Autologous blood op salvage at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$457.58
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.
$1,670.00
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.
$183.70 with WCMG vs $1,610.23 with Prison Healthcare — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $183.70 | ↓ -60% |
| Aetna | Commercial|PPO | $270.66 | ↓ -41% |
| Aetna | Commercial|All Other Plans | $270.66 | ↓ -41% |
| Aetna | Commercial|HMO | $270.66 | ↓ -41% |
| Cigna | Commercial|LocalPlus | $313.44 | ↓ -32% |
| Cigna | Commercial|All Other Plans | $417.96 | ↓ -9% |
| Blue Shield CA | Commercial|ACO Trio | $517.70 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $584.50 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $668.00 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $684.70 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $701.40 | ↑ +53% |
| United | Commercial|All Other Plans | $787.38 | ↑ +72% |
| United | Commercial|HMO | $787.38 | ↑ +72% |
| United | Commercial|Options PPO | $787.38 | ↑ +72% |
| United | Commercial|Non-Options PPO | $787.38 | ↑ +72% |
| BCBS - Anthem | Commercial|Connection EPO | $792.60 | ↑ +73% |
| Kaiser | Commercial|All Plans | $901.80 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $918.50 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $985.30 | ↑ +115% |
| BCBS - Anthem | Commercial|All Other Plans | $990.42 | ↑ +116% |
| BCBS - Anthem | Medicare|All Other Plans | $1,012.30 | ↑ +121% |
| Blue Shield CA | Commercial|CalPers | $1,035.40 | ↑ +126% |
| Humana | Commercial|All Plans | $1,073.49 | ↑ +135% |
| Humana | Medicare|All Plans | $1,073.49 | ↑ +135% |
| Aetna | Medicare|All Plans | $1,073.49 | ↑ +135% |
| Molina | Medicare|All Plans | $1,073.49 | ↑ +135% |
| United | Medicare|All Plans | $1,073.49 | ↑ +135% |
| Kaiser | Medicare|All Plans | $1,073.49 | ↑ +135% |
| Blue Shield CA | Medicare|HMO | $1,073.49 | ↑ +135% |
| Blue Shield CA | Medicare|PPO | $1,073.49 | ↑ +135% |
| Blue Shield CA | Commercial|PPO | $1,102.20 | ↑ +141% |
| BCBS - Anthem | Medicare|Imperial | $1,105.69 | ↑ +142% |
| BrightHealth | Commercial|All Plans | $1,180.84 | ↑ +158% |
| Healthsmart | Commercial|All Plans | $1,252.50 | ↑ +174% |
| First Health | Commercial|All Plans | $1,252.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,336.00 | ↑ +192% |
| BlueShield | Medicare|Trauma | $1,341.86 | ↑ +193% |
| MultiPlan | Commercial|All Plans | $1,386.10 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $1,386.72 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $1,610.23 | ↑ +252% |
Visitor-reported prices
Comments
Autologous blood op salvage at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $895.28 | $310.40 – $1,949.04 |
| Arroyo Grande Hospital | Santa Maria | $2,303.50 | $364.69 – $5,274.36 |
| French Hospital | San Luis Obispo | $2,109.75 | $428.72 – $5,274.36 |
| St. Joseph's Medical Center Stockton | Stockton | $2,253.51 | $441.75 – $6,285.30 |
| Dominican Hospital | Santa Cruz | $1,697.40 | $706.39 – $3,512.83 |
| St. Mary Medical Center | Long Beach | $863.01 | $298.06 – $2,007.00 |
| Community Hospital San Bernardino | San Bernardino | $741.34 | $165.16 – $2,024.00 |
| Glendale Memorial Hospital Health Center | Glendale | $720.14 | $315.65 – $1,767.20 |