Aspirate/inj ganglion cyst 20612 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$150.98
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.
$551.00
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.
$41.68 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $41.68 | ↓ -72% |
| WCMG | Commercial|All Plans | $60.61 | ↓ -60% |
| United | Medicaid|< 21 | $62.38 | ↓ -59% |
| United | Medicaid|> 21 | $62.38 | ↓ -59% |
| Hill Physicians | Medicaid|All Plans | $75.41 | ↓ -50% |
| Molina | Medicaid|All Plans | $102.20 | ↓ -32% |
| BCBS - Anthem | Medicaid|All Plans | $103.28 | ↓ -32% |
| California Health & Wellness | Medicaid|All Plans | $156.98 | ↑ +4% |
| Health Net | Medicaid|All Plans | $156.98 | ↑ +4% |
| Western Health Advantage | Commercial|All Plans | $192.85 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $225.91 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $233.75 | ↑ +55% |
| Kaiser | Commercial|All Plans | $297.54 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $365.80 | ↑ +142% |
| Blue Shield CA | Medicare|HMO | $387.91 | ↑ +157% |
| Humana | Medicare|All Plans | $387.91 | ↑ +157% |
| Humana | Commercial|All Plans | $387.91 | ↑ +157% |
| Aetna | Medicare|All Plans | $387.91 | ↑ +157% |
| Molina | Medicare|All Plans | $387.91 | ↑ +157% |
| United | Medicare|All Plans | $387.91 | ↑ +157% |
| Kaiser | Medicare|All Plans | $387.91 | ↑ +157% |
| Blue Shield CA | Medicare|PPO | $387.91 | ↑ +157% |
| BCBS - Anthem | Medicare|Imperial | $399.55 | ↑ +165% |
| First Health | Commercial|All Plans | $413.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $413.25 | ↑ +174% |
| BrightHealth | Commercial|All Plans | $426.70 | ↑ +183% |
| Sutter Health | Commercial|All Plans | $440.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $457.33 | ↑ +203% |
| BlueShield | Medicare|Trauma | $484.89 | ↑ +221% |
| United | Commercial|Options PPO | $551.00 | ↑ +265% |
| United | Commercial|All Other Plans | $551.00 | ↑ +265% |
| United | Commercial|HMO | $551.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $551.00 | ↑ +265% |
| Prison Healthcare | Medicaid|All Plans | $581.87 | ↑ +285% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +577% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +763% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +776% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +1050% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +1180% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +1247% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +1286% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +2019% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +3330% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +3330% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +3330% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +3745% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +4675% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +5868% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +8255% |
Visitor-reported prices
Comments
Aspirate/inj ganglion cyst 20612 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $491.88 | $76.73 – $875.94 |
| Petaluma Valley Hospital | Petaluma | $550.80 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $480.22 | $62.38 – $1,099.56 |
| Mark Twain Medical Center | San Andreas | $68.60 | $21.99 – $83.30 |
| French Hospital | San Luis Obispo | $356.33 | $62.38 – $890.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $142.84 | $62.38 – $375.07 |
| Bakersfield Memorial Hospital | Bakersfield | $335.81 | $62.38 – $375.07 |
| Queen of The Valley Medical Center | Napa | $612.51 | $435.83 – $6,200.00 |