Sleep study unattended at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$184.68
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.
$674.00
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.
$59.07 with Hill Physicians vs $16,950.00 with United — 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 | $59.07 | ↓ -68% |
| WCMG | Commercial|All Plans | $74.14 | ↓ -60% |
| United | Medicaid|> 21 | $118.65 | ↓ -36% |
| United | Medicaid|< 21 | $118.65 | ↓ -36% |
| Hill Physicians | Medicaid|All Plans | $130.52 | ↓ -29% |
| Molina | Medicaid|All Plans | $155.51 | ↓ -16% |
| BCBS - Anthem | Medicare|All Other Plans | $193.88 | ↑ +5% |
| Humana | Medicare|All Plans | $205.60 | ↑ +11% |
| Blue Shield CA | Medicare|HMO | $205.60 | ↑ +11% |
| Humana | Commercial|All Plans | $205.60 | ↑ +11% |
| Aetna | Medicare|All Plans | $205.60 | ↑ +11% |
| Kaiser | Medicare|All Plans | $205.60 | ↑ +11% |
| Molina | Medicare|All Plans | $205.60 | ↑ +11% |
| Blue Shield CA | Medicare|PPO | $205.60 | ↑ +11% |
| United | Medicare|All Plans | $205.60 | ↑ +11% |
| BCBS - Anthem | Medicare|Imperial | $211.77 | ↑ +15% |
| BrightHealth | Commercial|All Plans | $226.16 | ↑ +22% |
| Western Health Advantage | Commercial|All Plans | $235.90 | ↑ +28% |
| BlueShield | Medicare|Trauma | $257.00 | ↑ +39% |
| Health Net | Medicaid|All Plans | $271.71 | ↑ +47% |
| California Health & Wellness | Medicaid|All Plans | $271.71 | ↑ +47% |
| Kaiser | Medicaid|All Plans | $276.34 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $308.40 | ↑ +67% |
| Kaiser | Commercial|All Plans | $363.96 | ↑ +97% |
| BCBS - Anthem | Medicaid|All Plans | $491.04 | ↑ +166% |
| Aetna | Commercial|All Other Plans | $497.51 | ↑ +169% |
| Aetna | Commercial|PPO | $497.51 | ↑ +169% |
| Aetna | Commercial|HMO | $497.51 | ↑ +169% |
| Healthsmart | Commercial|All Plans | $505.50 | ↑ +174% |
| First Health | Commercial|All Plans | $505.50 | ↑ +174% |
| Partnership Health Plan | Medicaid|All Plans | $510.21 | ↑ +176% |
| Sutter Health | Commercial|All Plans | $539.20 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $539.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $559.42 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $674.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $674.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $674.00 | ↑ +265% |
| United | Commercial|HMO | $674.00 | ↑ +265% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +9078% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +9078% |
Visitor-reported prices
Comments
Sleep study unattended at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $601.92 | $31.29 – $563.57 |
| Queen of The Valley Medical Center | Napa | $557.94 | $306.58 – $1,569.82 |
| Providence St Joseph Hospital Eureka | Eureka | $1,269.90 | $277.71 – $1,780.19 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,663.62 | $300.45 – $1,335.54 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $691.20 | $236.06 – $513.77 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $977.17 | $263.40 – $1,230.88 |
| Dominican Hospital | Santa Cruz | $734.85 | $118.65 – $1,517.35 |
| St Jude Medical Center | Fullerton | $925.44 | $236.06 – $513.77 |