Cardiac rehabilitation op phase 2 w/continous ecg monitoring at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$99.74
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.
$364.00
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.
$13.47 with Hill Physicians vs $509.00 with United — 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 | $13.47 | ↓ -86% |
| United | Medicaid|> 21 | $22.25 | ↓ -78% |
| United | Medicaid|< 21 | $22.25 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $24.48 | ↓ -75% |
| WCMG | Commercial|All Plans | $40.04 | ↓ -60% |
| Molina | Medicaid|All Plans | $41.83 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $42.28 | ↓ -58% |
| Health Net | Medicaid|All Plans | $50.95 | ↓ -49% |
| California Health & Wellness | Medicaid|All Plans | $50.95 | ↓ -49% |
| Partnership Health Plan | Medicaid|All Plans | $95.68 | ↓ -4% |
| Western Health Advantage | Commercial|All Plans | $127.40 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $149.24 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $156.03 | ↑ +56% |
| Humana | Commercial|All Plans | $165.46 | ↑ +66% |
| Humana | Medicare|All Plans | $165.46 | ↑ +66% |
| Aetna | Medicare|All Plans | $165.46 | ↑ +66% |
| Molina | Medicare|All Plans | $165.46 | ↑ +66% |
| United | Medicare|All Plans | $165.46 | ↑ +66% |
| Kaiser | Medicare|All Plans | $165.46 | ↑ +66% |
| Blue Shield CA | Medicare|HMO | $165.46 | ↑ +66% |
| Blue Shield CA | Medicare|PPO | $165.46 | ↑ +66% |
| BCBS - Anthem | Medicare|Imperial | $170.42 | ↑ +71% |
| BrightHealth | Commercial|All Plans | $182.01 | ↑ +82% |
| Kaiser | Commercial|All Plans | $196.56 | ↑ +97% |
| BlueShield | Medicare|Trauma | $206.83 | ↑ +107% |
| Prison Healthcare | Medicaid|All Plans | $248.19 | ↑ +149% |
| Healthsmart | Commercial|All Plans | $273.00 | ↑ +174% |
| First Health | Commercial|All Plans | $273.00 | ↑ +174% |
| United | Commercial|HMO | $291.00 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $291.20 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $291.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $302.12 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $364.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $364.00 | ↑ +265% |
| United | Commercial|All Other Plans | $364.00 | ↑ +265% |
| United | Commercial|Options PPO | $364.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $509.00 | ↑ +410% |
Visitor-reported prices
Comments
Cardiac rehabilitation op phase 2 w/continous ecg monitoring at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $326.31 | $18.93 – $581.10 |
| Arroyo Grande Hospital | Santa Maria | $299.60 | $22.25 – $686.00 |
| Mark Twain Medical Center | San Andreas | $217.79 | $22.25 – $320.46 |
| French Hospital | San Luis Obispo | $274.40 | $22.25 – $686.00 |
| Bakersfield Memorial Hospital | Bakersfield | $132.12 | $22.25 – $284.40 |
| Providence St Joseph Hospital Eureka | Eureka | $297.33 | $165.80 – $308.18 |
| St. Joseph's Medical Center Stockton | Stockton | $143.18 | $22.25 – $414.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $138.72 | $140.93 – $306.72 |