Allograft allowrap 4x4cm dry 16sqcm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$6,285.56
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.
$22,940.00
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.
$87.73 with Hill Physicians vs $4,602.65 with BCBS - Anthem — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $87.73 | ↓ -99% |
| United | Commercial|Options PPO | $143.06 | ↓ -98% |
| United | Commercial|HMO | $143.06 | ↓ -98% |
| United | Commercial|All Other Plans | $143.06 | ↓ -98% |
| Cigna | Commercial|LocalPlus | $192.50 | ↓ -97% |
| Cigna | Commercial|All Other Plans | $256.72 | ↓ -96% |
| WCMG | Commercial|All Plans | $521.95 | ↓ -92% |
| Kaiser | Medicare|All Plans | $1,091.35 | ↓ -83% |
| Kaiser | Commercial|All Plans | $1,091.35 | ↓ -83% |
| Kaiser | Medicaid|All Plans | $1,091.35 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $1,138.80 | ↓ -82% |
| Partnership Health Plan | Medicaid|All Plans | $1,186.25 | ↓ -81% |
| Molina | Medicaid|All Plans | $1,233.70 | ↓ -80% |
| California Health & Wellness | Medicaid|All Plans | $1,328.60 | ↓ -79% |
| Health Net | Medicaid|All Plans | $1,328.60 | ↓ -79% |
| Health Net | Commercial|EPPO | $1,850.55 | ↓ -71% |
| United | Commercial|Non-Options PPO | $2,467.40 | ↓ -61% |
| Blue Shield CA | Commercial|ACO Trio | $3,084.25 | ↓ -51% |
| Western Health Advantage | Commercial|All Plans | $3,084.25 | ↓ -51% |
| Health Net | Commercial|FFS | $3,368.95 | ↓ -46% |
| First Health | Commercial|All Plans | $3,558.75 | ↓ -43% |
| Healthsmart | Commercial|All Plans | $3,558.75 | ↓ -43% |
| BCBS - Anthem | Commercial|Connection EPO | $3,701.10 | ↓ -41% |
| Sutter Health | Commercial|All Plans | $3,796.00 | ↓ -40% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,890.90 | ↓ -38% |
| Blue Shield CA | Commercial|Exchange | $3,890.90 | ↓ -38% |
| MultiPlan | Commercial|All Plans | $3,938.35 | ↓ -37% |
| Aetna | Commercial|HMO | $4,033.25 | ↓ -36% |
| Aetna | Commercial|All Other Plans | $4,033.25 | ↓ -36% |
| Aetna | Commercial|PPO | $4,033.25 | ↓ -36% |
| Blue Shield CA | Commercial|PPO | $4,270.50 | ↓ -32% |
| Blue Shield CA | Commercial|HMO | $4,270.50 | ↓ -32% |
| Blue Shield CA | Commercial|PPO Tandem | $4,270.50 | ↓ -32% |
| Blue Shield CA | Commercial|CalPers | $4,365.40 | ↓ -31% |
| BCBS - Anthem | Commercial|All Other Plans | $4,602.65 | ↓ -27% |
| BCBS - Anthem | Commercial|MCS | $4,602.65 | ↓ -27% |
Visitor-reported prices
Comments
Allograft allowrap 4x4cm dry 16sqcm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $8,318.96 | $167.70 – $177.93 |
| Arroyo Grande Hospital | Santa Maria | $10,163.72 | $128.14 – $3,704.40 |
| French Hospital | San Luis Obispo | $9,308.83 | $143.06 – $3,704.40 |
| Queen of The Valley Medical Center | Napa | $7,022.50 | $176.69 – $177.93 |
| Providence St Joseph Hospital Eureka | Eureka | $4,118.96 | $160.06 – $177.93 |
| Healdsburg Hospital | Healdsburg | $4,456.58 | not published |
| Redwood Memorial Hospital | Fortuna | $4,118.96 | $169.72 – $169.72 |
| Santa Rosa Memorial Hospital | Santa Rosa | $8,318.96 | $173.16 – $177.93 |