Bronch w/debrdmt subgltc & uppr trach at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
not published by hospital
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.
not published by hospital
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.
$240.58 with BCBS - Anthem vs $6,776.00 with Blue Shield CA — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $240.58 | — |
| Humana | Medicare|All Plans | $255.12 | — |
| Humana | Commercial|All Plans | $255.12 | — |
| Aetna | Medicare|All Plans | $255.12 | — |
| Molina | Medicare|All Plans | $255.12 | — |
| United | Medicare|All Plans | $255.12 | — |
| Kaiser | Medicare|All Plans | $255.12 | — |
| Blue Shield CA | Medicare|HMO | $255.12 | — |
| Blue Shield CA | Medicare|PPO | $255.12 | — |
| BCBS - Anthem | Medicare|Imperial | $262.77 | — |
| BrightHealth | Commercial|All Plans | $280.63 | — |
| BlueShield | Medicare|Trauma | $318.90 | — |
| Prison Healthcare | Medicaid|All Plans | $382.68 | — |
| BCBS - Anthem | Medicaid|All Plans | $405.86 | — |
| Health Net | Commercial|EPPO | $3,200.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | — |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | — |
| Aetna | Commercial|PPO | $5,178.00 | — |
| Aetna | Commercial|HMO | $5,178.00 | — |
| Aetna | Commercial|All Other Plans | $5,178.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | — |
| Health Net | Commercial|FFS | $5,805.00 | — |
| Blue Shield CA | Commercial|HMO | $6,255.00 | — |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | — |
| Blue Shield CA | Commercial|PPO | $6,776.00 | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Health Net | Medicaid|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| California Health & Wellness | Medicaid|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Bronch w/debrdmt subgltc & uppr trach at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $214.81 | $156.33 – $463.20 |
| Bakersfield Memorial Hospital | Bakersfield | $212.50 | $156.33 – $457.41 |
| St. Joseph's Behavioral Health Center | Stockton | $318.05 | $55.70 – $445.60 |
| Healdsburg Hospital | Healdsburg | $269.79 | $268.94 – $3,982.87 |
| St. Joseph's Medical Center Stockton | Stockton | $161.70 | $115.50 – $462.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,113.76 | $218.22 – $5,171.00 |
| Mercy Medical Center Merced | Merced | $302.31 | $193.71 – $581.13 |
| Providence St Joseph Hospital Orange | Orange | $2,675.04 | $218.22 – $4,971.00 |