_afb id by dna probe rflx ast at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$48.23
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.
$176.00
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.
$1.79 with WCMG vs $59.20 with Cigna — 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 | $1.79 | ↓ -96% |
| Blue Shield CA | Commercial|ACO Trio | $5.04 | ↓ -90% |
| Western Health Advantage | Commercial|All Plans | $5.69 | ↓ -88% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6.50 | ↓ -87% |
| Kaiser | Medicaid|All Plans | $6.66 | ↓ -86% |
| Blue Shield CA | Commercial|Exchange | $6.83 | ↓ -86% |
| Kaiser | Commercial|All Plans | $8.77 | ↓ -82% |
| Blue Shield CA | Commercial|PPO Tandem | $8.94 | ↓ -81% |
| Blue Shield CA | Commercial|HMO | $9.59 | ↓ -80% |
| Blue Shield CA | Commercial|CalPers | $10.07 | ↓ -79% |
| Blue Shield CA | Commercial|PPO | $10.72 | ↓ -78% |
| First Health | Commercial|All Plans | $12.18 | ↓ -75% |
| Healthsmart | Commercial|All Plans | $12.18 | ↓ -75% |
| Sutter Health | Commercial|All Plans | $13.00 | ↓ -73% |
| BCBS - Anthem | Commercial|Connection EPO | $13.00 | ↓ -73% |
| MultiPlan | Commercial|All Plans | $13.48 | ↓ -72% |
| BCBS - Anthem | Medicare|All Other Plans | $15.32 | ↓ -68% |
| BCBS - Anthem | Commercial|All Other Plans | $16.24 | ↓ -66% |
| BCBS - Anthem | Medicaid|All Plans | $16.24 | ↓ -66% |
| BCBS - Anthem | Commercial|MCS | $16.24 | ↓ -66% |
| Blue Shield CA | Medicare|HMO | $16.24 | ↓ -66% |
| Blue Shield CA | Medicare|PPO | $16.24 | ↓ -66% |
| Partnership Health Plan | Medicaid|All Plans | $16.24 | ↓ -66% |
| Hill Physicians | Commercial|All Plans | $16.24 | ↓ -66% |
| Humana | Medicare|All Plans | $16.24 | ↓ -66% |
| Aetna | Commercial|All Other Plans | $16.24 | ↓ -66% |
| Aetna | Commercial|PPO | $16.24 | ↓ -66% |
| Aetna | Medicare|All Plans | $16.24 | ↓ -66% |
| Aetna | Commercial|HMO | $16.24 | ↓ -66% |
| Molina | Medicaid|All Plans | $16.24 | ↓ -66% |
| Molina | Medicare|All Plans | $16.24 | ↓ -66% |
| United | Commercial|All Other Plans | $16.24 | ↓ -66% |
| United | Medicare|All Plans | $16.24 | ↓ -66% |
| United | Commercial|HMO | $16.24 | ↓ -66% |
| United | Commercial|Options PPO | $16.24 | ↓ -66% |
| United | Commercial|Non-Options PPO | $16.24 | ↓ -66% |
| United | Medicaid|< 21 | $16.24 | ↓ -66% |
| United | Medicaid|> 21 | $16.24 | ↓ -66% |
| Health Net | Medicaid|All Plans | $16.24 | ↓ -66% |
| Kaiser | Medicare|All Plans | $16.24 | ↓ -66% |
| California Health & Wellness | Medicaid|All Plans | $16.24 | ↓ -66% |
| Humana | Commercial|All Plans | $16.24 | ↓ -66% |
| Hill Physicians | Medicaid|All Plans | $16.24 | ↓ -66% |
| BCBS - Anthem | Medicare|Imperial | $16.73 | ↓ -65% |
| BrightHealth | Commercial|All Plans | $17.87 | ↓ -63% |
| BlueShield | Medicare|Trauma | $20.30 | ↓ -58% |
| Prison Healthcare | Medicaid|All Plans | $24.36 | ↓ -49% |
| Cigna | Commercial|LocalPlus | $44.39 | ↓ -8% |
| Cigna | Commercial|All Other Plans | $59.20 | ↑ +23% |
Visitor-reported prices
Comments
_afb id by dna probe rflx ast at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $49.05 | $14.04 – $53.19 |
| Petaluma Valley Hospital | Petaluma | $160.14 | $19.65 – $163.55 |
| Arroyo Grande Hospital | Santa Maria | $78.76 | $16.04 – $79.38 |
| Mark Twain Medical Center | San Andreas | $33.39 | $16.24 – $49.13 |
| French Hospital | San Luis Obispo | $72.13 | $16.04 – $94.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $19.30 | $16.24 – $57.61 |
| Bakersfield Memorial Hospital | Bakersfield | $19.09 | $16.24 – $57.61 |
| Queen of The Valley Medical Center | Napa | $211.14 | $20.05 – $206.69 |