Biliary endoscopy thru skin at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,311.84
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.
$12,087.00
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.
$361.27 with Hill Physicians vs $35,580.00 with Blue Shield CA — 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 | $361.27 | ↓ -89% |
| United | Medicaid|> 21 | $394.76 | ↓ -88% |
| United | Medicaid|< 21 | $394.76 | ↓ -88% |
| Molina | Medicaid|All Plans | $646.74 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $684.50 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $937.56 | ↓ -72% |
| WCMG | Commercial|All Plans | $1,329.57 | ↓ -60% |
| Health Net | Medicaid|All Plans | $1,425.00 | ↓ -57% |
| California Health & Wellness | Medicaid|All Plans | $1,425.00 | ↓ -57% |
| Partnership Health Plan | Medicaid|All Plans | $2,121.83 | ↓ -36% |
| Western Health Advantage | Commercial|All Plans | $4,230.45 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,955.67 | ↑ +50% |
| Kaiser | Commercial|All Plans | $6,526.98 | ↑ +97% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +150% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +150% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +150% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +159% |
| First Health | Commercial|All Plans | $9,065.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $9,065.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $9,669.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $10,032.21 | ↑ +203% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +205% |
| BCBS - Anthem | Medicare|All Other Plans | $11,398.05 | ↑ +244% |
| Blue Shield CA | Medicare|PPO | $12,087.00 | ↑ +265% |
| United | Commercial|All Other Plans | $12,087.00 | ↑ +265% |
| United | Medicare|All Plans | $12,087.00 | ↑ +265% |
| United | Commercial|HMO | $12,087.00 | ↑ +265% |
| United | Commercial|Options PPO | $12,087.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $12,087.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $12,087.00 | ↑ +265% |
| Humana | Commercial|All Plans | $12,087.00 | ↑ +265% |
| Molina | Medicare|All Plans | $12,087.00 | ↑ +265% |
| Humana | Medicare|All Plans | $12,087.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $12,449.61 | ↑ +276% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +282% |
| BrightHealth | Commercial|All Plans | $13,295.70 | ↑ +301% |
| Kaiser | Medicare|All Plans | $13,681.38 | ↑ +313% |
| Blue Shield CA | Medicare|HMO | $13,681.38 | ↑ +313% |
| BlueShield | Medicare|Trauma | $15,108.75 | ↑ +356% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +370% |
| Blue Shield CA | Commercial|ACO Trio | $16,598.00 | ↑ +401% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +434% |
| Prison Healthcare | Medicaid|All Plans | $20,522.07 | ↑ +520% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $21,162.00 | ↑ +539% |
| Blue Shield CA | Commercial|Exchange | $22,950.00 | ↑ +593% |
| Blue Shield CA | Commercial|PPO Tandem | $29,592.00 | ↑ +794% |
| Blue Shield CA | Commercial|HMO | $31,379.00 | ↑ +847% |
| Blue Shield CA | Commercial|CalPers | $33,036.00 | ↑ +898% |
| Blue Shield CA | Commercial|PPO | $35,580.00 | ↑ +974% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,776.92 | $485.55 – $12,680.00 |
| Arroyo Grande Hospital | Santa Maria | $2,499.10 | $394.76 – $5,839.00 |
| French Hospital | San Luis Obispo | $2,288.89 | $394.76 – $5,839.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7,389.95 | $394.76 – $15,935.20 |
| Bakersfield Memorial Hospital | Bakersfield | $7,310.28 | $394.76 – $15,736.01 |
| St. Joseph's Medical Center Stockton | Stockton | $6,438.90 | $394.76 – $15,917.16 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,858.40 | $8,912.00 – $20,774.00 |
| Mercy Medical Center Merced | Merced | $9,987.91 | $394.76 – $19,200.06 |