Cath plc art ang/grft lt/rt hr at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$15,046.44
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.
?
What you pay up front if you don't use insurance.
$54,914.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,015.17 with Hill Physicians vs $58,040.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,015.17 | ↓ -93% |
| United | Medicaid|< 21 | $1,475.24 | ↓ -90% |
| United | Medicaid|> 21 | $1,475.24 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $1,793.55 | ↓ -88% |
| Molina | Medicaid|All Plans | $2,416.91 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $2,442.62 | ↓ -84% |
| Health Net | Medicaid|All Plans | $3,733.84 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $3,733.84 | ↓ -75% |
| BCBS - Anthem | Medicare|All Other Plans | $3,985.76 | ↓ -74% |
| Molina | Medicare|All Plans | $4,226.68 | ↓ -72% |
| Blue Shield CA | Medicare|HMO | $4,226.68 | ↓ -72% |
| United | Medicare|All Plans | $4,226.68 | ↓ -72% |
| Blue Shield CA | Medicare|PPO | $4,226.68 | ↓ -72% |
| Humana | Medicare|All Plans | $4,226.68 | ↓ -72% |
| Kaiser | Medicare|All Plans | $4,226.68 | ↓ -72% |
| Aetna | Medicare|All Plans | $4,226.68 | ↓ -72% |
| Humana | Commercial|All Plans | $4,226.68 | ↓ -72% |
| BCBS - Anthem | Medicare|Imperial | $4,353.48 | ↓ -71% |
| BrightHealth | Commercial|All Plans | $4,649.35 | ↓ -69% |
| BlueShield | Medicare|Trauma | $5,283.35 | ↓ -65% |
| Partnership Health Plan | Medicaid|All Plans | $5,528.04 | ↓ -63% |
| WCMG | Commercial|All Plans | $6,040.54 | ↓ -60% |
| Prison Healthcare | Medicaid|All Plans | $6,340.02 | ↓ -58% |
| Health Net | Commercial|EPPO | $7,039.00 | ↓ -53% |
| Blue Shield CA | Commercial|ACO Trio | $12,333.00 | ↓ -18% |
| Health Net | Commercial|FFS | $12,770.00 | ↓ -15% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,724.00 | ↑ +5% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +10% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +10% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +10% |
| Blue Shield CA | Commercial|Exchange | $17,053.00 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $19,219.90 | ↑ +28% |
| Blue Shield CA | Commercial|PPO Tandem | $21,988.00 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $22,514.74 | ↑ +50% |
| Blue Shield CA | Commercial|HMO | $23,316.00 | ↑ +55% |
| Blue Shield CA | Commercial|CalPers | $24,547.00 | ↑ +63% |
| Blue Shield CA | Commercial|PPO | $26,437.00 | ↑ +76% |
| Kaiser | Commercial|All Plans | $29,653.56 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $33,166.00 | ↑ +120% |
| Healthsmart | Commercial|All Plans | $41,185.50 | ↑ +174% |
| First Health | Commercial|All Plans | $41,185.50 | ↑ +174% |
| BCBS - Anthem | Commercial|All Other Plans | $41,457.00 | ↑ +176% |
| Sutter Health | Commercial|All Plans | $43,931.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $45,578.62 | ↑ +203% |
| United | Commercial|Non-Options PPO | $54,914.00 | ↑ +265% |
| United | Commercial|All Other Plans | $54,914.00 | ↑ +265% |
| United | Commercial|HMO | $54,914.00 | ↑ +265% |
| United | Commercial|Options PPO | $54,914.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $58,040.00 | ↑ +286% |
Visitor-reported prices
Comments
Cath plc art ang/grft lt/rt hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $12,614.40 | $1,814.55 – $22,464.00 |
| Arroyo Grande Hospital | Santa Maria | $8,396.08 | $1,475.24 – $19,224.66 |
| French Hospital | San Luis Obispo | $8,288.06 | $1,475.24 – $20,720.14 |
| Bakersfield Memorial Hospital | Bakersfield | $6,919.06 | $1,475.24 – $14,893.87 |
| Queen of The Valley Medical Center | Napa | $22,895.94 | $4,603.09 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,131.26 | $4,169.67 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $18,010.15 | $1,285.59 – $51,457.56 |
| Santa Rosa Memorial Hospital | Santa Rosa | $20,814.63 | $4,511.03 – $12,568.00 |