Pm device progr eval dual at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$165.77
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.
$605.00
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.
$46.17 with Hill Physicians vs $16,950.00 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 | $46.17 | ↓ -72% |
| BCBS - Anthem | Medicare|All Other Plans | $46.21 | ↓ -72% |
| Humana | Commercial|All Plans | $49.00 | ↓ -70% |
| Aetna | Medicare|All Plans | $49.00 | ↓ -70% |
| Kaiser | Medicare|All Plans | $49.00 | ↓ -70% |
| Molina | Medicare|All Plans | $49.00 | ↓ -70% |
| Blue Shield CA | Medicare|HMO | $49.00 | ↓ -70% |
| United | Medicare|All Plans | $49.00 | ↓ -70% |
| Blue Shield CA | Medicare|PPO | $49.00 | ↓ -70% |
| Humana | Medicare|All Plans | $49.00 | ↓ -70% |
| BCBS - Anthem | Medicare|Imperial | $50.47 | ↓ -70% |
| BrightHealth | Commercial|All Plans | $53.90 | ↓ -67% |
| United | Medicaid|< 21 | $57.91 | ↓ -65% |
| United | Medicaid|> 21 | $57.91 | ↓ -65% |
| BlueShield | Medicare|Trauma | $61.25 | ↓ -63% |
| Hill Physicians | Medicaid|All Plans | $63.70 | ↓ -62% |
| WCMG | Commercial|All Plans | $66.55 | ↓ -60% |
| Prison Healthcare | Medicaid|All Plans | $73.50 | ↓ -56% |
| Molina | Medicaid|All Plans | $108.87 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $110.03 | ↓ -34% |
| California Health & Wellness | Medicaid|All Plans | $132.61 | ↓ -20% |
| Health Net | Medicaid|All Plans | $132.61 | ↓ -20% |
| Western Health Advantage | Commercial|All Plans | $211.75 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $248.05 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $249.01 | ↑ +50% |
| BCBS - Anthem | Commercial|Connection EPO | $326.27 | ↑ +97% |
| Kaiser | Commercial|All Plans | $326.70 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $407.70 | ↑ +146% |
| Healthsmart | Commercial|All Plans | $453.75 | ↑ +174% |
| First Health | Commercial|All Plans | $453.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $484.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $502.15 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $570.83 | ↑ +244% |
| United | Commercial|Non-Options PPO | $605.00 | ↑ +265% |
| United | Commercial|HMO | $605.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1830% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +3402% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +10125% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +10125% |
Visitor-reported prices
Comments
Pm device progr eval dual at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $37.67 | $23.22 – $87.86 |
| Bakersfield Memorial Hospital | Bakersfield | $38.91 | $47.38 – $106.00 |
| St. Joseph's Medical Center Stockton | Stockton | $31.17 | $22.26 – $106.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $223.89 | $51.93 – $162.55 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $89.28 | $40.80 – $88.80 |
| Mercy Medical Center Merced | Merced | $54.59 | $47.38 – $106.00 |
| Northridge Hospital Medical Center | Northridge | $175.22 | $47.38 – $4,018.00 |
| St. Mary Medical Center | Long Beach | $188.34 | $47.38 – $438.00 |