Angio tib/peroneal/init ves/unila 37228 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$7,503.49
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.
$27,385.00
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.
$475.43 with United vs $28,092.00 with Health Net — 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 | $475.43 | ↓ -94% |
| United | Medicaid|< 21 | $475.43 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $501.56 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $522.97 | ↓ -93% |
| Molina | Medicaid|All Plans | $893.81 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $902.98 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $1,088.73 | ↓ -85% |
| Health Net | Medicaid|All Plans | $1,088.73 | ↓ -85% |
| WCMG | Commercial|All Plans | $1,300.53 | ↓ -83% |
| Partnership Health Plan | Medicaid|All Plans | $2,044.35 | ↓ -73% |
| Western Health Advantage | Commercial|All Plans | $4,138.05 | ↓ -45% |
| Kaiser | Medicaid|All Plans | $4,847.43 | ↓ -35% |
| Blue Shield CA | Commercial|ACO Trio | $6,260.00 | ↓ -17% |
| Kaiser | Commercial|All Plans | $6,384.42 | ↓ -15% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7,977.00 | ↑ +6% |
| Blue Shield CA | Commercial|Exchange | $8,094.00 | ↑ +8% |
| First Health | Commercial|All Plans | $8,867.25 | ↑ +18% |
| Healthsmart | Commercial|All Plans | $8,867.25 | ↑ +18% |
| Sutter Health | Commercial|All Plans | $9,458.40 | ↑ +26% |
| MultiPlan | Commercial|All Plans | $9,813.09 | ↑ +31% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +38% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +38% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +38% |
| Blue Shield CA | Commercial|PPO Tandem | $10,639.00 | ↑ +42% |
| BCBS - Anthem | Medicare|All Other Plans | $11,149.09 | ↑ +49% |
| Humana | Commercial|All Plans | $11,823.00 | ↑ +58% |
| Humana | Medicare|All Plans | $11,823.00 | ↑ +58% |
| Aetna | Medicare|All Plans | $11,823.00 | ↑ +58% |
| Molina | Medicare|All Plans | $11,823.00 | ↑ +58% |
| United | Commercial|All Other Plans | $11,823.00 | ↑ +58% |
| United | Medicare|All Plans | $11,823.00 | ↑ +58% |
| United | Commercial|HMO | $11,823.00 | ↑ +58% |
| United | Commercial|Options PPO | $11,823.00 | ↑ +58% |
| United | Commercial|Non-Options PPO | $11,823.00 | ↑ +58% |
| Blue Shield CA | Medicare|PPO | $11,823.00 | ↑ +58% |
| Blue Shield CA | Commercial|HMO | $11,829.00 | ↑ +58% |
| BCBS - Anthem | Medicare|Imperial | $12,177.69 | ↑ +62% |
| Blue Shield CA | Commercial|CalPers | $12,452.00 | ↑ +66% |
| Blue Shield CA | Commercial|PPO | $12,814.00 | ↑ +71% |
| BCBS - Anthem | Commercial|Connection EPO | $12,886.00 | ↑ +72% |
| BrightHealth | Commercial|All Plans | $13,005.30 | ↑ +73% |
| BlueShield | Medicare|Trauma | $14,778.75 | ↑ +97% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +99% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +99% |
| Health Net | Commercial|EPPO | $15,484.00 | ↑ +106% |
| BCBS - Anthem | Commercial|All Other Plans | $16,107.00 | ↑ +115% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +198% |
| BCBS - Anthem | Commercial|MCS | $22,550.00 | ↑ +201% |
| Health Net | Commercial|FFS | $28,092.00 | ↑ +274% |
Visitor-reported prices
Comments
Angio tib/peroneal/init ves/unila 37228 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $8,916.37 | $719.28 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $7,219.94 | $475.25 – $16,050.44 |
| French Hospital | San Luis Obispo | $6,420.18 | $475.25 – $16,050.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12,102.02 | $475.43 – $26,096.00 |
| Bakersfield Memorial Hospital | Bakersfield | $11,971.54 | $475.43 – $25,769.80 |
| Queen of The Valley Medical Center | Napa | $18,036.15 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $10,293.53 | $0.80 – $9,575.00 |