Cerv sr wire occ/man pre ots at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$120.56
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.
$440.00
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.
$36.85 with WCMG vs $324.95 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 | $36.85 | ↓ -69% |
| Kaiser | Medicaid|All Plans | $77.05 | ↓ -36% |
| Kaiser | Commercial|All Plans | $77.05 | ↓ -36% |
| Kaiser | Medicare|All Plans | $77.05 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $80.40 | ↓ -33% |
| Partnership Health Plan | Medicaid|All Plans | $83.75 | ↓ -31% |
| Molina | Medicaid|All Plans | $87.10 | ↓ -28% |
| Health Net | Medicaid|All Plans | $93.80 | ↓ -22% |
| California Health & Wellness | Medicaid|All Plans | $93.80 | ↓ -22% |
| United | Medicaid|< 21 | $109.70 | ↓ -9% |
| United | Medicaid|> 21 | $109.70 | ↓ -9% |
| Hill Physicians | Medicaid|All Plans | $120.67 | ↑ +0% |
| Health Net | Commercial|EPPO | $130.65 | ↑ +8% |
| Cigna | Commercial|LocalPlus | $134.00 | ↑ +11% |
| United | Commercial|Non-Options PPO | $174.20 | ↑ +44% |
| Cigna | Commercial|All Other Plans | $177.55 | ↑ +47% |
| United | Commercial|Options PPO | $187.60 | ↑ +56% |
| United | Commercial|HMO | $187.60 | ↑ +56% |
| United | Commercial|All Other Plans | $187.60 | ↑ +56% |
| Blue Shield CA | Commercial|ACO Trio | $217.75 | ↑ +81% |
| Western Health Advantage | Commercial|All Plans | $217.75 | ↑ +81% |
| Health Net | Commercial|FFS | $237.85 | ↑ +97% |
| First Health | Commercial|All Plans | $251.25 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $251.25 | ↑ +108% |
| BCBS - Anthem | Commercial|Connection EPO | $261.30 | ↑ +117% |
| Sutter Health | Commercial|All Plans | $268.00 | ↑ +122% |
| Blue Shield CA | Commercial|Exchange | $274.70 | ↑ +128% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $274.70 | ↑ +128% |
| MultiPlan | Commercial|All Plans | $278.05 | ↑ +131% |
| Aetna | Commercial|HMO | $284.75 | ↑ +136% |
| Aetna | Commercial|All Other Plans | $284.75 | ↑ +136% |
| Aetna | Commercial|PPO | $284.75 | ↑ +136% |
| Blue Shield CA | Commercial|HMO | $301.50 | ↑ +150% |
| Blue Shield CA | Commercial|PPO | $301.50 | ↑ +150% |
| Blue Shield CA | Commercial|PPO Tandem | $301.50 | ↑ +150% |
| Blue Shield CA | Commercial|CalPers | $308.20 | ↑ +156% |
| BCBS - Anthem | Commercial|MCS | $324.95 | ↑ +170% |
| BCBS - Anthem | Commercial|All Other Plans | $324.95 | ↑ +170% |
Visitor-reported prices
Comments
Cerv sr wire occ/man pre ots at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Mary Medical Center | Long Beach | $419.25 | $88.00 – $548.50 |
| Community Hospital San Bernardino | San Bernardino | $381.23 | $92.40 – $548.50 |
| Glendale Memorial Hospital Health Center | Glendale | $317.85 | $40.00 – $464.03 |
| St. Bernardine Medical Center | San Bernardino | $324.68 | $88.00 – $548.50 |
| Mercy General Hospital | Sacramento | $95.92 | $77.05 – $298.15 |
| Mercy Hospital of Folsom | Folsom | $171.16 | $36.85 – $321.60 |
| Woodland Memorial Hospital | Woodland | $120.56 | $36.85 – $335.00 |
| Methodist Hospital of Sacramento | Sacramento | $126.72 | $77.05 – $301.50 |