Ablation of upper extremity nerves rf at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$269.07
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.
$982.00
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.
$108.02 with WCMG vs $6,776.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $108.02 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $183.65 | ↓ -32% |
| Western Health Advantage | Commercial|All Plans | $343.70 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $365.80 | ↑ +36% |
| Kaiser | Medicare|All Plans | $387.91 | ↑ +44% |
| Humana | Commercial|All Plans | $387.91 | ↑ +44% |
| Aetna | Medicare|All Plans | $387.91 | ↑ +44% |
| Blue Shield CA | Medicare|HMO | $387.91 | ↑ +44% |
| Molina | Medicare|All Plans | $387.91 | ↑ +44% |
| United | Medicare|All Plans | $387.91 | ↑ +44% |
| Humana | Medicare|All Plans | $387.91 | ↑ +44% |
| Blue Shield CA | Medicare|PPO | $387.91 | ↑ +44% |
| BCBS - Anthem | Medicare|Imperial | $399.55 | ↑ +48% |
| Kaiser | Medicaid|All Plans | $402.62 | ↑ +50% |
| BrightHealth | Commercial|All Plans | $426.70 | ↑ +59% |
| BlueShield | Medicare|Trauma | $484.89 | ↑ +80% |
| California Health & Wellness | Medicaid|All Plans | $491.00 | ↑ +82% |
| Health Net | Medicaid|All Plans | $491.00 | ↑ +82% |
| Kaiser | Commercial|All Plans | $530.28 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $581.87 | ↑ +116% |
| Healthsmart | Commercial|All Plans | $736.50 | ↑ +174% |
| First Health | Commercial|All Plans | $736.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $785.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $815.06 | ↑ +203% |
| United | Commercial|HMO | $982.00 | ↑ +265% |
| United | Commercial|All Other Plans | $982.00 | ↑ +265% |
| United | Commercial|Options PPO | $982.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $982.00 | ↑ +265% |
| Molina | Medicaid|All Plans | $2,504.00 | ↑ +831% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1089% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +1130% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +1468% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +1491% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +1824% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +1824% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +1824% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +1991% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +2057% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +2225% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +2347% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +2418% |
Visitor-reported prices
Comments
Ablation of upper extremity nerves rf at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $531.74 | $321.57 – $928.98 |
| Petaluma Valley Hospital | Petaluma | $3,249.72 | $413.65 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | $448.12 | $375.07 – $739.90 |
| French Hospital | San Luis Obispo | $410.43 | $203.85 – $739.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $300.51 | $218.70 – $648.00 |
| Queen of The Valley Medical Center | Napa | $3,336.42 | $435.83 – $5,592.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,630.29 | $394.79 – $5,835.00 |
| Healdsburg Hospital | Healdsburg | $810.90 | $413.57 – $3,982.87 |