Ablate pulm tumor perq crybl 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.
$428.23 with Hill Physicians vs $33,503.00 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 | $428.23 | — |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | — |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | — |
| United | Medicaid|> 21 | $5,758.36 | — |
| United | Medicaid|< 21 | $5,758.36 | — |
| Hill Physicians | Medicaid|All Plans | $6,334.20 | — |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | — |
| Blue Shield CA | Commercial|HMO | $8,370.00 | — |
| Health Net | Commercial|EPPO | $8,573.00 | — |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | — |
| Blue Shield CA | Commercial|PPO | $9,068.00 | — |
| Aetna | Commercial|PPO | $10,361.00 | — |
| Aetna | Commercial|HMO | $10,361.00 | — |
| Aetna | Commercial|All Other Plans | $10,361.00 | — |
| Molina | Medicaid|All Plans | $10,825.72 | — |
| BCBS - Anthem | Medicaid|All Plans | $10,941.40 | — |
| BCBS - Anthem | Medicare|All Other Plans | $12,901.54 | — |
| Health Net | Medicaid|All Plans | $13,186.64 | — |
| California Health & Wellness | Medicaid|All Plans | $13,186.64 | — |
| Humana | Commercial|All Plans | $13,681.38 | — |
| Kaiser | Medicare|All Plans | $13,681.38 | — |
| United | Medicare|All Plans | $13,681.38 | — |
| Molina | Medicare|All Plans | $13,681.38 | — |
| Blue Shield CA | Medicare|HMO | $13,681.38 | — |
| Aetna | Medicare|All Plans | $13,681.38 | — |
| Blue Shield CA | Medicare|PPO | $13,681.38 | — |
| Humana | Medicare|All Plans | $13,681.38 | — |
| BCBS - Anthem | Medicare|Imperial | $14,091.82 | — |
| BrightHealth | Commercial|All Plans | $15,049.52 | — |
| Health Net | Commercial|FFS | $15,552.00 | — |
| BlueShield | Medicare|Trauma | $17,101.72 | — |
| BCBS - Anthem | Commercial|Connection EPO | $19,145.00 | — |
| Prison Healthcare | Medicaid|All Plans | $20,522.07 | — |
| BCBS - Anthem | Commercial|All Other Plans | $23,931.00 | — |
| Partnership Health Plan | Medicaid|All Plans | $24,760.95 | — |
| BCBS - Anthem | Commercial|MCS | $33,503.00 | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other 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 | — |
Visitor-reported prices
Comments
Ablate pulm tumor perq crybl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,898.16 | $3,019.41 – $13,082.50 |
| Arroyo Grande Hospital | Santa Maria | $8,291.65 | $5,758.36 – $18,985.54 |
| French Hospital | San Luis Obispo | $7,594.22 | $5,230.71 – $18,985.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6,286.60 | $5,758.36 – $13,877.65 |
| Bakersfield Memorial Hospital | Bakersfield | $6,218.82 | $5,758.36 – $13,877.65 |
| St. Joseph's Medical Center Stockton | Stockton | $4,738.70 | $1,643.25 – $7,825.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,270.56 | $2,995.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $10,138.08 | $6,920.00 – $16,652.00 |