Ablate heart dysrhythm focus at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$9,522.05
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.
$34,752.00
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.
$552.60 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 | $552.60 | ↓ -94% |
| United | Medicaid|> 21 | $821.29 | ↓ -91% |
| United | Medicaid|< 21 | $821.29 | ↓ -91% |
| Molina | Medicaid|All Plans | $1,345.53 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $1,432.26 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $1,950.56 | ↓ -80% |
| California Health & Wellness | Medicaid|All Plans | $2,981.69 | ↓ -69% |
| Health Net | Medicaid|All Plans | $2,981.69 | ↓ -69% |
| WCMG | Commercial|All Plans | $3,822.72 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $4,414.44 | ↓ -54% |
| BCBS - Anthem | Medicare|All Other Plans | $9,403.14 | ↓ -1% |
| Blue Shield CA | Medicare|PPO | $9,971.52 | ↑ +5% |
| Humana | Medicare|All Plans | $9,971.52 | ↑ +5% |
| Aetna | Medicare|All Plans | $9,971.52 | ↑ +5% |
| Molina | Medicare|All Plans | $9,971.52 | ↑ +5% |
| United | Medicare|All Plans | $9,971.52 | ↑ +5% |
| Kaiser | Medicare|All Plans | $9,971.52 | ↑ +5% |
| Blue Shield CA | Medicare|HMO | $9,971.52 | ↑ +5% |
| Humana | Commercial|All Plans | $9,971.52 | ↑ +5% |
| BCBS - Anthem | Medicare|Imperial | $10,270.67 | ↑ +8% |
| Health Net | Commercial|EPPO | $10,440.00 | ↑ +10% |
| BrightHealth | Commercial|All Plans | $10,968.67 | ↑ +15% |
| Western Health Advantage | Commercial|All Plans | $12,163.20 | ↑ +28% |
| BlueShield | Medicare|Trauma | $12,464.40 | ↑ +31% |
| Kaiser | Medicaid|All Plans | $14,248.32 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $14,957.28 | ↑ +57% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +74% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +74% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +74% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +78% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +78% |
| Kaiser | Commercial|All Plans | $18,766.08 | ↑ +97% |
| Health Net | Commercial|FFS | $18,941.00 | ↑ +99% |
| Cigna | Commercial|LocalPlus | $22,588.80 | ↑ +137% |
| Healthsmart | Commercial|All Plans | $26,064.00 | ↑ +174% |
| First Health | Commercial|All Plans | $26,064.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $27,801.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $28,844.16 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $29,886.72 | ↑ +214% |
| BCBS - Anthem | Commercial|Connection EPO | $33,166.00 | ↑ +248% |
| United | Commercial|Non-Options PPO | $34,752.00 | ↑ +265% |
| United | Commercial|HMO | $34,752.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $41,457.00 | ↑ +335% |
| BCBS - Anthem | Commercial|MCS | $58,040.00 | ↑ +510% |
Visitor-reported prices
Comments
Ablate heart dysrhythm focus at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,175.23 | $792.50 – $20,948.00 |
| Arroyo Grande Hospital | Santa Maria | $9,448.96 | $821.29 – $22,077.00 |
| French Hospital | San Luis Obispo | $8,383.71 | $821.29 – $20,959.26 |
| Bakersfield Memorial Hospital | Bakersfield | $14,893.60 | $821.29 – $39,364.54 |
| Queen of The Valley Medical Center | Napa | $8,890.32 | $11,074.44 – $35,965.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,604.18 | $821.29 – $32,365.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $13,824.57 | $10,852.95 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,455.84 | $8,526.92 – $18,558.59 |