Sm-153 lexidron ther at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,904.33
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.
$17,899.00
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.
$1,968.89 with WCMG vs $51,519.69 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $1,968.89 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $5,347.02 | ↑ +9% |
| Aetna | Medicare|All Plans | $5,670.22 | ↑ +16% |
| Humana | Commercial|All Plans | $5,670.22 | ↑ +16% |
| Humana | Medicare|All Plans | $5,670.22 | ↑ +16% |
| Molina | Medicare|All Plans | $5,670.22 | ↑ +16% |
| United | Medicare|All Plans | $5,670.22 | ↑ +16% |
| Kaiser | Medicare|All Plans | $5,670.22 | ↑ +16% |
| Blue Shield CA | Medicare|HMO | $5,670.22 | ↑ +16% |
| Blue Shield CA | Medicare|PPO | $5,670.22 | ↑ +16% |
| BCBS - Anthem | Medicare|Imperial | $5,840.33 | ↑ +19% |
| BrightHealth | Commercial|All Plans | $6,237.24 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $6,264.65 | ↑ +28% |
| BlueShield | Medicare|Trauma | $7,087.78 | ↑ +45% |
| United | Commercial|All Other Plans | $7,119.60 | ↑ +45% |
| United | Commercial|HMO | $7,119.60 | ↑ +45% |
| United | Commercial|Options PPO | $7,119.60 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $7,338.59 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $8,505.33 | ↑ +73% |
| BCBS - Anthem | Commercial|Connection EPO | $9,593.28 | ↑ +96% |
| Kaiser | Commercial|All Plans | $9,665.46 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $11,991.60 | ↑ +145% |
| First Health | Commercial|All Plans | $13,424.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $13,424.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $14,319.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $14,856.17 | ↑ +203% |
| Partnership Health Plan | Medicaid|All Plans | $16,287.34 | ↑ +232% |
| BCBS - Anthem | Commercial|MCS | $16,770.62 | ↑ +242% |
| California Health & Wellness | Medicaid|All Plans | $17,899.00 | ↑ +265% |
| Hill Physicians | Medicaid|All Plans | $17,899.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $17,899.00 | ↑ +265% |
| BCBS - Anthem | Medicaid|All Plans | $17,899.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $17,899.00 | ↑ +265% |
| Molina | Medicaid|All Plans | $30,620.20 | ↑ +524% |
| Cigna | Commercial|LocalPlus | $38,631.46 | ↑ +688% |
| Cigna | Commercial|All Other Plans | $51,519.69 | ↑ +950% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $3,901.99 | $5,347.02 – $38,631.46 |
| Mercy Hospital of Folsom | Folsom | $6,962.72 | $1,968.89 – $38,631.46 |
| Woodland Memorial Hospital | Woodland | $4,904.33 | $1,968.89 – $17,899.00 |
| Methodist Hospital of Sacramento | Sacramento | $5,154.92 | $5,347.02 – $38,631.46 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $21,233.80 | $3,159.80 – $33,050.99 |
| Petaluma Valley Hospital | Petaluma | not published | $3,096.60 – $9,277.06 |
| Queen of The Valley Medical Center | Napa | not published | $3,159.80 – $9,277.06 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $3,159.80 – $9,667.41 |