Pq thr inj ext pse at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$233.73
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.
$853.00
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.
$90.09 with WCMG vs $7,484.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $90.09 | ↓ -61% |
| Hill Physicians | Commercial|All Plans | $101.47 | ↓ -57% |
| United | Medicaid|> 21 | $179.44 | ↓ -23% |
| United | Medicaid|< 21 | $179.44 | ↓ -23% |
| Hill Physicians | Medicaid|All Plans | $216.91 | ↓ -7% |
| Western Health Advantage | Commercial|All Plans | $286.65 | ↑ +23% |
| Molina | Medicaid|All Plans | $293.98 | ↑ +26% |
| BCBS - Anthem | Medicaid|All Plans | $297.10 | ↑ +27% |
| Kaiser | Medicaid|All Plans | $335.79 | ↑ +44% |
| Kaiser | Commercial|All Plans | $442.26 | ↑ +89% |
| California Health & Wellness | Medicaid|All Plans | $451.57 | ↑ +93% |
| Health Net | Medicaid|All Plans | $451.57 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $614.25 | ↑ +163% |
| First Health | Commercial|All Plans | $614.25 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $655.20 | ↑ +180% |
| Partnership Health Plan | Medicaid|All Plans | $672.39 | ↑ +188% |
| MultiPlan | Commercial|All Plans | $679.77 | ↑ +191% |
| BCBS - Anthem | Medicare|All Other Plans | $766.15 | ↑ +228% |
| Blue Shield CA | Medicare|PPO | $812.46 | ↑ +248% |
| Humana | Medicare|All Plans | $812.46 | ↑ +248% |
| Humana | Commercial|All Plans | $812.46 | ↑ +248% |
| Aetna | Medicare|All Plans | $812.46 | ↑ +248% |
| Molina | Medicare|All Plans | $812.46 | ↑ +248% |
| United | Medicare|All Plans | $812.46 | ↑ +248% |
| Kaiser | Medicare|All Plans | $812.46 | ↑ +248% |
| Blue Shield CA | Medicare|HMO | $812.46 | ↑ +248% |
| United | Commercial|Options PPO | $819.00 | ↑ +250% |
| United | Commercial|HMO | $819.00 | ↑ +250% |
| United | Commercial|All Other Plans | $819.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $819.00 | ↑ +250% |
| BCBS - Anthem | Medicare|Imperial | $836.83 | ↑ +258% |
| BrightHealth | Commercial|All Plans | $893.71 | ↑ +282% |
| BlueShield | Medicare|Trauma | $1,015.58 | ↑ +335% |
| Prison Healthcare | Medicaid|All Plans | $1,218.69 | ↑ +421% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +1316% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +1568% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +1705% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +1730% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +1731% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +2115% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +2115% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +2115% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +2187% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +2307% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +2576% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +2717% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +2799% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +2925% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +3102% |
Visitor-reported prices
Comments
Pq thr inj ext pse at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $378.87 | $220.71 – $1,452.04 |
| Petaluma Valley Hospital | Petaluma | $1,171.47 | $845.36 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $674.10 | $179.44 – $1,441.58 |
| Mark Twain Medical Center | San Andreas | $2,563.44 | $179.44 – $1,650.32 |
| French Hospital | San Luis Obispo | $985.49 | $179.44 – $1,314.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $281.22 | $179.44 – $718.00 |
| Bakersfield Memorial Hospital | Bakersfield | $278.19 | $179.44 – $718.00 |
| Queen of The Valley Medical Center | Napa | $1,009.80 | $890.68 – $6,200.00 |