Unlisted CT procedure at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$920.92
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.
?
What you pay up front if you don't use insurance.
$3,361.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$109.11 with BCBS - Anthem vs $5,233.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -88% |
| Humana | Medicare|All Plans | $115.71 | ↓ -87% |
| Humana | Commercial|All Plans | $115.71 | ↓ -87% |
| Blue Shield CA | Medicare|PPO | $115.71 | ↓ -87% |
| Blue Shield CA | Medicare|HMO | $115.71 | ↓ -87% |
| Aetna | Medicare|All Plans | $115.71 | ↓ -87% |
| Kaiser | Medicare|All Plans | $115.71 | ↓ -87% |
| Molina | Medicare|All Plans | $115.71 | ↓ -87% |
| United | Medicare|All Plans | $115.71 | ↓ -87% |
| BCBS - Anthem | Medicare|Imperial | $119.18 | ↓ -87% |
| BrightHealth | Commercial|All Plans | $127.28 | ↓ -86% |
| BlueShield | Medicare|Trauma | $144.64 | ↓ -84% |
| Prison Healthcare | Medicaid|All Plans | $173.56 | ↓ -81% |
| United | Commercial|All Other Plans | $182.03 | ↓ -80% |
| United | Commercial|Options PPO | $182.03 | ↓ -80% |
| United | Commercial|Non-Options PPO | $182.03 | ↓ -80% |
| United | Commercial|HMO | $182.03 | ↓ -80% |
| WCMG | Commercial|All Plans | $369.71 | ↓ -60% |
| Aetna | Commercial|HMO | $391.75 | ↓ -57% |
| Aetna | Commercial|PPO | $391.75 | ↓ -57% |
| Aetna | Commercial|All Other Plans | $391.75 | ↓ -57% |
| Western Health Advantage | Commercial|All Plans | $1,176.35 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,378.01 | ↑ +50% |
| California Health & Wellness | Medicaid|All Plans | $1,680.50 | ↑ +82% |
| Health Net | Medicaid|All Plans | $1,680.50 | ↑ +82% |
| Kaiser | Commercial|All Plans | $1,814.94 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $2,520.75 | ↑ +174% |
| First Health | Commercial|All Plans | $2,520.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,688.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,789.63 | ↑ +203% |
| Cigna | Commercial|LocalPlus | $3,925.00 | ↑ +326% |
| Cigna | Commercial|All Other Plans | $5,233.00 | ↑ +468% |
Visitor-reported prices
Comments
Unlisted CT procedure at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $571.20 | $169.00 – $169.00 |
| Antioch Medical Center | ANTIOCH | $571.20 | $169.00 – $169.00 |
| Redwood City Medical Center | Redwood City | $571.20 | $169.00 – $169.00 |
| Santa Clara Medical Center | SANTA CLARA | $571.20 | $169.00 – $169.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $884.00 | $108.00 – $108.00 |
| Riverside Medical Center | RIVERSIDE | $884.00 | $108.00 – $108.00 |
| Fremont Medical Center | FREMONT | $571.20 | $169.00 – $169.00 |
| Panorama Medical Center | PANORAMA CITY | $884.00 | $108.00 – $108.00 |