Tc-99m mebrofenin at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$41.65
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.
$152.00
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.
$16.72 with WCMG vs $175.01 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 | $16.72 | ↓ -60% |
| United | Medicaid|> 21 | $45.36 | ↑ +9% |
| Partnership Health Plan | Medicaid|All Plans | $45.36 | ↑ +9% |
| United | Medicaid|< 21 | $45.36 | ↑ +9% |
| Hill Physicians | Medicaid|All Plans | $49.90 | ↑ +20% |
| Western Health Advantage | Commercial|All Plans | $53.20 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $62.32 | ↑ +50% |
| Kaiser | Commercial|All Plans | $82.08 | ↑ +97% |
| Molina | Medicaid|All Plans | $85.28 | ↑ +105% |
| BCBS - Anthem | Medicaid|All Plans | $86.18 | ↑ +107% |
| BCBS - Anthem | Commercial|Connection EPO | $94.00 | ↑ +126% |
| Health Net | Medicaid|All Plans | $103.87 | ↑ +149% |
| California Health & Wellness | Medicaid|All Plans | $103.87 | ↑ +149% |
| Healthsmart | Commercial|All Plans | $114.00 | ↑ +174% |
| First Health | Commercial|All Plans | $114.00 | ↑ +174% |
| BCBS - Anthem | Commercial|All Other Plans | $117.50 | ↑ +182% |
| Sutter Health | Commercial|All Plans | $121.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $126.16 | ↑ +203% |
| Cigna | Commercial|LocalPlus | $131.23 | ↑ +215% |
| United | Commercial|Non-Options PPO | $138.60 | ↑ +233% |
| BCBS - Anthem | Commercial|MCS | $152.00 | ↑ +265% |
| United | Commercial|All Other Plans | $152.00 | ↑ +265% |
| United | Commercial|HMO | $152.00 | ↑ +265% |
| United | Commercial|Options PPO | $152.00 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $175.01 | ↑ +320% |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $136.66 | $68.62 – $243.36 |
| Banner Lassen Medical Center | Susanville | $533.20 | $74.84 – $742.05 |
| Arroyo Grande Hospital | Santa Maria | $485.36 | $45.36 – $1,111.32 |
| Mark Twain Medical Center | San Andreas | $937.07 | $45.36 – $1,175.02 |
| French Hospital | San Luis Obispo | $437.48 | $45.36 – $1,093.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $141.73 | $45.36 – $305.60 |
| Bakersfield Memorial Hospital | Bakersfield | $140.20 | $45.36 – $301.78 |
| St. Joseph's Medical Center Stockton | Stockton | $596.53 | $45.36 – $1,663.78 |