Allograft graftjacket 2x12cm-q4107-cost per sq cm 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.
$95.72 with Partnership Health Plan vs $5,676.40 with Blue Shield CA — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $95.72 | ↓ -98% |
| United | Medicaid|> 21 | $95.72 | ↓ -98% |
| United | Medicaid|< 21 | $95.72 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $105.29 | ↓ -98% |
| BCBS - Anthem | Commercial|Connection EPO | $143.78 | ↓ -98% |
| BCBS - Anthem | Commercial|All Other Plans | $179.73 | ↓ -97% |
| Molina | Medicaid|All Plans | $179.95 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $181.87 | ↓ -97% |
| Cigna | Commercial|LocalPlus | $199.94 | ↓ -97% |
| Health Net | Medicaid|All Plans | $219.20 | ↓ -97% |
| California Health & Wellness | Medicaid|All Plans | $219.20 | ↓ -97% |
| United | Commercial|Options PPO | $225.18 | ↓ -96% |
| United | Commercial|All Other Plans | $225.18 | ↓ -96% |
| United | Commercial|HMO | $225.18 | ↓ -96% |
| United | Commercial|Non-Options PPO | $225.18 | ↓ -96% |
| BCBS - Anthem | Commercial|MCS | $251.35 | ↓ -96% |
| Cigna | Commercial|All Other Plans | $266.65 | ↓ -96% |
| WCMG | Commercial|All Plans | $678.70 | ↓ -89% |
| Kaiser | Medicaid|All Plans | $1,419.10 | ↓ -77% |
| Kaiser | Commercial|All Plans | $1,419.10 | ↓ -77% |
| Kaiser | Medicare|All Plans | $1,419.10 | ↓ -77% |
| Health Net | Commercial|EPPO | $2,406.30 | ↓ -62% |
| Western Health Advantage | Commercial|All Plans | $4,010.50 | ↓ -36% |
| Blue Shield CA | Commercial|ACO Trio | $4,010.50 | ↓ -36% |
| Health Net | Commercial|FFS | $4,380.70 | ↓ -30% |
| First Health | Commercial|All Plans | $4,627.50 | ↓ -26% |
| Healthsmart | Commercial|All Plans | $4,627.50 | ↓ -26% |
| Sutter Health | Commercial|All Plans | $4,936.00 | ↓ -21% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,059.40 | ↓ -20% |
| Blue Shield CA | Commercial|Exchange | $5,059.40 | ↓ -20% |
| MultiPlan | Commercial|All Plans | $5,121.10 | ↓ -19% |
| Aetna | Commercial|HMO | $5,244.50 | ↓ -17% |
| Aetna | Commercial|PPO | $5,244.50 | ↓ -17% |
| Aetna | Commercial|All Other Plans | $5,244.50 | ↓ -17% |
| Blue Shield CA | Commercial|HMO | $5,553.00 | ↓ -12% |
| Blue Shield CA | Commercial|PPO | $5,553.00 | ↓ -12% |
| Blue Shield CA | Commercial|PPO Tandem | $5,553.00 | ↓ -12% |
| Blue Shield CA | Commercial|CalPers | $5,676.40 | ↓ -10% |
Visitor-reported prices
Comments
Allograft graftjacket 2x12cm-q4107-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,999.20 | $119.88 – $4,982.64 |
| Petaluma Valley Hospital | Petaluma | $8,834.18 | $112.22 – $293.41 |
| Arroyo Grande Hospital | Santa Maria | $7,817.85 | $95.72 – $4,815.72 |
| French Hospital | San Luis Obispo | $7,160.28 | $95.72 – $4,815.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7,529.45 | $95.72 – $4,914.00 |
| Bakersfield Memorial Hospital | Bakersfield | $7,448.27 | $95.72 – $5,296.20 |
| Queen of The Valley Medical Center | Napa | $7,457.42 | $121.47 – $293.41 |
| Providence St Joseph Hospital Eureka | Eureka | $4,374.07 | $144.89 – $293.41 |