Tc-99m labeled rbc at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$152.62
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.
$557.00
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.
$51.80 with United vs $462.31 with MultiPlan — 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $51.80 | ↓ -66% |
| Partnership Health Plan | Medicaid|All Plans | $51.80 | ↓ -66% |
| United | Medicaid|< 21 | $51.80 | ↓ -66% |
| Hill Physicians | Medicaid|All Plans | $56.98 | ↓ -63% |
| WCMG | Commercial|All Plans | $61.27 | ↓ -60% |
| Molina | Medicaid|All Plans | $97.38 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $98.42 | ↓ -36% |
| California Health & Wellness | Medicaid|All Plans | $118.62 | ↓ -22% |
| Health Net | Medicaid|All Plans | $118.62 | ↓ -22% |
| United | Commercial|Non-Options PPO | $165.59 | ↑ +8% |
| United | Commercial|Options PPO | $173.99 | ↑ +14% |
| United | Commercial|HMO | $173.99 | ↑ +14% |
| United | Commercial|All Other Plans | $173.99 | ↑ +14% |
| BCBS - Anthem | Commercial|Connection EPO | $179.98 | ↑ +18% |
| Western Health Advantage | Commercial|All Plans | $194.95 | ↑ +28% |
| Cigna | Commercial|LocalPlus | $221.60 | ↑ +45% |
| BCBS - Anthem | Commercial|All Other Plans | $224.98 | ↑ +47% |
| Kaiser | Medicaid|All Plans | $228.37 | ↑ +50% |
| Cigna | Commercial|All Other Plans | $295.53 | ↑ +94% |
| Kaiser | Commercial|All Plans | $300.78 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $314.64 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $417.75 | ↑ +174% |
| First Health | Commercial|All Plans | $417.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $445.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $462.31 | ↑ +203% |
Visitor-reported prices
Comments
Tc-99m labeled rbc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $243.09 | $78.36 – $432.90 |
| Redwood City Medical Center | Redwood City | $1,383.21 | $138.00 – $138.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,383.21 | $138.00 – $138.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $1,284.41 | $123.00 – $123.00 |
| Riverside Medical Center | RIVERSIDE | $1,284.41 | $123.00 – $123.00 |
| Banner Lassen Medical Center | Susanville | $479.54 | $85.47 – $667.36 |
| Sacramento Medical Center | SACRAMENTO | $1,383.21 | $138.00 – $138.00 |
| Oakland Medical Center | Oakland | $1,383.21 | $138.00 – $138.00 |