Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,718.18
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.
?
What you pay up front if you don't use insurance.
$13,570.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$136.14 with Hill Physicians vs $7,784.25 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $136.14 | ↓ -96% |
| United | Commercial|Options PPO | $210.39 | ↓ -94% |
| United | Commercial|All Other Plans | $210.39 | ↓ -94% |
| United | Commercial|HMO | $210.39 | ↓ -94% |
| Cigna | Commercial|LocalPlus | $298.73 | ↓ -92% |
| Cigna | Commercial|All Other Plans | $398.39 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $419.37 | ↓ -89% |
| United | Commercial|Non-Options PPO | $510.94 | ↓ -86% |
| WCMG | Commercial|All Plans | $882.75 | ↓ -76% |
| Kaiser | Medicare|All Plans | $1,845.75 | ↓ -50% |
| Kaiser | Commercial|All Plans | $1,845.75 | ↓ -50% |
| Kaiser | Medicaid|All Plans | $1,845.75 | ↓ -50% |
| Partnership Health Plan | Medicaid|All Plans | $2,006.25 | ↓ -46% |
| Molina | Medicaid|All Plans | $2,086.50 | ↓ -44% |
| Health Net | Medicaid|All Plans | $2,247.00 | ↓ -40% |
| California Health & Wellness | Medicaid|All Plans | $2,247.00 | ↓ -40% |
| Health Net | Commercial|EPPO | $3,129.75 | ↓ -16% |
| Blue Shield CA | Commercial|ACO Trio | $5,216.25 | ↑ +40% |
| Western Health Advantage | Commercial|All Plans | $5,216.25 | ↑ +40% |
| Health Net | Commercial|FFS | $5,697.75 | ↑ +53% |
| Healthsmart | Commercial|All Plans | $6,018.75 | ↑ +62% |
| First Health | Commercial|All Plans | $6,018.75 | ↑ +62% |
| BCBS - Anthem | Commercial|Connection EPO | $6,259.50 | ↑ +68% |
| Sutter Health | Commercial|All Plans | $6,420.00 | ↑ +73% |
| Blue Shield CA | Commercial|Exchange | $6,580.50 | ↑ +77% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,580.50 | ↑ +77% |
| MultiPlan | Commercial|All Plans | $6,660.75 | ↑ +79% |
| Aetna | Commercial|PPO | $6,821.25 | ↑ +83% |
| Aetna | Commercial|All Other Plans | $6,821.25 | ↑ +83% |
| Aetna | Commercial|HMO | $6,821.25 | ↑ +83% |
| Blue Shield CA | Commercial|HMO | $7,222.50 | ↑ +94% |
| Blue Shield CA | Commercial|PPO | $7,222.50 | ↑ +94% |
| Blue Shield CA | Commercial|PPO Tandem | $7,222.50 | ↑ +94% |
| Blue Shield CA | Commercial|CalPers | $7,383.00 | ↑ +99% |
| BCBS - Anthem | Commercial|All Other Plans | $7,784.25 | ↑ +109% |
| BCBS - Anthem | Commercial|MCS | $7,784.25 | ↑ +109% |
Visitor-reported prices
Comments
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,654.77 | $210.39 – $2,265.90 |
| Petaluma Valley Hospital | Petaluma | $8,749.36 | $167.70 – $276.12 |
| Arroyo Grande Hospital | Santa Maria | $4,624.54 | $210.39 – $1,292.62 |
| French Hospital | San Luis Obispo | $4,235.56 | $210.39 – $1,292.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,791.31 | $210.39 – $4,914.00 |
| Bakersfield Memorial Hospital | Bakersfield | $5,728.87 | $210.39 – $5,296.20 |
| Queen of The Valley Medical Center | Napa | $8,749.36 | $176.69 – $276.12 |
| Providence St Joseph Hospital Eureka | Eureka | $4,332.07 | $160.06 – $276.12 |