Ablate bone tumor(s) cryo perq 20983 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
not published by hospital
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.
not published by hospital
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.
$338.46 with Hill Physicians vs $26,437.00 with Blue Shield CA — 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 | $338.46 | — |
| United | Medicaid|> 21 | $393.47 | — |
| United | Medicaid|< 21 | $393.47 | — |
| Hill Physicians | Medicaid|All Plans | $475.65 | — |
| Molina | Medicaid|All Plans | $644.63 | — |
| BCBS - Anthem | Medicaid|All Plans | $651.49 | — |
| Health Net | Medicaid|All Plans | $990.22 | — |
| California Health & Wellness | Medicaid|All Plans | $990.22 | — |
| Partnership Health Plan | Medicaid|All Plans | $1,474.43 | — |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | — |
| Aetna | Commercial|HMO | $7,251.00 | — |
| Aetna | Commercial|PPO | $7,251.00 | — |
| Aetna | Commercial|All Other Plans | $7,251.00 | — |
| BCBS - Anthem | Medicare|All Other Plans | $8,852.49 | — |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | — |
| United | Medicare|All Plans | $9,387.58 | — |
| Humana | Medicare|All Plans | $9,387.58 | — |
| Aetna | Medicare|All Plans | $9,387.58 | — |
| Molina | Medicare|All Plans | $9,387.58 | — |
| Humana | Commercial|All Plans | $9,387.58 | — |
| Kaiser | Medicare|All Plans | $9,387.58 | — |
| Blue Shield CA | Medicare|HMO | $9,387.58 | — |
| Blue Shield CA | Medicare|PPO | $9,387.58 | — |
| BCBS - Anthem | Medicare|Imperial | $9,669.21 | — |
| BrightHealth | Commercial|All Plans | $10,326.34 | — |
| Health Net | Commercial|EPPO | $10,440.00 | — |
| BlueShield | Medicare|Trauma | $11,734.48 | — |
| Blue Shield CA | Commercial|ACO Trio | $12,333.00 | — |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | — |
| Prison Healthcare | Medicaid|All Plans | $14,081.37 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,724.00 | — |
| Blue Shield CA | Commercial|Exchange | $17,053.00 | — |
| Health Net | Commercial|FFS | $18,941.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $21,988.00 | — |
| Blue Shield CA | Commercial|HMO | $23,316.00 | — |
| Blue Shield CA | Commercial|CalPers | $24,547.00 | — |
| Blue Shield CA | Commercial|PPO | $26,437.00 | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Ablate bone tumor(s) cryo perq 20983 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,560.14 | $483.97 – $20,586.54 |
| Arroyo Grande Hospital | Santa Maria | $10,351.61 | $393.47 – $16,706.06 |
| French Hospital | San Luis Obispo | $9,480.92 | $393.47 – $16,706.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13,004.30 | $393.47 – $14,636.80 |
| Bakersfield Memorial Hospital | Bakersfield | $12,864.09 | $393.47 – $27,691.08 |
| St. Joseph's Medical Center Stockton | Stockton | $7,430.85 | $342.89 – $10,306.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $15,291.36 | $4,114.00 – $17,265.50 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $6,861.96 | $466.33 – $8,643.60 |