Pq vrtbrplst 1 bdy inj crv-thr w/img ini at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5,118.05
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.
$18,679.00
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.
$393.89 with United vs $19,040.00 with Blue Shield CA — 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 | $393.89 | ↓ -92% |
| United | Medicaid|> 21 | $393.89 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $430.15 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $433.28 | ↓ -92% |
| Molina | Medicaid|All Plans | $740.51 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $748.39 | ↓ -85% |
| Health Net | Medicaid|All Plans | $902.01 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $902.01 | ↓ -82% |
| Partnership Health Plan | Medicaid|All Plans | $1,693.73 | ↓ -67% |
| WCMG | Commercial|All Plans | $1,972.52 | ↓ -61% |
| BCBS - Anthem | Medicare|All Other Plans | $4,020.71 | ↓ -21% |
| Kaiser | Medicare|All Plans | $4,263.74 | ↓ -17% |
| United | Medicare|All Plans | $4,263.74 | ↓ -17% |
| Blue Shield CA | Medicare|PPO | $4,263.74 | ↓ -17% |
| Humana | Medicare|All Plans | $4,263.74 | ↓ -17% |
| Aetna | Medicare|All Plans | $4,263.74 | ↓ -17% |
| Humana | Commercial|All Plans | $4,263.74 | ↓ -17% |
| Blue Shield CA | Medicare|HMO | $4,263.74 | ↓ -17% |
| Molina | Medicare|All Plans | $4,263.74 | ↓ -17% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↓ -16% |
| BCBS - Anthem | Medicare|Imperial | $4,391.65 | ↓ -14% |
| BrightHealth | Commercial|All Plans | $4,690.11 | ↓ -8% |
| BlueShield | Medicare|Trauma | $5,329.67 | ↑ +4% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +4% |
| Western Health Advantage | Commercial|All Plans | $6,276.20 | ↑ +23% |
| Prison Healthcare | Medicaid|All Plans | $6,395.61 | ↑ +25% |
| Health Net | Commercial|EPPO | $7,039.00 | ↑ +38% |
| Kaiser | Medicaid|All Plans | $7,352.12 | ↑ +44% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +46% |
| Blue Shield CA | Commercial|ACO Trio | $8,882.00 | ↑ +74% |
| Kaiser | Commercial|All Plans | $9,683.28 | ↑ +89% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +102% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +102% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +102% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,325.00 | ↑ +121% |
| Blue Shield CA | Commercial|Exchange | $12,281.00 | ↑ +140% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +150% |
| Healthsmart | Commercial|All Plans | $13,449.00 | ↑ +163% |
| First Health | Commercial|All Plans | $13,449.00 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $14,345.60 | ↑ +180% |
| MultiPlan | Commercial|All Plans | $14,883.56 | ↑ +191% |
| Blue Shield CA | Commercial|PPO Tandem | $15,836.00 | ↑ +209% |
| Blue Shield CA | Commercial|HMO | $16,792.00 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $17,679.00 | ↑ +245% |
| United | Commercial|Options PPO | $17,932.00 | ↑ +250% |
| United | Commercial|HMO | $17,932.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $17,932.00 | ↑ +250% |
| United | Commercial|All Other Plans | $17,932.00 | ↑ +250% |
| Blue Shield CA | Commercial|PPO | $19,040.00 | ↑ +272% |
Visitor-reported prices
Comments
Pq vrtbrplst 1 bdy inj crv-thr w/img ini at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,874.55 | $595.91 – $7,471.42 |
| Petaluma Valley Hospital | Petaluma | $6,059.82 | $4,129.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $5,105.19 | $393.89 – $11,239.62 |
| Mark Twain Medical Center | San Andreas | $14,042.61 | $393.89 – $8,127.14 |
| French Hospital | San Luis Obispo | $4,675.78 | $393.89 – $10,584.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,917.39 | $393.89 – $8,447.20 |
| Bakersfield Memorial Hospital | Bakersfield | $3,875.16 | $393.89 – $8,341.61 |
| Queen of The Valley Medical Center | Napa | $6,559.11 | $4,645.79 – $17,909.00 |