Tc-99m exametazime diag at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,547.01
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.
$5,646.00
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.
$454.09 with Partnership Health Plan vs $5,423.07 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $454.09 | ↓ -71% |
| United | Medicaid|< 21 | $454.09 | ↓ -71% |
| United | Medicaid|> 21 | $454.09 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $499.50 | ↓ -68% |
| WCMG | Commercial|All Plans | $621.06 | ↓ -60% |
| Molina | Medicaid|All Plans | $853.69 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $862.77 | ↓ -44% |
| BCBS - Anthem | Medicare|All Other Plans | $994.25 | ↓ -36% |
| California Health & Wellness | Medicaid|All Plans | $1,039.87 | ↓ -33% |
| Health Net | Medicaid|All Plans | $1,039.87 | ↓ -33% |
| Kaiser | Medicare|All Plans | $1,054.35 | ↓ -32% |
| Humana | Medicare|All Plans | $1,054.35 | ↓ -32% |
| Humana | Commercial|All Plans | $1,054.35 | ↓ -32% |
| Aetna | Medicare|All Plans | $1,054.35 | ↓ -32% |
| Molina | Medicare|All Plans | $1,054.35 | ↓ -32% |
| United | Medicare|All Plans | $1,054.35 | ↓ -32% |
| Blue Shield CA | Medicare|PPO | $1,054.35 | ↓ -32% |
| Blue Shield CA | Medicare|HMO | $1,054.35 | ↓ -32% |
| BCBS - Anthem | Medicare|Imperial | $1,085.98 | ↓ -30% |
| BrightHealth | Commercial|All Plans | $1,159.78 | ↓ -25% |
| BlueShield | Medicare|Trauma | $1,317.94 | ↓ -15% |
| United | Commercial|Options PPO | $1,323.86 | ↓ -14% |
| United | Commercial|All Other Plans | $1,323.86 | ↓ -14% |
| United | Commercial|HMO | $1,323.86 | ↓ -14% |
| BCBS - Anthem | Commercial|Connection EPO | $1,332.11 | ↓ -14% |
| Prison Healthcare | Medicaid|All Plans | $1,581.53 | ↑ +2% |
| BCBS - Anthem | Commercial|All Other Plans | $1,665.14 | ↑ +8% |
| Western Health Advantage | Commercial|All Plans | $1,976.10 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,314.86 | ↑ +50% |
| BCBS - Anthem | Commercial|MCS | $2,328.75 | ↑ +51% |
| United | Commercial|Non-Options PPO | $2,588.93 | ↑ +67% |
| Kaiser | Commercial|All Plans | $3,048.84 | ↑ +97% |
| Cigna | Commercial|LocalPlus | $4,066.43 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $4,234.50 | ↑ +174% |
| First Health | Commercial|All Plans | $4,234.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,516.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,686.18 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $5,423.07 | ↑ +251% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,243.49 | $686.99 – $2,214.42 |
| Redwood City Medical Center | Redwood City | $3,147.18 | $2,025.00 – $2,025.00 |
| Santa Clara Medical Center | SANTA CLARA | $3,147.18 | $2,025.00 – $2,025.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $2,922.38 | $1,806.00 – $1,806.00 |
| Riverside Medical Center | RIVERSIDE | $2,922.38 | $1,806.00 – $1,806.00 |
| Sacramento Medical Center | SACRAMENTO | $3,147.18 | $2,025.00 – $2,025.00 |
| Oakland Medical Center | Oakland | $3,147.18 | $2,025.00 – $2,025.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $3,147.18 | $2,025.00 – $2,025.00 |