Aco med nutria tx/group, ea 30 min 97804aco at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$17.54
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.
$64.00
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.
$7.04 with WCMG vs $16,950.00 with United — 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 | $7.04 | ↓ -60% |
| United | Medicaid|> 21 | $13.91 | ↓ -21% |
| United | Medicaid|< 21 | $13.91 | ↓ -21% |
| Hill Physicians | Medicaid|All Plans | $15.30 | ↓ -13% |
| Hill Physicians | Commercial|All Plans | $16.02 | ↓ -9% |
| BCBS - Anthem | Medicare|All Other Plans | $16.87 | ↓ -4% |
| Blue Shield CA | Medicare|PPO | $17.89 | ↑ +2% |
| Blue Shield CA | Medicare|HMO | $17.89 | ↑ +2% |
| Kaiser | Medicare|All Plans | $17.89 | ↑ +2% |
| Humana | Medicare|All Plans | $17.89 | ↑ +2% |
| Humana | Commercial|All Plans | $17.89 | ↑ +2% |
| Aetna | Medicare|All Plans | $17.89 | ↑ +2% |
| Molina | Medicare|All Plans | $17.89 | ↑ +2% |
| United | Medicare|All Plans | $17.89 | ↑ +2% |
| BCBS - Anthem | Medicare|Imperial | $18.43 | ↑ +5% |
| BrightHealth | Commercial|All Plans | $19.68 | ↑ +12% |
| BlueShield | Medicare|Trauma | $22.36 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $22.40 | ↑ +28% |
| Molina | Medicaid|All Plans | $26.15 | ↑ +49% |
| Kaiser | Medicaid|All Plans | $26.24 | ↑ +50% |
| BCBS - Anthem | Medicaid|All Plans | $26.43 | ↑ +51% |
| Prison Healthcare | Medicaid|All Plans | $26.84 | ↑ +53% |
| Health Net | Medicaid|All Plans | $31.85 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $31.85 | ↑ +82% |
| Kaiser | Commercial|All Plans | $34.56 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $48.00 | ↑ +174% |
| First Health | Commercial|All Plans | $48.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $51.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $53.12 | ↑ +203% |
| Partnership Health Plan | Medicaid|All Plans | $59.81 | ↑ +241% |
| United | Commercial|HMO | $64.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $64.00 | ↑ +265% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +96536% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +96536% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $130.54 | $13.91 – $192.08 |
| Bakersfield Memorial Hospital | Bakersfield | $13.22 | $13.91 – $28.44 |
| Queen of The Valley Medical Center | Napa | $134.64 | $12.70 – $12.70 |
| Dominican Hospital | Santa Cruz | $76.05 | $13.91 – $143.65 |
| Sierra Nevada Memorial Hospital | Grass Valley | $8.18 | $10.05 – $17.22 |
| St. Mary Medical Center | Long Beach | $36.12 | $12.52 – $84.00 |
| Providence Saint Joseph Medical Center | Burbank | $70.70 | $13.05 – $32.37 |
| Community Hospital San Bernardino | San Bernardino | $71.95 | $13.91 – $184.00 |