Cardioversion elective electrical conversion arrhythmia external at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,251.64
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.
$4,568.00
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.
$109.05 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 | $109.05 | ↓ -91% |
| United | Medicaid|< 21 | $175.66 | ↓ -86% |
| United | Medicaid|> 21 | $175.66 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $193.23 | ↓ -85% |
| Molina | Medicaid|All Plans | $230.22 | ↓ -82% |
| WCMG | Commercial|All Plans | $271.37 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $333.75 | ↓ -73% |
| Health Net | Medicaid|All Plans | $402.26 | ↓ -68% |
| California Health & Wellness | Medicaid|All Plans | $402.26 | ↓ -68% |
| Partnership Health Plan | Medicaid|All Plans | $755.32 | ↓ -40% |
| BCBS - Anthem | Medicare|All Other Plans | $810.90 | ↓ -35% |
| Molina | Medicare|All Plans | $859.92 | ↓ -31% |
| Humana | Medicare|All Plans | $859.92 | ↓ -31% |
| Aetna | Medicare|All Plans | $859.92 | ↓ -31% |
| Kaiser | Medicare|All Plans | $859.92 | ↓ -31% |
| Blue Shield CA | Medicare|PPO | $859.92 | ↓ -31% |
| United | Medicare|All Plans | $859.92 | ↓ -31% |
| Blue Shield CA | Medicare|HMO | $859.92 | ↓ -31% |
| Humana | Commercial|All Plans | $859.92 | ↓ -31% |
| Western Health Advantage | Commercial|All Plans | $863.45 | ↓ -31% |
| BCBS - Anthem | Medicare|Imperial | $885.72 | ↓ -29% |
| BrightHealth | Commercial|All Plans | $945.91 | ↓ -24% |
| Kaiser | Medicaid|All Plans | $1,011.47 | ↓ -19% |
| BlueShield | Medicare|Trauma | $1,074.90 | ↓ -14% |
| Prison Healthcare | Medicaid|All Plans | $1,289.88 | ↑ +3% |
| Kaiser | Commercial|All Plans | $1,332.18 | ↑ +6% |
| Healthsmart | Commercial|All Plans | $1,850.25 | ↑ +48% |
| First Health | Commercial|All Plans | $1,850.25 | ↑ +48% |
| Blue Shield CA | Commercial|ACO Trio | $1,961.00 | ↑ +57% |
| Sutter Health | Commercial|All Plans | $1,973.60 | ↑ +58% |
| MultiPlan | Commercial|All Plans | $2,047.61 | ↑ +64% |
| Cigna | Commercial|LocalPlus | $2,442.00 | ↑ +95% |
| United | Commercial|HMO | $2,467.00 | ↑ +97% |
| United | Commercial|Non-Options PPO | $2,467.00 | ↑ +97% |
| United | Commercial|Options PPO | $2,467.00 | ↑ +97% |
| United | Commercial|All Other Plans | $2,467.00 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2,479.00 | ↑ +98% |
| Blue Shield CA | Commercial|Exchange | $2,886.00 | ↑ +131% |
| Aetna | Commercial|HMO | $2,923.00 | ↑ +134% |
| Aetna | Commercial|All Other Plans | $2,923.00 | ↑ +134% |
| Aetna | Commercial|PPO | $2,923.00 | ↑ +134% |
| Blue Shield CA | Commercial|PPO Tandem | $3,071.00 | ↑ +145% |
| Cigna | Commercial|All Other Plans | $3,256.00 | ↑ +160% |
| Blue Shield CA | Commercial|PPO | $3,330.00 | ↑ +166% |
| Blue Shield CA | Commercial|HMO | $3,330.00 | ↑ +166% |
| Blue Shield CA | Commercial|CalPers | $3,404.00 | ↑ +172% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +211% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +242% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +327% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +465% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +498% |
Visitor-reported prices
Comments
Cardioversion elective electrical conversion arrhythmia external at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,247.87 | $150.32 – $2,336.18 |
| Banner Lassen Medical Center | Susanville | $974.43 | $130.88 – $1,944.85 |
| Petaluma Valley Hospital | Petaluma | $4,521.66 | $890.70 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,770.64 | $175.66 – $3,607.38 |
| Mark Twain Medical Center | San Andreas | $889.78 | $84.34 – $319.48 |
| French Hospital | San Luis Obispo | $2,350.83 | $175.66 – $3,607.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $920.83 | $175.66 – $2,035.24 |
| Bakersfield Memorial Hospital | Bakersfield | $910.90 | $175.66 – $2,035.24 |