Quant diff pulm perf and vent w/imaging at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,830.87
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.
$6,682.00
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.
$257.99 with Hill Physicians vs $6,378.55 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 | $257.99 | ↓ -86% |
| United | Medicaid|< 21 | $271.30 | ↓ -85% |
| United | Medicaid|> 21 | $271.30 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $298.43 | ↓ -84% |
| Molina | Medicaid|All Plans | $510.04 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $515.47 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $621.28 | ↓ -66% |
| Health Net | Medicaid|All Plans | $621.28 | ↓ -66% |
| BCBS - Anthem | Medicare|All Other Plans | $667.02 | ↓ -64% |
| Blue Shield CA | Medicare|PPO | $707.34 | ↓ -61% |
| Humana | Medicare|All Plans | $707.34 | ↓ -61% |
| Aetna | Medicare|All Plans | $707.34 | ↓ -61% |
| Molina | Medicare|All Plans | $707.34 | ↓ -61% |
| United | Medicare|All Plans | $707.34 | ↓ -61% |
| Kaiser | Medicare|All Plans | $707.34 | ↓ -61% |
| Blue Shield CA | Medicare|HMO | $707.34 | ↓ -61% |
| Humana | Commercial|All Plans | $707.34 | ↓ -61% |
| BCBS - Anthem | Medicare|Imperial | $728.56 | ↓ -60% |
| WCMG | Commercial|All Plans | $735.02 | ↓ -60% |
| BrightHealth | Commercial|All Plans | $778.07 | ↓ -58% |
| BlueShield | Medicare|Trauma | $884.18 | ↓ -52% |
| Aetna | Commercial|PPO | $913.78 | ↓ -50% |
| Aetna | Commercial|All Other Plans | $913.78 | ↓ -50% |
| Aetna | Commercial|HMO | $913.78 | ↓ -50% |
| Prison Healthcare | Medicaid|All Plans | $1,061.01 | ↓ -42% |
| United | Commercial|HMO | $1,101.15 | ↓ -40% |
| United | Commercial|Options PPO | $1,101.15 | ↓ -40% |
| United | Commercial|Non-Options PPO | $1,101.15 | ↓ -40% |
| United | Commercial|All Other Plans | $1,101.15 | ↓ -40% |
| Partnership Health Plan | Medicaid|All Plans | $1,166.59 | ↓ -36% |
| Cigna | Commercial|LocalPlus | $1,977.25 | ↑ +8% |
| Western Health Advantage | Commercial|All Plans | $2,338.70 | ↑ +28% |
| Cigna | Commercial|All Other Plans | $2,636.53 | ↑ +44% |
| Kaiser | Medicaid|All Plans | $2,739.62 | ↑ +50% |
| Kaiser | Commercial|All Plans | $3,608.28 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $3,645.76 | ↑ +99% |
| BCBS - Anthem | Commercial|All Other Plans | $4,555.67 | ↑ +149% |
| Healthsmart | Commercial|All Plans | $5,011.50 | ↑ +174% |
| First Health | Commercial|All Plans | $5,011.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $5,345.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $5,546.06 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $6,378.55 | ↑ +248% |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $829.36 | $107.65 – $1,198.92 |
| Mark Twain Medical Center | San Andreas | $3,372.63 | $271.30 – $4,848.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $457.82 | $271.30 – $2,565.73 |
| Bakersfield Memorial Hospital | Bakersfield | $452.88 | $271.30 – $2,565.73 |
| Queen of The Valley Medical Center | Napa | $4,385.49 | $755.17 – $2,213.99 |
| Providence St Joseph Hospital Eureka | Eureka | $3,731.67 | $698.35 – $2,421.05 |
| St. Joseph's Medical Center Stockton | Stockton | $4,641.38 | $271.30 – $6,473.08 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,410.72 | $593.60 – $1,291.95 |