Renal venogram bil s&i at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,029.25
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.
$7,406.00
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.
$87.86 with Hill Physicians vs $15,423.39 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 | $87.86 | ↓ -96% |
| Aetna | Commercial|PPO | $586.74 | ↓ -71% |
| Aetna | Commercial|All Other Plans | $586.74 | ↓ -71% |
| Aetna | Commercial|HMO | $586.74 | ↓ -71% |
| BCBS - Anthem | Medicaid|All Plans | $771.61 | ↓ -62% |
| WCMG | Commercial|All Plans | $814.66 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $2,592.10 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $3,036.46 | ↑ +50% |
| Health Net | Medicaid|All Plans | $3,703.00 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $3,703.00 | ↑ +82% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +92% |
| Kaiser | Commercial|All Plans | $3,999.24 | ↑ +97% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +104% |
| Humana | Medicare|All Plans | $4,136.13 | ↑ +104% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +104% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +104% |
| United | Medicare|All Plans | $4,136.13 | ↑ +104% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +104% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +104% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +104% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +110% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +124% |
| BlueShield | Medicare|Trauma | $5,170.16 | ↑ +155% |
| First Health | Commercial|All Plans | $5,554.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $5,554.50 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $5,924.80 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $5,924.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $6,146.98 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +206% |
| United | Commercial|Non-Options PPO | $6,438.74 | ↑ +217% |
| United | Commercial|All Other Plans | $6,438.74 | ↑ +217% |
| United | Commercial|Options PPO | $6,438.74 | ↑ +217% |
| United | Commercial|HMO | $6,438.74 | ↑ +217% |
| BCBS - Anthem | Commercial|All Other Plans | $7,406.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $7,406.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $11,566.70 | ↑ +470% |
| Cigna | Commercial|All Other Plans | $15,423.39 | ↑ +660% |
Visitor-reported prices
Comments
Renal venogram bil s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,581.58 | $548.55 – $13,858.31 |
| Arroyo Grande Hospital | Santa Maria | $5,143.71 | $1,040.99 – $13,457.70 |
| French Hospital | San Luis Obispo | $4,711.06 | $901.42 – $15,820.61 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,450.30 | $705.08 – $15,009.21 |
| Bakersfield Memorial Hospital | Bakersfield | $2,844.62 | $536.07 – $15,009.21 |
| Providence St Joseph Hospital Eureka | Eureka | $4,889.88 | $4,061.05 – $4,434.05 |
| St. Joseph's Medical Center Stockton | Stockton | $1,824.57 | $529.82 – $6,206.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,565.12 | $970.17 – $7,512.94 |