Ultrasound hips infant dynamic at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$405.80
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.
$1,481.00
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.
$109.11 with BCBS - Anthem vs $1,347.30 with BCBS - Anthem — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $109.11 | ↓ -73% |
| United | Medicaid|< 21 | $109.14 | ↓ -73% |
| United | Medicaid|> 21 | $109.14 | ↓ -73% |
| Blue Shield CA | Medicare|PPO | $115.71 | ↓ -71% |
| Blue Shield CA | Medicare|HMO | $115.71 | ↓ -71% |
| United | Medicare|All Plans | $115.71 | ↓ -71% |
| Kaiser | Medicare|All Plans | $115.71 | ↓ -71% |
| Molina | Medicare|All Plans | $115.71 | ↓ -71% |
| Aetna | Medicare|All Plans | $115.71 | ↓ -71% |
| Humana | Medicare|All Plans | $115.71 | ↓ -71% |
| Humana | Commercial|All Plans | $115.71 | ↓ -71% |
| BCBS - Anthem | Medicare|Imperial | $119.18 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $120.05 | ↓ -70% |
| BrightHealth | Commercial|All Plans | $127.28 | ↓ -69% |
| Molina | Medicaid|All Plans | $143.05 | ↓ -65% |
| BlueShield | Medicare|Trauma | $144.64 | ↓ -64% |
| WCMG | Commercial|All Plans | $162.91 | ↓ -60% |
| Prison Healthcare | Medicaid|All Plans | $173.56 | ↓ -57% |
| United | Commercial|HMO | $182.03 | ↓ -55% |
| United | Commercial|Options PPO | $182.03 | ↓ -55% |
| United | Commercial|Non-Options PPO | $182.03 | ↓ -55% |
| United | Commercial|All Other Plans | $182.03 | ↓ -55% |
| BCBS - Anthem | Medicaid|All Plans | $207.37 | ↓ -49% |
| Aetna | Commercial|PPO | $215.55 | ↓ -47% |
| Aetna | Commercial|HMO | $215.55 | ↓ -47% |
| Aetna | Commercial|All Other Plans | $215.55 | ↓ -47% |
| California Health & Wellness | Medicaid|All Plans | $249.93 | ↓ -38% |
| Health Net | Medicaid|All Plans | $249.93 | ↓ -38% |
| Cigna | Commercial|LocalPlus | $326.83 | ↓ -19% |
| Cigna | Commercial|All Other Plans | $435.81 | ↑ +7% |
| Partnership Health Plan | Medicaid|All Plans | $469.32 | ↑ +16% |
| Western Health Advantage | Commercial|All Plans | $518.35 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $607.21 | ↑ +50% |
| BCBS - Anthem | Commercial|Connection EPO | $770.07 | ↑ +90% |
| Kaiser | Commercial|All Plans | $799.74 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $962.26 | ↑ +137% |
| Healthsmart | Commercial|All Plans | $1,110.75 | ↑ +174% |
| First Health | Commercial|All Plans | $1,110.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,184.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,229.23 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $1,347.30 | ↑ +232% |
Visitor-reported prices
Comments
Ultrasound hips infant dynamic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $180.90 | $111.51 – $391.59 |
| Redwood City Medical Center | Redwood City | $610.40 | $129.00 – $129.00 |
| Santa Clara Medical Center | SANTA CLARA | $610.40 | $129.00 – $129.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $421.20 | $81.00 – $81.00 |
| Riverside Medical Center | RIVERSIDE | $421.20 | $81.00 – $81.00 |
| Banner Lassen Medical Center | Susanville | $304.58 | $17.61 – $376.36 |
| Sacramento Medical Center | SACRAMENTO | $610.40 | $129.00 – $129.00 |
| Oakland Medical Center | Oakland | $610.40 | $129.00 – $129.00 |