Radphm lcl tomogr sgl area sgl day at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,519.06
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.
$5,544.00
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.
$323.05 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $323.05 | ↓ -79% |
| WCMG | Commercial|All Plans | $609.84 | ↓ -60% |
| Aetna | Commercial|HMO | $1,029.58 | ↓ -32% |
| Aetna | Commercial|All Other Plans | $1,029.58 | ↓ -32% |
| Aetna | Commercial|PPO | $1,029.58 | ↓ -32% |
| BCBS - Anthem | Medicare|All Other Plans | $1,617.74 | ↑ +6% |
| Kaiser | Medicare|All Plans | $1,715.53 | ↑ +13% |
| Humana | Medicare|All Plans | $1,715.53 | ↑ +13% |
| Humana | Commercial|All Plans | $1,715.53 | ↑ +13% |
| Aetna | Medicare|All Plans | $1,715.53 | ↑ +13% |
| Molina | Medicare|All Plans | $1,715.53 | ↑ +13% |
| United | Medicare|All Plans | $1,715.53 | ↑ +13% |
| Blue Shield CA | Medicare|PPO | $1,715.53 | ↑ +13% |
| Blue Shield CA | Medicare|HMO | $1,715.53 | ↑ +13% |
| BCBS - Anthem | Medicare|Imperial | $1,767.00 | ↑ +16% |
| BrightHealth | Commercial|All Plans | $1,887.08 | ↑ +24% |
| Western Health Advantage | Commercial|All Plans | $1,940.40 | ↑ +28% |
| BlueShield | Medicare|Trauma | $2,144.41 | ↑ +41% |
| Kaiser | Medicaid|All Plans | $2,273.04 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $2,573.30 | ↑ +69% |
| United | Commercial|Options PPO | $2,938.37 | ↑ +93% |
| United | Commercial|Non-Options PPO | $2,938.37 | ↑ +93% |
| United | Commercial|HMO | $2,938.37 | ↑ +93% |
| United | Commercial|All Other Plans | $2,938.37 | ↑ +93% |
| BCBS - Anthem | Commercial|Connection EPO | $2,993.70 | ↑ +97% |
| Kaiser | Commercial|All Plans | $2,993.76 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $3,740.86 | ↑ +146% |
| First Health | Commercial|All Plans | $4,158.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $4,158.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,435.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,601.52 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $5,237.72 | ↑ +245% |
| Cigna | Commercial|LocalPlus | $5,280.13 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $7,040.70 | ↑ +363% |
Visitor-reported prices
Comments
Radphm lcl tomogr sgl area sgl day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,048.14 | $646.11 – $6,326.24 |
| Banner Lassen Medical Center | Susanville | $803.86 | $261.10 – $1,162.06 |
| Arroyo Grande Hospital | Santa Maria | $3,137.67 | $1,658.74 – $6,825.70 |
| Mark Twain Medical Center | San Andreas | $5,406.59 | $989.53 – $3,748.50 |
| French Hospital | San Luis Obispo | $2,615.43 | $1,581.92 – $7,222.02 |
| Mercy Hospitals – Bakersfield | Bakersfield | $866.29 | $1,167.50 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $856.95 | $1,167.50 – $6,851.62 |
| Queen of The Valley Medical Center | Napa | $4,380.90 | $770.94 – $2,035.50 |