Special physics consult at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$231.26
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.
$844.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$92.84 with WCMG vs $19,089.00 with Cigna — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $92.84 | ↓ -60% |
| United | Medicaid|> 21 | $136.54 | ↓ -41% |
| United | Medicaid|< 21 | $136.54 | ↓ -41% |
| Hill Physicians | Medicaid|All Plans | $150.19 | ↓ -35% |
| BCBS - Anthem | Medicare|All Other Plans | $164.53 | ↓ -29% |
| Hill Physicians | Commercial|All Plans | $165.18 | ↓ -29% |
| Blue Shield CA | Medicare|PPO | $174.47 | ↓ -25% |
| Humana | Medicare|All Plans | $174.47 | ↓ -25% |
| Aetna | Medicare|All Plans | $174.47 | ↓ -25% |
| Molina | Medicare|All Plans | $174.47 | ↓ -25% |
| United | Medicare|All Plans | $174.47 | ↓ -25% |
| Kaiser | Medicare|All Plans | $174.47 | ↓ -25% |
| Blue Shield CA | Medicare|HMO | $174.47 | ↓ -25% |
| Humana | Commercial|All Plans | $174.47 | ↓ -25% |
| Molina | Medicaid|All Plans | $178.96 | ↓ -23% |
| BCBS - Anthem | Medicare|Imperial | $179.70 | ↓ -22% |
| BrightHealth | Commercial|All Plans | $191.92 | ↓ -17% |
| BlueShield | Medicare|Trauma | $218.09 | ↓ -6% |
| BCBS - Anthem | Medicaid|All Plans | $259.43 | ↑ +12% |
| Prison Healthcare | Medicaid|All Plans | $261.70 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $295.40 | ↑ +28% |
| California Health & Wellness | Medicaid|All Plans | $312.68 | ↑ +35% |
| Health Net | Medicaid|All Plans | $312.68 | ↑ +35% |
| Kaiser | Medicaid|All Plans | $346.04 | ↑ +50% |
| Aetna | Commercial|All Other Plans | $400.58 | ↑ +73% |
| Aetna | Commercial|PPO | $400.58 | ↑ +73% |
| Aetna | Commercial|HMO | $400.58 | ↑ +73% |
| Kaiser | Commercial|All Plans | $455.76 | ↑ +97% |
| Partnership Health Plan | Medicaid|All Plans | $587.12 | ↑ +154% |
| Healthsmart | Commercial|All Plans | $633.00 | ↑ +174% |
| First Health | Commercial|All Plans | $633.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $675.20 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $675.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $700.52 | ↑ +203% |
| United | Commercial|HMO | $844.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $844.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $844.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $844.00 | ↑ +265% |
| United | Commercial|All Other Plans | $844.00 | ↑ +265% |
| United | Commercial|Options PPO | $844.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $14,317.00 | ↑ +6091% |
| Cigna | Commercial|All Other Plans | $19,089.00 | ↑ +8154% |
Visitor-reported prices
Comments
Special physics consult at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $724.46 | $168.70 – $1,438.98 |
| Arroyo Grande Hospital | Santa Maria | $312.87 | $136.54 – $11,311.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $146.18 | $136.54 – $19,249.00 |
| Queen of The Valley Medical Center | Napa | $683.91 | $190.84 – $934.20 |
| Providence St Joseph Hospital Eureka | Eureka | $1,208.19 | $172.87 – $1,059.39 |
| St. Joseph's Medical Center Stockton | Stockton | $427.48 | $136.54 – $1,454.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,371.39 | $187.03 – $794.78 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $844.32 | $146.94 – $319.81 |