Acid perfusion of esophagus at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,393.02
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.
$5,084.00
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.
$46.43 with United vs $16,573.00 with Aetna — 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $46.43 | ↓ -97% |
| United | Medicaid|> 21 | $46.43 | ↓ -97% |
| Molina | Medicaid|All Plans | $76.06 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $80.96 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $109.92 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $110.28 | ↓ -92% |
| BCBS - Anthem | Commercial|Connection EPO | $136.98 | ↓ -90% |
| California Health & Wellness | Medicaid|All Plans | $168.54 | ↓ -88% |
| Health Net | Medicaid|All Plans | $168.54 | ↓ -88% |
| BCBS - Anthem | Commercial|All Other Plans | $171.17 | ↓ -88% |
| BCBS - Anthem | Commercial|MCS | $239.66 | ↓ -83% |
| Partnership Health Plan | Medicaid|All Plans | $249.55 | ↓ -82% |
| WCMG | Commercial|All Plans | $559.24 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $657.52 | ↓ -53% |
| Blue Shield CA | Medicare|HMO | $697.26 | ↓ -50% |
| Humana | Commercial|All Plans | $697.26 | ↓ -50% |
| Humana | Medicare|All Plans | $697.26 | ↓ -50% |
| Blue Shield CA | Medicare|PPO | $697.26 | ↓ -50% |
| United | Medicare|All Plans | $697.26 | ↓ -50% |
| Molina | Medicare|All Plans | $697.26 | ↓ -50% |
| Aetna | Medicare|All Plans | $697.26 | ↓ -50% |
| Kaiser | Medicare|All Plans | $697.26 | ↓ -50% |
| BCBS - Anthem | Medicare|Imperial | $718.18 | ↓ -48% |
| BrightHealth | Commercial|All Plans | $766.99 | ↓ -45% |
| BlueShield | Medicare|Trauma | $871.58 | ↓ -37% |
| Prison Healthcare | Medicaid|All Plans | $1,045.89 | ↓ -25% |
| Western Health Advantage | Commercial|All Plans | $1,779.40 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,084.44 | ↑ +50% |
| Kaiser | Commercial|All Plans | $2,745.36 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $3,813.00 | ↑ +174% |
| First Health | Commercial|All Plans | $3,813.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,067.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,219.72 | ↑ +203% |
| United | Commercial|All Other Plans | $5,084.00 | ↑ +265% |
| United | Commercial|HMO | $5,084.00 | ↑ +265% |
| United | Commercial|Options PPO | $5,084.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $5,084.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +1090% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +1090% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +1090% |
Visitor-reported prices
Comments
Acid perfusion of esophagus at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $1,108.32 | $46.43 – $4,067.20 |
| Mercy Hospital of Folsom | Folsom | $1,977.68 | $46.43 – $4,168.88 |
| Woodland Memorial Hospital | Woodland | $1,393.02 | $46.43 – $5,084.00 |
| Methodist Hospital of Sacramento | Sacramento | $1,464.20 | $46.43 – $4,219.72 |
| Petaluma Valley Hospital | Petaluma | not published | $63.48 – $1,687.00 |
| Queen of The Valley Medical Center | Napa | not published | $80.22 – $3,331.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $90.97 – $3,331.00 |
| Healdsburg Hospital | Healdsburg | not published | $36.29 – $502.77 |