2d tee w or without fol w/con,in at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$943.39
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.
$3,443.00
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.
$378.73 with WCMG vs $16,950.00 with United — 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 | $378.73 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $979.04 | ↑ +4% |
| Humana | Commercial|All Plans | $1,038.22 | ↑ +10% |
| Aetna | Medicare|All Plans | $1,038.22 | ↑ +10% |
| Kaiser | Medicare|All Plans | $1,038.22 | ↑ +10% |
| Molina | Medicare|All Plans | $1,038.22 | ↑ +10% |
| Humana | Medicare|All Plans | $1,038.22 | ↑ +10% |
| United | Medicare|All Plans | $1,038.22 | ↑ +10% |
| Blue Shield CA | Medicare|PPO | $1,038.22 | ↑ +10% |
| Blue Shield CA | Medicare|HMO | $1,038.22 | ↑ +10% |
| BCBS - Anthem | Medicare|Imperial | $1,069.37 | ↑ +13% |
| BrightHealth | Commercial|All Plans | $1,142.04 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $1,205.05 | ↑ +28% |
| BlueShield | Medicare|Trauma | $1,297.78 | ↑ +38% |
| Kaiser | Medicaid|All Plans | $1,411.63 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $1,557.33 | ↑ +65% |
| Kaiser | Commercial|All Plans | $1,859.22 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $2,582.25 | ↑ +174% |
| First Health | Commercial|All Plans | $2,582.25 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $2,754.40 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $2,754.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,857.69 | ↑ +203% |
| United | Commercial|HMO | $3,443.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $3,443.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $3,443.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $3,443.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +403% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +813% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +1697% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +1697% |
Visitor-reported prices
Comments
2d tee w or without fol w/con,in at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,665.35 | $1,003.85 – $3,813.18 |
| Mark Twain Medical Center | San Andreas | $1,969.37 | $764.98 – $2,897.86 |
| French Hospital | San Luis Obispo | $1,525.28 | $642.60 – $2,332.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $911.55 | $1,003.85 – $1,965.60 |
| Bakersfield Memorial Hospital | Bakersfield | $2,653.78 | $1,003.85 – $1,941.03 |
| Providence St Joseph Hospital Eureka | Eureka | $1,563.66 | $1,008.25 – $6,127.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,620.13 | $952.80 – $7,307.84 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,453.50 | $1,090.80 – $1,726.40 |