Application of paste boot 29580 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$142.21
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.
$519.00
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.
$25.84 with Hill Physicians vs $7,484.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $25.84 | ↓ -82% |
| United | Medicaid|< 21 | $31.19 | ↓ -78% |
| United | Medicaid|> 21 | $31.19 | ↓ -78% |
| WCMG | Commercial|All Plans | $45.43 | ↓ -68% |
| Molina | Medicaid|All Plans | $51.10 | ↓ -64% |
| Hill Physicians | Medicaid|All Plans | $54.08 | ↓ -62% |
| BCBS - Anthem | Medicaid|All Plans | $74.08 | ↓ -48% |
| California Health & Wellness | Medicaid|All Plans | $112.58 | ↓ -21% |
| Health Net | Medicaid|All Plans | $112.58 | ↓ -21% |
| Western Health Advantage | Commercial|All Plans | $144.55 | ↑ +2% |
| Partnership Health Plan | Medicaid|All Plans | $167.64 | ↑ +18% |
| Kaiser | Medicaid|All Plans | $169.33 | ↑ +19% |
| BCBS - Anthem | Medicare|All Other Plans | $195.53 | ↑ +37% |
| Kaiser | Medicare|All Plans | $207.35 | ↑ +46% |
| Humana | Medicare|All Plans | $207.35 | ↑ +46% |
| Humana | Commercial|All Plans | $207.35 | ↑ +46% |
| Aetna | Medicare|All Plans | $207.35 | ↑ +46% |
| Molina | Medicare|All Plans | $207.35 | ↑ +46% |
| United | Medicare|All Plans | $207.35 | ↑ +46% |
| Blue Shield CA | Medicare|PPO | $207.35 | ↑ +46% |
| Blue Shield CA | Medicare|HMO | $207.35 | ↑ +46% |
| BCBS - Anthem | Medicare|Imperial | $213.57 | ↑ +50% |
| Kaiser | Commercial|All Plans | $223.02 | ↑ +57% |
| BrightHealth | Commercial|All Plans | $228.09 | ↑ +60% |
| BlueShield | Medicare|Trauma | $259.19 | ↑ +82% |
| Healthsmart | Commercial|All Plans | $309.75 | ↑ +118% |
| First Health | Commercial|All Plans | $309.75 | ↑ +118% |
| Prison Healthcare | Medicaid|All Plans | $311.02 | ↑ +119% |
| Sutter Health | Commercial|All Plans | $330.40 | ↑ +132% |
| MultiPlan | Commercial|All Plans | $342.79 | ↑ +141% |
| United | Commercial|Options PPO | $413.00 | ↑ +190% |
| United | Commercial|All Other Plans | $413.00 | ↑ +190% |
| United | Commercial|HMO | $413.00 | ↑ +190% |
| United | Commercial|Non-Options PPO | $413.00 | ↑ +190% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +619% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +816% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +830% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +1121% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +1259% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +1330% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +1372% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +2150% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +2908% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +3659% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +3982% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +5163% |
Visitor-reported prices
Comments
Application of paste boot 29580 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $146.91 | $38.36 – $365.86 |
| Banner Lassen Medical Center | Susanville | $220.51 | $44.85 – $196.91 |
| Petaluma Valley Hospital | Petaluma | $376.38 | $218.99 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $213.15 | $31.19 – $699.00 |
| Mark Twain Medical Center | San Andreas | $70.60 | $27.43 – $103.88 |
| French Hospital | San Luis Obispo | $195.22 | $31.19 – $1,149.00 |
| Bakersfield Memorial Hospital | Bakersfield | $196.72 | $31.19 – $423.44 |
| Queen of The Valley Medical Center | Napa | $442.17 | $230.73 – $6,200.00 |