2nd order venous cath at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$838.99
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.
$3,062.00
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.
$130.30 with United vs $7,484.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $130.30 | ↓ -84% |
| United | Medicaid|> 21 | $130.30 | ↓ -84% |
| Hill Physicians | Commercial|All Plans | $166.78 | ↓ -80% |
| Molina | Medicaid|All Plans | $213.47 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $225.95 | ↓ -73% |
| BCBS - Anthem | Medicaid|All Plans | $309.47 | ↓ -63% |
| WCMG | Commercial|All Plans | $333.41 | ↓ -60% |
| Health Net | Medicaid|All Plans | $470.39 | ↓ -44% |
| California Health & Wellness | Medicaid|All Plans | $470.39 | ↓ -44% |
| Partnership Health Plan | Medicaid|All Plans | $700.37 | ↓ -17% |
| Western Health Advantage | Commercial|All Plans | $1,060.85 | ↑ +26% |
| Kaiser | Medicaid|All Plans | $1,242.71 | ↑ +48% |
| Kaiser | Commercial|All Plans | $1,636.74 | ↑ +95% |
| Healthsmart | Commercial|All Plans | $2,273.25 | ↑ +171% |
| First Health | Commercial|All Plans | $2,273.25 | ↑ +171% |
| Sutter Health | Commercial|All Plans | $2,424.80 | ↑ +189% |
| MultiPlan | Commercial|All Plans | $2,515.73 | ↑ +200% |
| United | Commercial|Options PPO | $3,031.00 | ↑ +261% |
| United | Commercial|Non-Options PPO | $3,031.00 | ↑ +261% |
| United | Commercial|All Other Plans | $3,031.00 | ↑ +261% |
| United | Commercial|HMO | $3,031.00 | ↑ +261% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +410% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +517% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +517% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +517% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +537% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +792% |
Visitor-reported prices
Comments
2nd order venous cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $725.77 | $160.27 – $1,292.46 |
| Arroyo Grande Hospital | Santa Maria | $1,195.41 | $130.30 – $1,369.06 |
| French Hospital | San Luis Obispo | $1,094.86 | $130.30 – $1,369.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,446.53 | $130.30 – $2,313.11 |
| Bakersfield Memorial Hospital | Bakersfield | $1,430.94 | $130.30 – $2,573.01 |
| Providence St Joseph Hospital Eureka | Eureka | $1,964.52 | $2,699.00 – $21,319.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,715.39 | $130.30 – $3,335.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,710.03 | $1,716.00 – $12,908.00 |