Bypass temp external fem-fem at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$556.77
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.
$2,032.00
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.
$223.52 with WCMG vs $7,251.00 with Aetna — 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 | $223.52 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $711.20 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $766.15 | ↑ +38% |
| Blue Shield CA | Medicare|HMO | $812.46 | ↑ +46% |
| Aetna | Medicare|All Plans | $812.46 | ↑ +46% |
| Kaiser | Medicare|All Plans | $812.46 | ↑ +46% |
| Molina | Medicare|All Plans | $812.46 | ↑ +46% |
| United | Medicare|All Plans | $812.46 | ↑ +46% |
| Humana | Commercial|All Plans | $812.46 | ↑ +46% |
| Humana | Medicare|All Plans | $812.46 | ↑ +46% |
| Blue Shield CA | Medicare|PPO | $812.46 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $833.12 | ↑ +50% |
| BCBS - Anthem | Medicare|Imperial | $836.83 | ↑ +50% |
| BrightHealth | Commercial|All Plans | $893.71 | ↑ +61% |
| BlueShield | Medicare|Trauma | $1,015.58 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $1,016.00 | ↑ +82% |
| Health Net | Medicaid|All Plans | $1,016.00 | ↑ +82% |
| Kaiser | Commercial|All Plans | $1,097.28 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $1,218.69 | ↑ +119% |
| Healthsmart | Commercial|All Plans | $1,524.00 | ↑ +174% |
| First Health | Commercial|All Plans | $1,524.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,625.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,686.56 | ↑ +203% |
| United | Commercial|HMO | $2,032.00 | ↑ +265% |
| United | Commercial|Options PPO | $2,032.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,032.00 | ↑ +265% |
| United | Commercial|All Other Plans | $2,032.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +495% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +600% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +658% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +669% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +910% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +1023% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +1083% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +1117% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +1170% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +1202% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +1202% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +1202% |
Visitor-reported prices
Comments
Bypass temp external fem-fem at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,322.94 | $845.36 – $2,695.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $563.92 | $410.40 – $1,216.00 |
| Bakersfield Memorial Hospital | Bakersfield | $557.84 | $760.00 – $1,200.80 |
| Queen of The Valley Medical Center | Napa | $1,009.80 | $890.68 – $5,592.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,641.40 | $806.82 – $5,835.00 |
| Healdsburg Hospital | Healdsburg | $602.82 | $845.19 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $981.24 | $3,331.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,139.27 | $872.87 – $2,741.00 |