Reposition vad w/image rt/lt sep session at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$145.94 with United vs $37,709.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $145.94 | — |
| United | Medicaid|< 21 | $145.94 | — |
| Hill Physicians | Commercial|All Plans | $157.35 | — |
| Hill Physicians | Medicaid|All Plans | $160.53 | — |
| Molina | Medicaid|All Plans | $274.37 | — |
| BCBS - Anthem | Medicaid|All Plans | $277.29 | — |
| Health Net | Medicaid|All Plans | $334.20 | — |
| California Health & Wellness | Medicaid|All Plans | $334.20 | — |
| Partnership Health Plan | Medicaid|All Plans | $627.54 | — |
| Blue Shield CA | Commercial|ACO Trio | $12,017.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,321.00 | — |
| Aetna | Commercial|All Other Plans | $16,573.00 | — |
| Aetna | Commercial|HMO | $16,573.00 | — |
| Aetna | Commercial|PPO | $16,573.00 | — |
| Blue Shield CA | Commercial|Exchange | $16,616.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $21,425.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $21,548.00 | — |
| Blue Shield CA | Commercial|HMO | $22,719.00 | — |
| Blue Shield CA | Commercial|CalPers | $23,919.00 | — |
| Blue Shield CA | Commercial|PPO | $25,760.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $26,935.00 | — |
| BCBS - Anthem | Commercial|MCS | $37,709.00 | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Reposition vad w/image rt/lt sep session at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $505.47 | $145.94 – $1,157.38 |
| French Hospital | San Luis Obispo | $462.96 | $145.94 – $1,157.38 |
| Bakersfield Memorial Hospital | Bakersfield | $2,472.85 | $145.94 – $6,670.62 |
| Queen of The Valley Medical Center | Napa | $334.56 | $10,593.00 – $16,265.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,146.39 | $145.94 – $8,989.68 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,269.39 | $6,511.00 – $12,568.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $885.60 | $4,666.00 – $16,338.00 |
| Mercy Medical Center Merced | Merced | $3,528.78 | $145.94 – $6,783.48 |