Ablate arrhythmia add on at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,257.86
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.
$11,890.00
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.
$289.98 with Hill Physicians vs $58,040.00 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 | $289.98 | ↓ -91% |
| United | Medicaid|< 21 | $378.45 | ↓ -88% |
| United | Medicaid|> 21 | $378.45 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $460.12 | ↓ -86% |
| Molina | Medicaid|All Plans | $620.02 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $957.88 | ↓ -71% |
| Health Net | Medicaid|All Plans | $957.88 | ↓ -71% |
| WCMG | Commercial|All Plans | $1,307.90 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $1,418.14 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $2,548.64 | ↓ -22% |
| Western Health Advantage | Commercial|All Plans | $4,161.50 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,874.90 | ↑ +50% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +59% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +59% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +59% |
| Kaiser | Commercial|All Plans | $6,420.60 | ↑ +97% |
| Cigna | Commercial|LocalPlus | $7,728.50 | ↑ +137% |
| Healthsmart | Commercial|All Plans | $8,917.50 | ↑ +174% |
| First Health | Commercial|All Plans | $8,917.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $9,512.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $9,868.70 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $10,225.40 | ↑ +214% |
| United | Commercial|Options PPO | $11,890.00 | ↑ +265% |
| United | Commercial|All Other Plans | $11,890.00 | ↑ +265% |
| United | Commercial|HMO | $11,890.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $11,890.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $12,333.00 | ↑ +279% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,724.00 | ↑ +383% |
| Blue Shield CA | Commercial|Exchange | $17,053.00 | ↑ +423% |
| Blue Shield CA | Commercial|PPO Tandem | $21,988.00 | ↑ +575% |
| Blue Shield CA | Commercial|HMO | $23,316.00 | ↑ +616% |
| Blue Shield CA | Commercial|CalPers | $24,547.00 | ↑ +653% |
| Blue Shield CA | Commercial|PPO | $26,437.00 | ↑ +711% |
| BCBS - Anthem | Commercial|Connection EPO | $33,166.00 | ↑ +918% |
| BCBS - Anthem | Commercial|All Other Plans | $41,457.00 | ↑ +1173% |
| BCBS - Anthem | Commercial|MCS | $58,040.00 | ↑ +1682% |
Visitor-reported prices
Comments
Ablate arrhythmia add on at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $20,936.84 | $465.49 – $47,801.00 |
| Arroyo Grande Hospital | Santa Maria | $1,539.09 | $378.45 – $3,596.00 |
| French Hospital | San Luis Obispo | $1,409.64 | $378.45 – $3,524.08 |
| Bakersfield Memorial Hospital | Bakersfield | $7,018.51 | $378.45 – $18,932.76 |
| Queen of The Valley Medical Center | Napa | $995.52 | $2,747.00 – $16,692.00 |
| St. Joseph's Medical Center Stockton | Stockton | $7,989.75 | $329.80 – $26,088.96 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,190.05 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $13,690.08 | $1,200.00 – $16,338.00 |