Stress test pulmonary at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$178.38
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.
$651.00
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.
$14.02 with Hill Physicians vs $573.00 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 | $14.02 | ↓ -92% |
| United | Medicaid|< 21 | $30.12 | ↓ -83% |
| United | Medicaid|> 21 | $30.12 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $33.13 | ↓ -81% |
| Molina | Medicaid|All Plans | $56.63 | ↓ -68% |
| WCMG | Commercial|All Plans | $63.03 | ↓ -65% |
| Health Net | Medicaid|All Plans | $68.97 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $68.97 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $129.52 | ↓ -27% |
| BCBS - Anthem | Commercial|Connection EPO | $159.40 | ↓ -11% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↓ -10% |
| Humana | Commercial|All Plans | $169.39 | ↓ -5% |
| Humana | Medicare|All Plans | $169.39 | ↓ -5% |
| Aetna | Medicare|All Plans | $169.39 | ↓ -5% |
| Molina | Medicare|All Plans | $169.39 | ↓ -5% |
| United | Medicare|All Plans | $169.39 | ↓ -5% |
| Kaiser | Medicare|All Plans | $169.39 | ↓ -5% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↓ -5% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↓ -5% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↓ -2% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +4% |
| BCBS - Anthem | Commercial|All Other Plans | $199.18 | ↑ +12% |
| Western Health Advantage | Commercial|All Plans | $200.55 | ↑ +12% |
| BCBS - Anthem | Medicaid|All Plans | $207.46 | ↑ +16% |
| BlueShield | Medicare|Trauma | $211.74 | ↑ +19% |
| Kaiser | Medicaid|All Plans | $234.93 | ↑ +32% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +42% |
| BCBS - Anthem | Commercial|MCS | $278.88 | ↑ +56% |
| Kaiser | Commercial|All Plans | $309.42 | ↑ +73% |
| Healthsmart | Commercial|All Plans | $429.75 | ↑ +141% |
| First Health | Commercial|All Plans | $429.75 | ↑ +141% |
| Sutter Health | Commercial|All Plans | $458.40 | ↑ +157% |
| MultiPlan | Commercial|All Plans | $475.59 | ↑ +167% |
| United | Commercial|Options PPO | $573.00 | ↑ +221% |
| United | Commercial|All Other Plans | $573.00 | ↑ +221% |
| United | Commercial|Non-Options PPO | $573.00 | ↑ +221% |
| United | Commercial|HMO | $573.00 | ↑ +221% |
Visitor-reported prices
Comments
Stress test pulmonary at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $272.34 | $73.86 – $182.96 |
| Arroyo Grande Hospital | Santa Maria | $288.48 | $30.12 – $660.52 |
| French Hospital | San Luis Obispo | $264.21 | $30.12 – $660.52 |
| Bakersfield Memorial Hospital | Bakersfield | $182.40 | $30.12 – $392.63 |
| Queen of The Valley Medical Center | Napa | $404.94 | $93.34 – $188.91 |
| Providence St Joseph Hospital Eureka | Eureka | $349.86 | $105.85 – $171.12 |
| Healdsburg Hospital | Healdsburg | $154.02 | $42.23 – $179.26 |
| Redwood Memorial Hospital | Fortuna | $309.57 | $106.10 – $106.10 |