Cauterization chemical granulation tissue at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$225.23
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.
$822.00
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.
$23.07 with United 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $23.07 | ↓ -90% |
| United | Medicaid|> 21 | $23.07 | ↓ -90% |
| Molina | Medicaid|All Plans | $37.79 | ↓ -83% |
| Hill Physicians | Commercial|All Plans | $38.93 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $40.00 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $54.78 | ↓ -76% |
| Health Net | Medicaid|All Plans | $83.26 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $83.26 | ↓ -63% |
| WCMG | Commercial|All Plans | $90.42 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $123.98 | ↓ -45% |
| BCBS - Anthem | Medicare|All Other Plans | $246.23 | ↑ +9% |
| Kaiser | Medicare|All Plans | $261.11 | ↑ +16% |
| Humana | Medicare|All Plans | $261.11 | ↑ +16% |
| Humana | Commercial|All Plans | $261.11 | ↑ +16% |
| Aetna | Medicare|All Plans | $261.11 | ↑ +16% |
| Molina | Medicare|All Plans | $261.11 | ↑ +16% |
| United | Medicare|All Plans | $261.11 | ↑ +16% |
| Blue Shield CA | Medicare|PPO | $261.11 | ↑ +16% |
| Blue Shield CA | Medicare|HMO | $261.11 | ↑ +16% |
| BCBS - Anthem | Medicare|Imperial | $268.94 | ↑ +19% |
| BrightHealth | Commercial|All Plans | $287.22 | ↑ +28% |
| Western Health Advantage | Commercial|All Plans | $287.70 | ↑ +28% |
| BlueShield | Medicare|Trauma | $326.39 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $337.02 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $391.67 | ↑ +74% |
| Kaiser | Commercial|All Plans | $443.88 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $616.50 | ↑ +174% |
| First Health | Commercial|All Plans | $616.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $657.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $682.26 | ↑ +203% |
| United | Commercial|Options PPO | $822.00 | ↑ +265% |
| United | Commercial|HMO | $822.00 | ↑ +265% |
| United | Commercial|All Other Plans | $822.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $822.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +354% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +479% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +487% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +671% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +758% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +803% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +829% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1321% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +1799% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +2199% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +2199% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +2199% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +2274% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +2477% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +3223% |
Visitor-reported prices
Comments
Cauterization chemical granulation tissue at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $193.39 | $28.38 – $453.26 |
| Petaluma Valley Hospital | Petaluma | $365.67 | $270.38 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $94.58 | $23.07 – $97.02 |
| Bakersfield Memorial Hospital | Bakersfield | $169.19 | $23.07 – $364.19 |
| Queen of The Valley Medical Center | Napa | $860.88 | $284.87 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $564.06 | $258.05 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $453.39 | $270.32 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $514.59 | $1,333.00 – $20,799.00 |