Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$11,040.83
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.
$40,295.00
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.
$466.86 with United vs $38,683.00 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 | $466.86 | ↓ -96% |
| United | Medicaid|> 21 | $466.86 | ↓ -96% |
| Hill Physicians | Commercial|All Plans | $505.64 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $513.55 | ↓ -95% |
| Molina | Medicaid|All Plans | $877.70 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $887.03 | ↓ -92% |
| California Health & Wellness | Medicaid|All Plans | $1,069.11 | ↓ -90% |
| Health Net | Medicaid|All Plans | $1,069.11 | ↓ -90% |
| Partnership Health Plan | Medicaid|All Plans | $2,007.50 | ↓ -82% |
| WCMG | Commercial|All Plans | $4,255.13 | ↓ -61% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↓ -35% |
| BCBS - Anthem | Medicare|All Other Plans | $8,852.49 | ↓ -20% |
| Blue Shield CA | Commercial|ACO Trio | $8,882.00 | ↓ -20% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↓ -18% |
| United | Medicare|All Plans | $9,387.58 | ↓ -15% |
| Humana | Medicare|All Plans | $9,387.58 | ↓ -15% |
| Aetna | Medicare|All Plans | $9,387.58 | ↓ -15% |
| Molina | Medicare|All Plans | $9,387.58 | ↓ -15% |
| Humana | Commercial|All Plans | $9,387.58 | ↓ -15% |
| Kaiser | Medicare|All Plans | $9,387.58 | ↓ -15% |
| Blue Shield CA | Medicare|HMO | $9,387.58 | ↓ -15% |
| Blue Shield CA | Medicare|PPO | $9,387.58 | ↓ -15% |
| BCBS - Anthem | Medicare|Imperial | $9,669.21 | ↓ -12% |
| BrightHealth | Commercial|All Plans | $10,326.34 | ↓ -6% |
| Health Net | Commercial|EPPO | $10,440.00 | ↓ -5% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,325.00 | ↑ +3% |
| Aetna | Commercial|PPO | $11,393.00 | ↑ +3% |
| Aetna | Commercial|All Other Plans | $11,393.00 | ↑ +3% |
| Aetna | Commercial|HMO | $11,393.00 | ↑ +3% |
| BlueShield | Medicare|Trauma | $11,734.48 | ↑ +6% |
| Blue Shield CA | Commercial|Exchange | $12,281.00 | ↑ +11% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +14% |
| Western Health Advantage | Commercial|All Plans | $13,539.05 | ↑ +23% |
| Prison Healthcare | Medicaid|All Plans | $14,081.37 | ↑ +28% |
| Blue Shield CA | Commercial|PPO Tandem | $15,836.00 | ↑ +43% |
| Kaiser | Medicaid|All Plans | $15,860.03 | ↑ +44% |
| Blue Shield CA | Commercial|HMO | $16,792.00 | ↑ +52% |
| Blue Shield CA | Commercial|CalPers | $17,679.00 | ↑ +60% |
| Health Net | Commercial|FFS | $18,941.00 | ↑ +72% |
| Blue Shield CA | Commercial|PPO | $19,040.00 | ↑ +72% |
| Kaiser | Commercial|All Plans | $20,888.82 | ↑ +89% |
| First Health | Commercial|All Plans | $29,012.25 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $29,012.25 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $30,946.40 | ↑ +180% |
| MultiPlan | Commercial|All Plans | $32,106.89 | ↑ +191% |
| United | Commercial|Options PPO | $38,683.00 | ↑ +250% |
| United | Commercial|HMO | $38,683.00 | ↑ +250% |
| United | Commercial|All Other Plans | $38,683.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $38,683.00 | ↑ +250% |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,916.46 | $706.32 – $16,602.72 |
| Arroyo Grande Hospital | Santa Maria | $11,124.15 | $466.86 – $20,054.72 |
| French Hospital | San Luis Obispo | $10,188.48 | $466.86 – $20,067.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9,518.01 | $466.86 – $20,524.00 |
| Bakersfield Memorial Hospital | Bakersfield | $9,415.39 | $466.86 – $20,267.45 |
| Healdsburg Hospital | Healdsburg | $1,020.51 | $5,021.00 – $9,776.62 |
| St. Joseph's Medical Center Stockton | Stockton | $6,833.45 | $466.86 – $18,938.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $16,614.78 | $4,042.00 – $15,575.00 |