Radphm lcl tmr plnr bdy sgl day img at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,443.16
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.
$5,267.00
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.
$222.19 with United vs $7,040.70 with Cigna — 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 | $222.19 | ↓ -85% |
| United | Medicaid|> 21 | $222.19 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $244.41 | ↓ -83% |
| Hill Physicians | Commercial|All Plans | $266.59 | ↓ -82% |
| Molina | Medicaid|All Plans | $291.21 | ↓ -80% |
| BCBS - Anthem | Medicaid|All Plans | $422.16 | ↓ -71% |
| Health Net | Medicaid|All Plans | $508.82 | ↓ -65% |
| California Health & Wellness | Medicaid|All Plans | $508.82 | ↓ -65% |
| WCMG | Commercial|All Plans | $579.37 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $955.41 | ↓ -34% |
| Aetna | Commercial|HMO | $982.60 | ↓ -32% |
| Aetna | Commercial|PPO | $982.60 | ↓ -32% |
| Aetna | Commercial|All Other Plans | $982.60 | ↓ -32% |
| BCBS - Anthem | Medicare|All Other Plans | $1,617.74 | ↑ +12% |
| Blue Shield CA | Medicare|PPO | $1,715.53 | ↑ +19% |
| Humana | Medicare|All Plans | $1,715.53 | ↑ +19% |
| Aetna | Medicare|All Plans | $1,715.53 | ↑ +19% |
| Molina | Medicare|All Plans | $1,715.53 | ↑ +19% |
| United | Medicare|All Plans | $1,715.53 | ↑ +19% |
| Kaiser | Medicare|All Plans | $1,715.53 | ↑ +19% |
| Blue Shield CA | Medicare|HMO | $1,715.53 | ↑ +19% |
| Humana | Commercial|All Plans | $1,715.53 | ↑ +19% |
| BCBS - Anthem | Medicare|Imperial | $1,767.00 | ↑ +22% |
| Western Health Advantage | Commercial|All Plans | $1,843.45 | ↑ +28% |
| BrightHealth | Commercial|All Plans | $1,887.08 | ↑ +31% |
| BlueShield | Medicare|Trauma | $2,144.41 | ↑ +49% |
| Kaiser | Medicaid|All Plans | $2,159.47 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $2,573.30 | ↑ +78% |
| BCBS - Anthem | Commercial|Connection EPO | $2,760.89 | ↑ +91% |
| Kaiser | Commercial|All Plans | $2,844.18 | ↑ +97% |
| United | Commercial|Non-Options PPO | $2,938.37 | ↑ +104% |
| United | Commercial|HMO | $2,938.37 | ↑ +104% |
| United | Commercial|Options PPO | $2,938.37 | ↑ +104% |
| United | Commercial|All Other Plans | $2,938.37 | ↑ +104% |
| BCBS - Anthem | Commercial|All Other Plans | $3,449.95 | ↑ +139% |
| Healthsmart | Commercial|All Plans | $3,950.25 | ↑ +174% |
| First Health | Commercial|All Plans | $3,950.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,213.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,371.61 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $4,830.39 | ↑ +235% |
| Cigna | Commercial|LocalPlus | $5,280.13 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $7,040.70 | ↑ +388% |
Visitor-reported prices
Comments
Radphm lcl tmr plnr bdy sgl day img at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $995.58 | $336.15 – $6,326.24 |
| Mark Twain Medical Center | San Andreas | $5,292.71 | $222.19 – $3,669.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $812.12 | $222.19 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $803.37 | $222.19 – $6,851.62 |
| Providence St Joseph Hospital Eureka | Eureka | $4,130.49 | $698.35 – $2,035.50 |
| St. Joseph's Medical Center Stockton | Stockton | $3,858.75 | $222.19 – $10,762.50 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,217.28 | $593.60 – $2,035.50 |
| Mercy Medical Center Merced | Merced | $1,473.93 | $222.19 – $2,862.00 |