Cath ptca pcltxl agent 3x20mm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$10,624.35
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.
$38,775.00
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.
$3,280.75 with WCMG vs $28,930.25 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $3,280.75 | ↓ -69% |
| Kaiser | Medicaid|All Plans | $6,859.75 | ↓ -35% |
| Kaiser | Commercial|All Plans | $6,859.75 | ↓ -35% |
| Kaiser | Medicare|All Plans | $6,859.75 | ↓ -35% |
| BCBS - Anthem | Medicaid|All Plans | $7,158.00 | ↓ -33% |
| Partnership Health Plan | Medicaid|All Plans | $7,456.25 | ↓ -30% |
| Molina | Medicaid|All Plans | $7,754.50 | ↓ -27% |
| Health Net | Medicaid|All Plans | $8,351.00 | ↓ -21% |
| California Health & Wellness | Medicaid|All Plans | $8,351.00 | ↓ -21% |
| Health Net | Commercial|EPPO | $11,631.75 | ↑ +9% |
| Cigna | Commercial|LocalPlus | $11,930.00 | ↑ +12% |
| United | Commercial|Non-Options PPO | $15,509.00 | ↑ +46% |
| Cigna | Commercial|All Other Plans | $15,807.25 | ↑ +49% |
| United | Commercial|Options PPO | $16,702.00 | ↑ +57% |
| United | Commercial|HMO | $16,702.00 | ↑ +57% |
| United | Commercial|All Other Plans | $16,702.00 | ↑ +57% |
| Blue Shield CA | Commercial|ACO Trio | $19,386.25 | ↑ +82% |
| Western Health Advantage | Commercial|All Plans | $19,386.25 | ↑ +82% |
| Health Net | Commercial|FFS | $21,175.75 | ↑ +99% |
| First Health | Commercial|All Plans | $22,368.75 | ↑ +111% |
| Healthsmart | Commercial|All Plans | $22,368.75 | ↑ +111% |
| BCBS - Anthem | Commercial|Connection EPO | $23,263.50 | ↑ +119% |
| Sutter Health | Commercial|All Plans | $23,860.00 | ↑ +125% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $24,456.50 | ↑ +130% |
| Blue Shield CA | Commercial|Exchange | $24,456.50 | ↑ +130% |
| MultiPlan | Commercial|All Plans | $24,754.75 | ↑ +133% |
| Aetna | Commercial|HMO | $25,351.25 | ↑ +139% |
| Aetna | Commercial|All Other Plans | $25,351.25 | ↑ +139% |
| Aetna | Commercial|PPO | $25,351.25 | ↑ +139% |
| Blue Shield CA | Commercial|PPO Tandem | $26,842.50 | ↑ +153% |
| Blue Shield CA | Commercial|PPO | $26,842.50 | ↑ +153% |
| Blue Shield CA | Commercial|HMO | $26,842.50 | ↑ +153% |
| Blue Shield CA | Commercial|CalPers | $27,439.00 | ↑ +158% |
| BCBS - Anthem | Commercial|MCS | $28,930.25 | ↑ +172% |
| BCBS - Anthem | Commercial|All Other Plans | $28,930.25 | ↑ +172% |
Visitor-reported prices
Comments
Cath ptca pcltxl agent 3x20mm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $17,519.52 | not published |
| Queen of The Valley Medical Center | Napa | $17,519.52 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $7,002.05 | not published |
| Healdsburg Hospital | Healdsburg | $8,356.35 | not published |
| Redwood Memorial Hospital | Fortuna | $7,002.05 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $17,519.52 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $13,424.40 | not published |
| Dominican Hospital | Santa Cruz | $15,373.35 | $5,781.60 – $26,280.00 |