem | Medicare|Imperial | $1,974.23 | ↑ +75% |
| BrightHealth | Commercial|All Plans | $2,108.40 | ↑ +86% |
| United | Medicaid|< 21 | $2,127.01 | ↑ +88% |
| United | Medicaid|> 21 | $2,127.01 | ↑ +88% |
| Kaiser | Commercial|All Plans | $2,228.58 | ↑ +97% |
| Hill Physicians | Medicaid|All Plans | $2,339.71 | ↑ +107% |
| BlueShield | Medicare|Trauma | $2,395.91 | ↑ +112% |
| Prison Healthcare | Medicaid|All Plans | $2,875.09 | ↑ +154% |
| Healthsmart | Commercial|All Plans | $3,095.25 | ↑ +174% |
| First Health | Commercial|All Plans | $3,095.25 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $3,301.60 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $3,301.60 | ↑ +192% |
| United | Commercial|Options PPO | $3,330.77 | ↑ +195% |
| United | Commercial|All Other Plans | $3,330.77 | ↑ +195% |
| United | Commercial|Non-Options PPO | $3,330.77 | ↑ +195% |
| United | Commercial|HMO | $3,330.77 | ↑ +195% |
| MultiPlan | Commercial|All Plans | $3,425.41 | ↑ +203% |
| Molina | Medicaid|All Plans | $3,998.78 | ↑ +254% |
| BCBS - Anthem | Medicaid|All Plans | $4,041.30 | ↑ +257% |
| Aetna | Commercial|HMO | $4,127.00 | ↑ +265% |
| Partnership Health Plan | Medicaid|All Plans | $4,127.00 | ↑ +265% |
| Aetna | Commercial|PPO | $4,127.00 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $4,127.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $4,127.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $4,127.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $4,127.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $4,127.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $7,727.00 | ↑ +583% |
| Cigna | Commercial|All Other Plans | $10,303.00 | ↑ +811% |
Visitor-reported prices
Comments
Pet CT whole body initial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $6,414.92 | $2,127.01 – $9,439.36 |
| Queen of The Valley Medical Center | Napa | $17,517.48 | $2,030.33 – $8,785.68 |
| Providence St Joseph Hospital Eureka | Eureka | $7,136.94 | $1,839.15 – $9,963.01 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,678.56 | $1,989.72 – $7,474.51 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,439.36 | $1,563.28 – $3,402.43 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,973.25 | $1,225.68 – $5,107.00 |
| Mercy Medical Center Merced | Merced | $2,882.97 | $1,853.28 – $5,058.14 |
| Dominican Hospital | Santa Cruz | $6,319.35 | $2,003.90 – $14,043.00 |