Brach/thor cath 3rd at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$997.36
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.
$3,640.00
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.
$301.61 with United vs $17,696.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $301.61 | ↓ -70% |
| United | Medicaid|> 21 | $301.61 | ↓ -70% |
| Hill Physicians | Commercial|All Plans | $319.06 | ↓ -68% |
| WCMG | Commercial|All Plans | $381.37 | ↓ -62% |
| Molina | Medicaid|All Plans | $494.14 | ↓ -50% |
| Hill Physicians | Medicaid|All Plans | $523.01 | ↓ -48% |
| BCBS - Anthem | Medicaid|All Plans | $716.34 | ↓ -28% |
| Health Net | Medicaid|All Plans | $1,088.80 | ↑ +9% |
| California Health & Wellness | Medicaid|All Plans | $1,088.80 | ↑ +9% |
| Western Health Advantage | Commercial|All Plans | $1,213.45 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $1,421.47 | ↑ +43% |
| Partnership Health Plan | Medicaid|All Plans | $1,621.18 | ↑ +63% |
| Kaiser | Commercial|All Plans | $1,872.18 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $2,600.25 | ↑ +161% |
| First Health | Commercial|All Plans | $2,600.25 | ↑ +161% |
| Sutter Health | Commercial|All Plans | $2,773.60 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $2,877.61 | ↑ +189% |
| United | Commercial|Options PPO | $3,467.00 | ↑ +248% |
| United | Commercial|Non-Options PPO | $3,467.00 | ↑ +248% |
| United | Commercial|All Other Plans | $3,467.00 | ↑ +248% |
| United | Commercial|HMO | $3,467.00 | ↑ +248% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +627% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +627% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +627% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +914% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +1167% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +1674% |
Visitor-reported prices
Comments
Brach/thor cath 3rd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,047.70 | $370.98 – $1,865.76 |
| Arroyo Grande Hospital | Santa Maria | $1,151.75 | $301.61 – $996.66 |
| French Hospital | San Luis Obispo | $1,072.91 | $274.59 – $996.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,234.32 | $301.61 – $2,961.03 |
| Bakersfield Memorial Hospital | Bakersfield | $1,279.37 | $301.61 – $3,451.14 |
| Providence St Joseph Hospital Eureka | Eureka | $333.54 | $2,699.00 – $26,648.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,555.35 | $301.61 – $10,158.12 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,425.45 | $1,716.00 – $5,318.00 |