Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$315.10
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.
$1,150.00
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.
$51.70 with United vs $12,615.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $51.70 | ↓ -84% |
| United | Medicaid|> 21 | $51.70 | ↓ -84% |
| Hill Physicians | Commercial|All Plans | $51.88 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $62.49 | ↓ -80% |
| Molina | Medicaid|All Plans | $84.69 | ↓ -73% |
| BCBS - Anthem | Medicaid|All Plans | $85.60 | ↓ -73% |
| WCMG | Commercial|All Plans | $126.50 | ↓ -60% |
| California Health & Wellness | Medicaid|All Plans | $130.09 | ↓ -59% |
| Health Net | Medicaid|All Plans | $130.09 | ↓ -59% |
| Partnership Health Plan | Medicaid|All Plans | $193.72 | ↓ -39% |
| Western Health Advantage | Commercial|All Plans | $402.50 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $471.50 | ↑ +50% |
| Kaiser | Commercial|All Plans | $621.00 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $858.17 | ↑ +172% |
| Healthsmart | Commercial|All Plans | $862.50 | ↑ +174% |
| First Health | Commercial|All Plans | $862.50 | ↑ +174% |
| Blue Shield CA | Medicare|PPO | $910.04 | ↑ +189% |
| Humana | Medicare|All Plans | $910.04 | ↑ +189% |
| Blue Shield CA | Medicare|HMO | $910.04 | ↑ +189% |
| Humana | Commercial|All Plans | $910.04 | ↑ +189% |
| Aetna | Medicare|All Plans | $910.04 | ↑ +189% |
| Molina | Medicare|All Plans | $910.04 | ↑ +189% |
| United | Medicare|All Plans | $910.04 | ↑ +189% |
| Kaiser | Medicare|All Plans | $910.04 | ↑ +189% |
| Sutter Health | Commercial|All Plans | $920.00 | ↑ +192% |
| BCBS - Anthem | Medicare|Imperial | $937.34 | ↑ +197% |
| MultiPlan | Commercial|All Plans | $954.50 | ↑ +203% |
| BrightHealth | Commercial|All Plans | $1,001.04 | ↑ +218% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +224% |
| BlueShield | Medicare|Trauma | $1,137.55 | ↑ +261% |
| United | Commercial|Non-Options PPO | $1,150.00 | ↑ +265% |
| United | Commercial|All Other Plans | $1,150.00 | ↑ +265% |
| United | Commercial|HMO | $1,150.00 | ↑ +265% |
| United | Commercial|Options PPO | $1,150.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +314% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +320% |
| Prison Healthcare | Medicaid|All Plans | $1,365.06 | ↑ +333% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +451% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +513% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +545% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +564% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +1137% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +1543% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +1543% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +1543% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +2144% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +2188% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +2760% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +3903% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,106.83 | $63.59 – $1,617.30 |
| Petaluma Valley Hospital | Petaluma | $1,305.09 | $593.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,242.92 | $51.70 – $2,656.78 |
| French Hospital | San Luis Obispo | $1,022.73 | $51.70 – $1,919.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $264.90 | $51.70 – $714.00 |
| Bakersfield Memorial Hospital | Bakersfield | $262.04 | $51.70 – $714.00 |
| Queen of The Valley Medical Center | Napa | $2,007.36 | $1,002.25 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $8,347.17 | $907.88 – $8,018.00 |