Abd/low ext cath 1st at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$719.53
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.
$2,626.00
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.
$224.78 with Hill Physicians vs $17,696.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $224.78 | ↓ -69% |
| United | Medicaid|< 21 | $232.83 | ↓ -68% |
| United | Medicaid|> 21 | $232.83 | ↓ -68% |
| WCMG | Commercial|All Plans | $274.56 | ↓ -62% |
| Molina | Medicaid|All Plans | $381.45 | ↓ -47% |
| Hill Physicians | Medicaid|All Plans | $403.73 | ↓ -44% |
| BCBS - Anthem | Medicaid|All Plans | $552.98 | ↓ -23% |
| Health Net | Medicaid|All Plans | $840.50 | ↑ +17% |
| California Health & Wellness | Medicaid|All Plans | $840.50 | ↑ +17% |
| Western Health Advantage | Commercial|All Plans | $873.60 | ↑ +21% |
| Kaiser | Medicaid|All Plans | $1,023.36 | ↑ +42% |
| Partnership Health Plan | Medicaid|All Plans | $1,251.47 | ↑ +74% |
| Kaiser | Commercial|All Plans | $1,347.84 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $1,872.00 | ↑ +160% |
| First Health | Commercial|All Plans | $1,872.00 | ↑ +160% |
| Sutter Health | Commercial|All Plans | $1,996.80 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $2,071.68 | ↑ +188% |
| United | Commercial|Options PPO | $2,496.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $2,496.00 | ↑ +247% |
| United | Commercial|All Other Plans | $2,496.00 | ↑ +247% |
| United | Commercial|HMO | $2,496.00 | ↑ +247% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +908% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +908% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +908% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +1305% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +1657% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +2359% |
Visitor-reported prices
Comments
Abd/low ext cath 1st at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,350.80 | $286.38 – $2,405.52 |
| Arroyo Grande Hospital | Santa Maria | $772.97 | $232.83 – $1,769.88 |
| French Hospital | San Luis Obispo | $722.46 | $232.83 – $1,715.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $954.96 | $232.83 – $2,186.73 |
| Bakersfield Memorial Hospital | Bakersfield | $1,375.89 | $232.83 – $2,474.01 |
| Queen of The Valley Medical Center | Napa | $1,417.29 | $1,889.12 – $7,745.00 |
| Providence St Joseph Hospital Eureka | Eureka | $352.92 | $2,699.00 – $26,648.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,687.94 | $0.80 – $906.56 |