Abdominal paracentesis w/image guidance at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,153.54
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.
$4,210.00
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.
$103.10 with United vs $12,615.00 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 | $103.10 | ↓ -91% |
| United | Medicaid|> 21 | $103.10 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $106.04 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $124.47 | ↓ -89% |
| Molina | Medicaid|All Plans | $168.67 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $170.72 | ↓ -85% |
| Health Net | Medicaid|All Plans | $259.11 | ↓ -78% |
| California Health & Wellness | Medicaid|All Plans | $259.11 | ↓ -78% |
| Partnership Health Plan | Medicaid|All Plans | $385.80 | ↓ -67% |
| WCMG | Commercial|All Plans | $444.62 | ↓ -61% |
| BCBS - Anthem | Medicare|All Other Plans | $1,161.82 | ↑ +1% |
| Kaiser | Medicare|All Plans | $1,232.05 | ↑ +7% |
| Humana | Medicare|All Plans | $1,232.05 | ↑ +7% |
| Humana | Commercial|All Plans | $1,232.05 | ↑ +7% |
| Aetna | Medicare|All Plans | $1,232.05 | ↑ +7% |
| Molina | Medicare|All Plans | $1,232.05 | ↑ +7% |
| United | Medicare|All Plans | $1,232.05 | ↑ +7% |
| Blue Shield CA | Medicare|PPO | $1,232.05 | ↑ +7% |
| Blue Shield CA | Medicare|HMO | $1,232.05 | ↑ +7% |
| BCBS - Anthem | Medicare|Imperial | $1,269.01 | ↑ +10% |
| BrightHealth | Commercial|All Plans | $1,355.26 | ↑ +17% |
| Western Health Advantage | Commercial|All Plans | $1,414.70 | ↑ +23% |
| BlueShield | Medicare|Trauma | $1,540.06 | ↑ +34% |
| Kaiser | Medicaid|All Plans | $1,657.22 | ↑ +44% |
| Prison Healthcare | Medicaid|All Plans | $1,848.08 | ↑ +60% |
| Kaiser | Commercial|All Plans | $2,182.68 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $3,031.50 | ↑ +163% |
| First Health | Commercial|All Plans | $3,031.50 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $3,233.60 | ↑ +180% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +187% |
| MultiPlan | Commercial|All Plans | $3,354.86 | ↑ +191% |
| United | Commercial|Non-Options PPO | $4,042.00 | ↑ +250% |
| United | Commercial|HMO | $4,042.00 | ↑ +250% |
| United | Commercial|All Other Plans | $4,042.00 | ↑ +250% |
| United | Commercial|Options PPO | $4,042.00 | ↑ +250% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +266% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +271% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +311% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +388% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +442% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +471% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +487% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +525% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +529% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +529% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +529% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +646% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +681% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +994% |
Visitor-reported prices
Comments
Abdominal paracentesis w/image guidance at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $635.54 | $126.81 – $2,072.04 |
| Banner Lassen Medical Center | Susanville | $840.39 | $148.04 – $1,167.88 |
| Petaluma Valley Hospital | Petaluma | $1,660.05 | $1,222.26 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $1,746.67 | $103.10 – $2,742.04 |
| Mark Twain Medical Center | San Andreas | $1,631.70 | $75.29 – $285.18 |
| French Hospital | San Luis Obispo | $1,599.76 | $103.10 – $2,518.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $680.05 | $103.10 – $1,466.40 |
| Bakersfield Memorial Hospital | Bakersfield | $672.72 | $103.10 – $1,448.07 |