Bx skin incisnl ea sep/add l les at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$95.90
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.
$350.00
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.
$30.74 with Hill Physicians vs $7,484.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $30.74 | ↓ -68% |
| WCMG | Commercial|All Plans | $38.50 | ↓ -60% |
| United | Medicaid|< 21 | $51.82 | ↓ -46% |
| United | Medicaid|> 21 | $51.82 | ↓ -46% |
| Hill Physicians | Medicaid|All Plans | $57.00 | ↓ -41% |
| Health Net | Medicaid|All Plans | $118.67 | ↑ +24% |
| California Health & Wellness | Medicaid|All Plans | $118.67 | ↑ +24% |
| Molina | Medicaid|All Plans | $121.79 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $122.50 | ↑ +28% |
| BCBS - Anthem | Medicaid|All Plans | $123.08 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $143.50 | ↑ +50% |
| Kaiser | Commercial|All Plans | $189.00 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $262.50 | ↑ +174% |
| First Health | Commercial|All Plans | $262.50 | ↑ +174% |
| Partnership Health Plan | Medicaid|All Plans | $278.55 | ↑ +190% |
| Sutter Health | Commercial|All Plans | $280.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $290.50 | ↑ +203% |
| United | Commercial|Non-Options PPO | $350.00 | ↑ +265% |
| United | Commercial|HMO | $350.00 | ↑ +265% |
| United | Commercial|Options PPO | $350.00 | ↑ +265% |
| United | Commercial|All Other Plans | $350.00 | ↑ +265% |
| BrightHealth | Commercial|All Plans | $3,245.00 | ↑ +3284% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +4360% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +5299% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +5299% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +5299% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +5475% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +7704% |
Visitor-reported prices
Comments
Bx skin incisnl ea sep/add l les at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $552.37 | $78.40 – $1,331.00 |
| Petaluma Valley Hospital | Petaluma | $227.97 | $1,687.00 – $10,997.00 |
| Mark Twain Medical Center | San Andreas | $61.28 | $22.51 – $85.26 |
| Bakersfield Memorial Hospital | Bakersfield | $76.71 | $51.82 – $206.91 |
| Queen of The Valley Medical Center | Napa | $240.21 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $769.08 | $2,699.00 – $21,319.00 |
| Healdsburg Hospital | Healdsburg | $755.82 | $3,982.87 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $543.66 | $8,222.00 – $20,799.00 |