Allograft epieffect 2x3cm-q4186-cost per sq cm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$16,712.63
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.
$60,995.00
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.
$151.60 with United vs $1,605.35 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $151.60 | ↓ -99% |
| United | Medicaid|> 21 | $151.60 | ↓ -99% |
| Partnership Health Plan | Medicaid|All Plans | $151.60 | ↓ -99% |
| Hill Physicians | Medicaid|All Plans | $166.76 | ↓ -99% |
| Hill Physicians | Commercial|All Plans | $167.83 | ↓ -99% |
| WCMG | Commercial|All Plans | $182.05 | ↓ -99% |
| United | Commercial|Non-Options PPO | $254.61 | ↓ -98% |
| United | Commercial|All Other Plans | $261.24 | ↓ -98% |
| United | Commercial|HMO | $261.24 | ↓ -98% |
| United | Commercial|Options PPO | $261.24 | ↓ -98% |
| Molina | Medicaid|All Plans | $285.01 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $291.57 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $347.16 | ↓ -98% |
| Health Net | Medicaid|All Plans | $347.16 | ↓ -98% |
| Cigna | Commercial|LocalPlus | $368.28 | ↓ -98% |
| Kaiser | Medicaid|All Plans | $380.65 | ↓ -98% |
| Kaiser | Commercial|All Plans | $380.65 | ↓ -98% |
| Kaiser | Medicare|All Plans | $380.65 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $491.14 | ↓ -97% |
| Health Net | Commercial|EPPO | $645.45 | ↓ -96% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↓ -94% |
| Western Health Advantage | Commercial|All Plans | $1,075.75 | ↓ -94% |
| Health Net | Commercial|FFS | $1,175.05 | ↓ -93% |
| First Health | Commercial|All Plans | $1,241.25 | ↓ -93% |
| Healthsmart | Commercial|All Plans | $1,241.25 | ↓ -93% |
| BCBS - Anthem | Commercial|Connection EPO | $1,290.90 | ↓ -92% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↓ -92% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↓ -92% |
| Sutter Health | Commercial|All Plans | $1,324.00 | ↓ -92% |
| MultiPlan | Commercial|All Plans | $1,373.65 | ↓ -92% |
| Aetna | Commercial|HMO | $1,406.75 | ↓ -92% |
| Aetna | Commercial|PPO | $1,406.75 | ↓ -92% |
| Aetna | Commercial|All Other Plans | $1,406.75 | ↓ -92% |
| Blue Shield CA | Commercial|PPO | $1,489.50 | ↓ -91% |
| Blue Shield CA | Commercial|PPO Tandem | $1,489.50 | ↓ -91% |
| Blue Shield CA | Commercial|HMO | $1,489.50 | ↓ -91% |
| Blue Shield CA | Commercial|CalPers | $1,522.60 | ↓ -91% |
| BCBS - Anthem | Commercial|All Other Plans | $1,605.35 | ↓ -90% |
| BCBS - Anthem | Commercial|MCS | $1,605.35 | ↓ -90% |
Visitor-reported prices
Comments
Allograft epieffect 2x3cm-q4186-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,152.59 | $229.36 – $1,223.88 |
| Arroyo Grande Hospital | Santa Maria | $17,178.21 | $151.60 – $2,848.86 |
| Mark Twain Medical Center | San Andreas | $3,310.02 | $151.60 – $3,745.56 |
| French Hospital | San Luis Obispo | $15,733.32 | $151.60 – $2,848.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $16,544.75 | $151.60 – $2,907.00 |
| Bakersfield Memorial Hospital | Bakersfield | $16,366.37 | $151.60 – $1,421.05 |
| Queen of The Valley Medical Center | Napa | $29,271.07 | $176.69 – $1,727.00 |
| Providence St Joseph Hospital Eureka | Eureka | $14,195.39 | $160.06 – $1,802.00 |