An fluoro guide for cvp at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$634.04
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.
$2,314.00
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.
$63.56 with United vs $2,314.00 with United — 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 | $63.56 | ↓ -90% |
| United | Medicaid|> 21 | $63.56 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $69.92 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $88.43 | ↓ -86% |
| Molina | Medicaid|All Plans | $119.49 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $120.76 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $145.55 | ↓ -77% |
| Health Net | Medicaid|All Plans | $145.55 | ↓ -77% |
| WCMG | Commercial|All Plans | $254.54 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $273.31 | ↓ -57% |
| Aetna | Commercial|All Other Plans | $329.50 | ↓ -48% |
| Aetna | Commercial|PPO | $329.50 | ↓ -48% |
| Aetna | Commercial|HMO | $329.50 | ↓ -48% |
| BCBS - Anthem | Commercial|Connection EPO | $669.14 | ↑ +6% |
| Western Health Advantage | Commercial|All Plans | $809.90 | ↑ +28% |
| BCBS - Anthem | Commercial|All Other Plans | $836.14 | ↑ +32% |
| Kaiser | Medicaid|All Plans | $948.74 | ↑ +50% |
| BCBS - Anthem | Commercial|MCS | $1,170.72 | ↑ +85% |
| Kaiser | Commercial|All Plans | $1,249.56 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,735.50 | ↑ +174% |
| First Health | Commercial|All Plans | $1,735.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,851.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,920.62 | ↑ +203% |
| United | Commercial|All Other Plans | $2,314.00 | ↑ +265% |
| United | Commercial|HMO | $2,314.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,314.00 | ↑ +265% |
| United | Commercial|Options PPO | $2,314.00 | ↑ +265% |
Visitor-reported prices
Comments
An fluoro guide for cvp at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $608.39 | $96.16 – $1,083.42 |
| Banner Lassen Medical Center | Susanville | $321.44 | $104.87 – $475.30 |
| Arroyo Grande Hospital | Santa Maria | $1,045.18 | $63.56 – $909.44 |
| Mark Twain Medical Center | San Andreas | $157.18 | $61.06 – $231.28 |
| French Hospital | San Luis Obispo | $871.42 | $63.56 – $908.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $372.49 | $63.56 – $803.20 |
| Bakersfield Memorial Hospital | Bakersfield | $368.47 | $63.56 – $993.96 |
| Queen of The Valley Medical Center | Napa | $1,705.44 | $391.85 – $772.22 |