Bx soft tiss pelvis/hip deep 27041 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$988.05
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.
$3,606.00
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.
$348.62 with United vs $12,615.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $348.62 | ↓ -65% |
| United | Medicaid|< 21 | $348.62 | ↓ -65% |
| WCMG | Commercial|All Plans | $396.66 | ↓ -60% |
| Molina | Medicaid|All Plans | $571.14 | ↓ -42% |
| Hill Physicians | Medicaid|All Plans | $604.48 | ↓ -39% |
| Hill Physicians | Commercial|All Plans | $728.97 | ↓ -26% |
| BCBS - Anthem | Medicaid|All Plans | $827.96 | ↓ -16% |
| California Health & Wellness | Medicaid|All Plans | $1,258.42 | ↑ +27% |
| Health Net | Medicaid|All Plans | $1,258.42 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $1,262.10 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,478.46 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $1,873.81 | ↑ +90% |
| Kaiser | Commercial|All Plans | $1,947.24 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $2,007.80 | ↑ +103% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +115% |
| Humana | Medicare|All Plans | $2,129.16 | ↑ +115% |
| Humana | Commercial|All Plans | $2,129.16 | ↑ +115% |
| Aetna | Medicare|All Plans | $2,129.16 | ↑ +115% |
| Molina | Medicare|All Plans | $2,129.16 | ↑ +115% |
| United | Medicare|All Plans | $2,129.16 | ↑ +115% |
| Blue Shield CA | Medicare|PPO | $2,129.16 | ↑ +115% |
| Blue Shield CA | Medicare|HMO | $2,129.16 | ↑ +115% |
| BCBS - Anthem | Medicare|Imperial | $2,193.03 | ↑ +122% |
| BrightHealth | Commercial|All Plans | $2,342.08 | ↑ +137% |
| BlueShield | Medicare|Trauma | $2,661.45 | ↑ +169% |
| First Health | Commercial|All Plans | $2,704.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $2,704.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,884.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,992.98 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $3,193.74 | ↑ +223% |
| United | Commercial|Options PPO | $3,606.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $3,606.00 | ↑ +265% |
| United | Commercial|HMO | $3,606.00 | ↑ +265% |
| United | Commercial|All Other Plans | $3,606.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +348% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +471% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +480% |
| Health Net | Commercial|EPPO | $5,780.00 | ↑ +485% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +630% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +634% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +634% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +634% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +662% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +747% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +792% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +812% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +818% |
| Health Net | Commercial|FFS | $10,485.00 | ↑ +961% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +1177% |
Visitor-reported prices
Comments
Bx soft tiss pelvis/hip deep 27041 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,090.36 | $348.62 – $4,602.08 |
| Mark Twain Medical Center | San Andreas | $21,952.03 | $348.62 – $1,722.84 |
| French Hospital | San Luis Obispo | $1,769.88 | $348.62 – $3,448.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,713.65 | $348.62 – $1,306.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,695.18 | $348.62 – $1,306.00 |
| Queen of The Valley Medical Center | Napa | $3,066.63 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,221.05 | $2,124.23 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $10,325.58 | $0.80 – $615.00 |