Brachy source palladium at Mercy San Juan Medical Center

6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$52.06

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$190.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$20.90 with WCMG vs $184.30 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 →

Payer
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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
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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 $20.90 ↓ -60%
Kaiser Commercial|All Plans $43.70 ↓ -16%
Kaiser Medicaid|All Plans $43.70 ↓ -16%
Kaiser Medicare|All Plans $43.70 ↓ -16%
BCBS - Anthem Medicaid|All Plans $45.60 ↓ -12%
Partnership Health Plan Medicaid|All Plans $47.50 ↓ -9%
Molina Medicaid|All Plans $49.40 ↓ -5%
Health Net Medicaid|All Plans $53.20 ↑ +2%
California Health & Wellness Medicaid|All Plans $53.20 ↑ +2%
Health Net Commercial|EPPO $74.10 ↑ +42%
Cigna Commercial|LocalPlus $76.00 ↑ +46%
BCBS - Anthem Medicare|All Other Plans $86.36 ↑ +66%
Humana Commercial|All Plans $91.58 ↑ +76%
Humana Medicare|All Plans $91.58 ↑ +76%
Aetna Medicare|All Plans $91.58 ↑ +76%
Molina Medicare|All Plans $91.58 ↑ +76%
United Medicare|All Plans $91.58 ↑ +76%
Blue Shield CA Medicare|HMO $91.58 ↑ +76%
Blue Shield CA Medicare|PPO $91.58 ↑ +76%
BCBS - Anthem Medicare|Imperial $94.33 ↑ +81%
United Commercial|Non-Options PPO $98.80 ↑ +90%
Cigna Commercial|All Other Plans $100.70 ↑ +93%
BrightHealth Commercial|All Plans $100.74 ↑ +94%
United Commercial|All Other Plans $106.40 ↑ +104%
United Commercial|HMO $106.40 ↑ +104%
United Commercial|Options PPO $106.40 ↑ +104%
BlueShield Medicare|Trauma $114.47 ↑ +120%
Blue Shield CA Commercial|ACO Trio $123.50 ↑ +137%
Western Health Advantage Commercial|All Plans $123.50 ↑ +137%
Health Net Commercial|FFS $134.90 ↑ +159%
Prison Healthcare Medicaid|All Plans $137.37 ↑ +164%
First Health Commercial|All Plans $142.50 ↑ +174%
Healthsmart Commercial|All Plans $142.50 ↑ +174%
BCBS - Anthem Commercial|Connection EPO $148.20 ↑ +185%
Sutter Health Commercial|All Plans $152.00 ↑ +192%
Blue Shield CA Commercial|Exchange $155.80 ↑ +199%
Blue Shield CA Commercial|ACO Trio CalPers $155.80 ↑ +199%
MultiPlan Commercial|All Plans $157.70 ↑ +203%
Aetna Commercial|PPO $161.50 ↑ +210%
Aetna Commercial|All Other Plans $161.50 ↑ +210%
Aetna Commercial|HMO $161.50 ↑ +210%
Blue Shield CA Commercial|HMO $171.00 ↑ +228%
Blue Shield CA Commercial|PPO $171.00 ↑ +228%
Blue Shield CA Commercial|PPO Tandem $171.00 ↑ +228%
Blue Shield CA Commercial|CalPers $174.80 ↑ +236%
BCBS - Anthem Commercial|MCS $184.30 ↑ +254%
BCBS - Anthem Commercial|All Other Plans $184.30 ↑ +254%

Visitor-reported prices

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Brachy source palladium at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $273.11 $86.49 – $88.26
Arroyo Grande Hospital Santa Maria $70.62 $37.95 – $161.70
French Hospital San Luis Obispo $64.68 $31.35 – $161.70
Queen of The Valley Medical Center Napa $211.42 $88.26 – $88.26
Providence St Joseph Hospital Eureka Eureka $258.65 not published
Healdsburg Hospital Healdsburg $176.72 not published
Redwood Memorial Hospital Fortuna $258.65 not published
Santa Rosa Memorial Hospital Santa Rosa $273.11 $86.49 – $88.26

All California hospitals for this procedure →