Brachy source yttrium-90 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$21,920.00
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.
$80,000.00
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.
$8,800.00 with WCMG vs $77,600.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $8,800.00 | ↓ -60% |
| Kaiser | Commercial|All Plans | $18,400.00 | ↓ -16% |
| Kaiser | Medicare|All Plans | $18,400.00 | ↓ -16% |
| Kaiser | Medicaid|All Plans | $18,400.00 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $19,200.00 | ↓ -12% |
| Partnership Health Plan | Medicaid|All Plans | $20,000.00 | ↓ -9% |
| Molina | Medicaid|All Plans | $20,800.00 | ↓ -5% |
| BCBS - Anthem | Medicare|All Other Plans | $21,667.47 | ↓ -1% |
| California Health & Wellness | Medicaid|All Plans | $22,400.00 | ↑ +2% |
| Health Net | Medicaid|All Plans | $22,400.00 | ↑ +2% |
| Humana | Medicare|All Plans | $22,977.17 | ↑ +5% |
| Aetna | Medicare|All Plans | $22,977.17 | ↑ +5% |
| Blue Shield CA | Medicare|PPO | $22,977.17 | ↑ +5% |
| Molina | Medicare|All Plans | $22,977.17 | ↑ +5% |
| Blue Shield CA | Medicare|HMO | $22,977.17 | ↑ +5% |
| United | Medicare|All Plans | $22,977.17 | ↑ +5% |
| Humana | Commercial|All Plans | $22,977.17 | ↑ +5% |
| BCBS - Anthem | Medicare|Imperial | $23,666.49 | ↑ +8% |
| BrightHealth | Commercial|All Plans | $25,274.89 | ↑ +15% |
| BlueShield | Medicare|Trauma | $28,721.46 | ↑ +31% |
| Health Net | Commercial|EPPO | $31,200.00 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $32,000.00 | ↑ +46% |
| Prison Healthcare | Medicaid|All Plans | $34,465.75 | ↑ +57% |
| United | Commercial|Non-Options PPO | $41,600.00 | ↑ +90% |
| Cigna | Commercial|All Other Plans | $42,400.00 | ↑ +93% |
| United | Commercial|All Other Plans | $44,800.00 | ↑ +104% |
| United | Commercial|HMO | $44,800.00 | ↑ +104% |
| United | Commercial|Options PPO | $44,800.00 | ↑ +104% |
| Blue Shield CA | Commercial|ACO Trio | $52,000.00 | ↑ +137% |
| Western Health Advantage | Commercial|All Plans | $52,000.00 | ↑ +137% |
| Health Net | Commercial|FFS | $56,800.00 | ↑ +159% |
| Healthsmart | Commercial|All Plans | $60,000.00 | ↑ +174% |
| First Health | Commercial|All Plans | $60,000.00 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $62,400.00 | ↑ +185% |
| Sutter Health | Commercial|All Plans | $64,000.00 | ↑ +192% |
| Blue Shield CA | Commercial|Exchange | $65,600.00 | ↑ +199% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $65,600.00 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $66,400.00 | ↑ +203% |
| Aetna | Commercial|PPO | $68,000.00 | ↑ +210% |
| Aetna | Commercial|HMO | $68,000.00 | ↑ +210% |
| Aetna | Commercial|All Other Plans | $68,000.00 | ↑ +210% |
| Blue Shield CA | Commercial|PPO Tandem | $72,000.00 | ↑ +228% |
| Blue Shield CA | Commercial|HMO | $72,000.00 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $72,000.00 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $73,600.00 | ↑ +236% |
| BCBS - Anthem | Commercial|All Other Plans | $77,600.00 | ↑ +254% |
| BCBS - Anthem | Commercial|MCS | $77,600.00 | ↑ +254% |
Visitor-reported prices
Comments
Brachy source yttrium-90 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $27,230.46 | $14,920.80 – $48,492.60 |
| Petaluma Valley Hospital | Petaluma | $59,436.32 | $17,415.59 – $17,771.01 |
| Arroyo Grande Hospital | Santa Maria | $26,608.76 | $14,299.10 – $60,926.60 |
| French Hospital | San Luis Obispo | $24,370.64 | $11,812.30 – $60,926.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $26,089.10 | $17,580.25 – $56,256.80 |
| Bakersfield Memorial Hospital | Bakersfield | $25,807.81 | $17,580.25 – $55,553.59 |
| Queen of The Valley Medical Center | Napa | $59,436.32 | $17,771.01 – $17,771.01 |
| Providence St Joseph Hospital Eureka | Eureka | $22,534.63 | not published |