Brace knee hing pat open med at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$205.50
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.
?
What you pay up front if you don't use insurance.
$750.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.65 with WCMG vs $115.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.65 | ↓ -94% |
| Kaiser | Medicaid|All Plans | $26.45 | ↓ -87% |
| Kaiser | Commercial|All Plans | $26.45 | ↓ -87% |
| Kaiser | Medicare|All Plans | $26.45 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $27.60 | ↓ -87% |
| Partnership Health Plan | Medicaid|All Plans | $28.75 | ↓ -86% |
| Molina | Medicaid|All Plans | $29.90 | ↓ -85% |
| Health Net | Medicaid|All Plans | $32.20 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $32.20 | ↓ -84% |
| Health Net | Commercial|EPPO | $44.85 | ↓ -78% |
| Cigna | Commercial|LocalPlus | $46.00 | ↓ -78% |
| United | Commercial|Non-Options PPO | $59.80 | ↓ -71% |
| Cigna | Commercial|All Other Plans | $60.95 | ↓ -70% |
| United | Commercial|Options PPO | $64.40 | ↓ -69% |
| United | Commercial|HMO | $64.40 | ↓ -69% |
| United | Commercial|All Other Plans | $64.40 | ↓ -69% |
| Blue Shield CA | Commercial|ACO Trio | $74.75 | ↓ -64% |
| Western Health Advantage | Commercial|All Plans | $74.75 | ↓ -64% |
| Health Net | Commercial|FFS | $81.65 | ↓ -60% |
| Healthsmart | Commercial|All Plans | $86.25 | ↓ -58% |
| First Health | Commercial|All Plans | $86.25 | ↓ -58% |
| BCBS - Anthem | Commercial|Connection EPO | $89.70 | ↓ -56% |
| Sutter Health | Commercial|All Plans | $92.00 | ↓ -55% |
| Blue Shield CA | Commercial|Exchange | $94.30 | ↓ -54% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $94.30 | ↓ -54% |
| MultiPlan | Commercial|All Plans | $95.45 | ↓ -54% |
| Aetna | Commercial|HMO | $97.75 | ↓ -52% |
| Aetna | Commercial|All Other Plans | $97.75 | ↓ -52% |
| Aetna | Commercial|PPO | $97.75 | ↓ -52% |
| Blue Shield CA | Commercial|PPO | $103.50 | ↓ -50% |
| Blue Shield CA | Commercial|HMO | $103.50 | ↓ -50% |
| Blue Shield CA | Commercial|PPO Tandem | $103.50 | ↓ -50% |
| Blue Shield CA | Commercial|CalPers | $105.80 | ↓ -49% |
| BCBS - Anthem | Commercial|MCS | $111.55 | ↓ -46% |
| BCBS - Anthem | Commercial|All Other Plans | $111.55 | ↓ -46% |
| United | Medicaid|< 21 | $115.00 | ↓ -44% |
| Hill Physicians | Medicaid|All Plans | $115.00 | ↓ -44% |
| United | Medicaid|> 21 | $115.00 | ↓ -44% |
Visitor-reported prices
Comments
Brace knee hing pat open med at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $261.05 | $143.04 – $464.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $246.72 | $97.50 – $351.00 |
| Bakersfield Memorial Hospital | Bakersfield | $244.06 | $97.50 – $378.30 |
| St. Joseph's Medical Center Stockton | Stockton | $156.41 | $91.26 – $351.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $743.77 | $103.68 – $423.36 |
| Mercy Medical Center Merced | Merced | $136.99 | $46.92 – $195.84 |
| St. Mary Medical Center | Long Beach | $419.25 | $23.00 – $578.70 |
| Community Hospital San Bernardino | San Bernardino | $381.23 | $24.15 – $578.70 |