Brace afopos solid ankle cust at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,000.10
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.
$3,650.00
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.
$308.55 with WCMG vs $2,720.85 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $308.55 | ↓ -69% |
| United | Medicaid|> 21 | $476.22 | ↓ -52% |
| United | Medicaid|< 21 | $476.22 | ↓ -52% |
| Hill Physicians | Medicaid|All Plans | $523.84 | ↓ -48% |
| Molina | Medicaid|All Plans | $624.16 | ↓ -38% |
| Kaiser | Medicaid|All Plans | $645.15 | ↓ -35% |
| Kaiser | Commercial|All Plans | $645.15 | ↓ -35% |
| Kaiser | Medicare|All Plans | $645.15 | ↓ -35% |
| BCBS - Anthem | Medicaid|All Plans | $673.20 | ↓ -33% |
| Partnership Health Plan | Medicaid|All Plans | $701.25 | ↓ -30% |
| Health Net | Medicaid|All Plans | $785.40 | ↓ -21% |
| California Health & Wellness | Medicaid|All Plans | $785.40 | ↓ -21% |
| Health Net | Commercial|EPPO | $1,093.95 | ↑ +9% |
| Cigna | Commercial|LocalPlus | $1,122.00 | ↑ +12% |
| United | Commercial|Non-Options PPO | $1,458.60 | ↑ +46% |
| Cigna | Commercial|All Other Plans | $1,486.65 | ↑ +49% |
| United | Commercial|HMO | $1,570.80 | ↑ +57% |
| United | Commercial|Options PPO | $1,570.80 | ↑ +57% |
| United | Commercial|All Other Plans | $1,570.80 | ↑ +57% |
| Western Health Advantage | Commercial|All Plans | $1,823.25 | ↑ +82% |
| Blue Shield CA | Commercial|ACO Trio | $1,823.25 | ↑ +82% |
| Health Net | Commercial|FFS | $1,991.55 | ↑ +99% |
| Healthsmart | Commercial|All Plans | $2,103.75 | ↑ +110% |
| First Health | Commercial|All Plans | $2,103.75 | ↑ +110% |
| BCBS - Anthem | Commercial|Connection EPO | $2,187.90 | ↑ +119% |
| Sutter Health | Commercial|All Plans | $2,244.00 | ↑ +124% |
| Blue Shield CA | Commercial|Exchange | $2,300.10 | ↑ +130% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2,300.10 | ↑ +130% |
| MultiPlan | Commercial|All Plans | $2,328.15 | ↑ +133% |
| Aetna | Commercial|PPO | $2,384.25 | ↑ +138% |
| Aetna | Commercial|HMO | $2,384.25 | ↑ +138% |
| Aetna | Commercial|All Other Plans | $2,384.25 | ↑ +138% |
| Blue Shield CA | Commercial|HMO | $2,524.50 | ↑ +152% |
| Blue Shield CA | Commercial|PPO Tandem | $2,524.50 | ↑ +152% |
| Blue Shield CA | Commercial|PPO | $2,524.50 | ↑ +152% |
| Blue Shield CA | Commercial|CalPers | $2,580.60 | ↑ +158% |
| BCBS - Anthem | Commercial|All Other Plans | $2,720.85 | ↑ +172% |
| BCBS - Anthem | Commercial|MCS | $2,720.85 | ↑ +172% |
Visitor-reported prices
Comments
Brace afopos solid ankle cust at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,272.39 | $697.20 – $2,265.90 |
| Petaluma Valley Hospital | Petaluma | $1,630.59 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,198.33 | $476.22 – $2,907.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,185.41 | $476.22 – $3,133.10 |
| Queen of The Valley Medical Center | Napa | $1,625.50 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $1,783.46 | not published |
| Healdsburg Hospital | Healdsburg | $1,121.03 | not published |
| Redwood Memorial Hospital | Fortuna | $1,783.46 | not published |