Access thoracic lymph duct at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$707.20
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.
?
What you pay up front if you don't use insurance.
$2,581.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$193.53 with United vs $16,573.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | Medicaid|< 21 | $193.53 | ↓ -73% |
| United | Medicaid|> 21 | $193.53 | ↓ -73% |
| WCMG | Commercial|All Plans | $283.91 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $289.22 | ↓ -59% |
| Molina | Medicaid|All Plans | $317.06 | ↓ -55% |
| Hill Physicians | Medicaid|All Plans | $335.58 | ↓ -53% |
| BCBS - Anthem | Medicaid|All Plans | $459.63 | ↓ -35% |
| Health Net | Medicaid|All Plans | $698.61 | ↓ -1% |
| California Health & Wellness | Medicaid|All Plans | $698.61 | ↓ -1% |
| Western Health Advantage | Commercial|All Plans | $903.35 | ↑ +28% |
| Partnership Health Plan | Medicaid|All Plans | $1,040.22 | ↑ +47% |
| Kaiser | Medicaid|All Plans | $1,058.21 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,393.74 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,935.75 | ↑ +174% |
| First Health | Commercial|All Plans | $1,935.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,064.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,142.23 | ↑ +203% |
| United | Commercial|Options PPO | $2,581.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,581.00 | ↑ +265% |
| United | Commercial|All Other Plans | $2,581.00 | ↑ +265% |
| United | Commercial|HMO | $2,581.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +919% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +1174% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +1684% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +2243% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +2243% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +2243% |
Visitor-reported prices
Comments
Access thoracic lymph duct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Santa Rosa Memorial Hospital | Santa Rosa | $2,153.22 | $1,716.00 – $4,042.00 |
| Mercy General Hospital | Sacramento | $562.66 | $193.53 – $2,064.80 |
| Mercy Hospital of Folsom | Folsom | $1,004.01 | $193.53 – $2,116.42 |
| Woodland Memorial Hospital | Woodland | $707.20 | $193.53 – $2,581.00 |
| Methodist Hospital of Sacramento | Sacramento | $743.33 | $193.53 – $2,142.23 |
| Providence Saint John's Health Center | Santa Monica | $347.90 | $1,487.00 – $9,891.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $238.04 – $416.09 |
| Petaluma Valley Hospital | Petaluma | not published | $1,687.00 – $1,687.00 |