Pregnancy Ultrasound (complete, after first trimester) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$344.15
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.
$1,256.00
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.
$97.21 with Hill Physicians vs $1,256.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $97.21 | ↓ -72% |
| BCBS - Anthem | Medicare|All Other Plans | $131.77 | ↓ -62% |
| United | Medicaid|> 21 | $135.29 | ↓ -61% |
| United | Medicaid|< 21 | $135.29 | ↓ -61% |
| WCMG | Commercial|All Plans | $138.16 | ↓ -60% |
| Humana | Commercial|All Plans | $139.74 | ↓ -59% |
| Humana | Medicare|All Plans | $139.74 | ↓ -59% |
| Aetna | Medicare|All Plans | $139.74 | ↓ -59% |
| Molina | Medicare|All Plans | $139.74 | ↓ -59% |
| United | Medicare|All Plans | $139.74 | ↓ -59% |
| Kaiser | Medicare|All Plans | $139.74 | ↓ -59% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↓ -59% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↓ -59% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↓ -58% |
| Hill Physicians | Medicaid|All Plans | $148.82 | ↓ -57% |
| BrightHealth | Commercial|All Plans | $153.71 | ↓ -55% |
| BlueShield | Medicare|Trauma | $174.68 | ↓ -49% |
| Molina | Medicaid|All Plans | $177.32 | ↓ -48% |
| Prison Healthcare | Medicaid|All Plans | $209.61 | ↓ -39% |
| United | Commercial|HMO | $245.18 | ↓ -29% |
| United | Commercial|Options PPO | $245.18 | ↓ -29% |
| United | Commercial|Non-Options PPO | $245.18 | ↓ -29% |
| United | Commercial|All Other Plans | $245.18 | ↓ -29% |
| BCBS - Anthem | Medicaid|All Plans | $257.05 | ↓ -25% |
| California Health & Wellness | Medicaid|All Plans | $309.81 | ↓ -10% |
| Health Net | Medicaid|All Plans | $309.81 | ↓ -10% |
| Aetna | Commercial|HMO | $331.84 | ↓ -4% |
| Aetna | Commercial|All Other Plans | $331.84 | ↓ -4% |
| Aetna | Commercial|PPO | $331.84 | ↓ -4% |
| Western Health Advantage | Commercial|All Plans | $439.60 | ↑ +28% |
| Cigna | Commercial|LocalPlus | $439.91 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $514.96 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $581.76 | ↑ +69% |
| Cigna | Commercial|All Other Plans | $586.59 | ↑ +70% |
| Kaiser | Commercial|All Plans | $678.24 | ↑ +97% |
| First Health | Commercial|All Plans | $942.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $942.00 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $1,004.80 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $1,004.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,042.48 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $1,256.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $1,256.00 | ↑ +265% |
Visitor-reported prices
Comments
Pregnancy Ultrasound (complete, after first trimester) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $964.92 | $135.12 – $1,718.34 |
| Redwood City Medical Center | Redwood City | $946.40 | $142.00 – $142.00 |
| Santa Clara Medical Center | SANTA CLARA | $946.40 | $142.00 – $142.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $728.00 | $99.00 – $99.00 |
| Riverside Medical Center | RIVERSIDE | $728.00 | $99.00 – $99.00 |
| Banner Lassen Medical Center | Susanville | $961.62 | $21.27 – $1,188.25 |
| Sacramento Medical Center | SACRAMENTO | $946.40 | $142.00 – $142.00 |
| Oakland Medical Center | Oakland | $946.40 | $142.00 – $142.00 |