Prq cardiac angio addl art at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,011.81
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.
$10,992.00
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.
$1,209.12 with WCMG 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $1,209.12 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $1,919.63 | ↓ -36% |
| Western Health Advantage | Commercial|All Plans | $3,847.20 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,506.72 | ↑ +50% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +72% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +72% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +72% |
| California Health & Wellness | Medicaid|All Plans | $5,496.00 | ↑ +82% |
| Health Net | Medicaid|All Plans | $5,496.00 | ↑ +82% |
| Kaiser | Commercial|All Plans | $5,935.68 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $8,244.00 | ↑ +174% |
| First Health | Commercial|All Plans | $8,244.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $8,793.60 | ↑ +192% |
| Blue Shield CA | Commercial|ACO Trio | $8,882.00 | ↑ +195% |
| MultiPlan | Commercial|All Plans | $9,123.36 | ↑ +203% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +236% |
| United | Commercial|Non-Options PPO | $10,992.00 | ↑ +265% |
| United | Commercial|All Other Plans | $10,992.00 | ↑ +265% |
| United | Commercial|HMO | $10,992.00 | ↑ +265% |
| United | Commercial|Options PPO | $10,992.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,325.00 | ↑ +276% |
| Blue Shield CA | Commercial|Exchange | $12,281.00 | ↑ +308% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +320% |
| Blue Shield CA | Commercial|PPO Tandem | $15,836.00 | ↑ +426% |
| Blue Shield CA | Commercial|HMO | $16,792.00 | ↑ +458% |
| Blue Shield CA | Commercial|CalPers | $17,679.00 | ↑ +487% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +488% |
| Blue Shield CA | Commercial|PPO | $19,040.00 | ↑ +532% |
Visitor-reported prices
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Prq cardiac angio addl art at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,783.31 | $4,181.49 – $12,079.86 |
| Arroyo Grande Hospital | Santa Maria | $7,767.78 | $9,074.50 – $17,786.02 |
| French Hospital | San Luis Obispo | $7,383.32 | $5,085.45 – $18,458.30 |
| Bakersfield Memorial Hospital | Bakersfield | $6,583.62 | $1,333.64 – $17,759.61 |
| Queen of The Valley Medical Center | Napa | $9,938.88 | $7,745.00 – $24,453.00 |
| Providence St Joseph Hospital Eureka | Eureka | $8,073.30 | $9,008.00 – $24,039.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,837.27 | $4,883.76 – $19,535.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $12,617.40 | $4,812.00 – $15,575.00 |