Brachy src stranded c-131 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$106.86
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.
$390.00
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.
$42.90 with WCMG vs $378.30 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 →
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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 | $42.90 | ↓ -60% |
| Kaiser | Commercial|All Plans | $89.70 | ↓ -16% |
| Kaiser | Medicaid|All Plans | $89.70 | ↓ -16% |
| Kaiser | Medicare|All Plans | $89.70 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $93.60 | ↓ -12% |
| Partnership Health Plan | Medicaid|All Plans | $97.50 | ↓ -9% |
| Molina | Medicaid|All Plans | $101.40 | ↓ -5% |
| Health Net | Medicaid|All Plans | $109.20 | ↑ +2% |
| California Health & Wellness | Medicaid|All Plans | $109.20 | ↑ +2% |
| BCBS - Anthem | Medicare|All Other Plans | $133.66 | ↑ +25% |
| United | Medicare|All Plans | $141.74 | ↑ +33% |
| Aetna | Medicare|All Plans | $141.74 | ↑ +33% |
| Blue Shield CA | Medicare|PPO | $141.74 | ↑ +33% |
| Humana | Medicare|All Plans | $141.74 | ↑ +33% |
| Humana | Commercial|All Plans | $141.74 | ↑ +33% |
| Molina | Medicare|All Plans | $141.74 | ↑ +33% |
| Blue Shield CA | Medicare|HMO | $141.74 | ↑ +33% |
| BCBS - Anthem | Medicare|Imperial | $145.99 | ↑ +37% |
| Health Net | Commercial|EPPO | $152.10 | ↑ +42% |
| BrightHealth | Commercial|All Plans | $155.91 | ↑ +46% |
| Cigna | Commercial|LocalPlus | $156.00 | ↑ +46% |
| BlueShield | Medicare|Trauma | $177.18 | ↑ +66% |
| United | Commercial|Non-Options PPO | $202.80 | ↑ +90% |
| Cigna | Commercial|All Other Plans | $206.70 | ↑ +93% |
| Prison Healthcare | Medicaid|All Plans | $212.61 | ↑ +99% |
| United | Commercial|Options PPO | $218.40 | ↑ +104% |
| United | Commercial|All Other Plans | $218.40 | ↑ +104% |
| United | Commercial|HMO | $218.40 | ↑ +104% |
| Western Health Advantage | Commercial|All Plans | $253.50 | ↑ +137% |
| Blue Shield CA | Commercial|ACO Trio | $253.50 | ↑ +137% |
| Health Net | Commercial|FFS | $276.90 | ↑ +159% |
| First Health | Commercial|All Plans | $292.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $292.50 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $304.20 | ↑ +185% |
| Sutter Health | Commercial|All Plans | $312.00 | ↑ +192% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $319.80 | ↑ +199% |
| Blue Shield CA | Commercial|Exchange | $319.80 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $323.70 | ↑ +203% |
| Aetna | Commercial|PPO | $331.50 | ↑ +210% |
| Aetna | Commercial|All Other Plans | $331.50 | ↑ +210% |
| Aetna | Commercial|HMO | $331.50 | ↑ +210% |
| Blue Shield CA | Commercial|HMO | $351.00 | ↑ +228% |
| Blue Shield CA | Commercial|PPO Tandem | $351.00 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $351.00 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $358.80 | ↑ +236% |
| BCBS - Anthem | Commercial|MCS | $378.30 | ↑ +254% |
| BCBS - Anthem | Commercial|All Other Plans | $378.30 | ↑ +254% |
Visitor-reported prices
Comments
Brachy src stranded c-131 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $416.16 | $116.73 – $119.11 |
| Queen of The Valley Medical Center | Napa | $322.16 | $119.11 – $119.11 |
| Providence St Joseph Hospital Eureka | Eureka | $394.13 | not published |
| Healdsburg Hospital | Healdsburg | $269.28 | not published |
| Redwood Memorial Hospital | Fortuna | $394.13 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $416.16 | $116.73 – $119.11 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $293.53 | not published |
| Dominican Hospital | Santa Cruz | $179.10 | $87.56 – $463.80 |