Change of ureter tube/stent at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,396.86
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.
$5,098.00
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.
$51.70 with United vs $10,485.00 with Health Net — 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 | $51.70 | ↓ -96% |
| United | Medicaid|> 21 | $51.70 | ↓ -96% |
| Hill Physicians | Commercial|All Plans | $80.63 | ↓ -94% |
| Molina | Medicaid|All Plans | $84.69 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $89.64 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $122.78 | ↓ -91% |
| Health Net | Medicaid|All Plans | $186.61 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $186.61 | ↓ -87% |
| Partnership Health Plan | Medicaid|All Plans | $277.86 | ↓ -80% |
| WCMG | Commercial|All Plans | $560.78 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $1,784.30 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,090.18 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $2,538.51 | ↑ +82% |
| United | Medicare|All Plans | $2,691.95 | ↑ +93% |
| Blue Shield CA | Medicare|PPO | $2,691.95 | ↑ +93% |
| Blue Shield CA | Medicare|HMO | $2,691.95 | ↑ +93% |
| Aetna | Medicare|All Plans | $2,691.95 | ↑ +93% |
| Humana | Commercial|All Plans | $2,691.95 | ↑ +93% |
| Kaiser | Medicare|All Plans | $2,691.95 | ↑ +93% |
| Humana | Medicare|All Plans | $2,691.95 | ↑ +93% |
| Molina | Medicare|All Plans | $2,691.95 | ↑ +93% |
| Kaiser | Commercial|All Plans | $2,752.92 | ↑ +97% |
| BCBS - Anthem | Medicare|Imperial | $2,772.71 | ↑ +98% |
| BrightHealth | Commercial|All Plans | $2,961.14 | ↑ +112% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +137% |
| BlueShield | Medicare|Trauma | $3,364.94 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $3,823.50 | ↑ +174% |
| First Health | Commercial|All Plans | $3,823.50 | ↑ +174% |
| Prison Healthcare | Medicaid|All Plans | $4,037.93 | ↑ +189% |
| Sutter Health | Commercial|All Plans | $4,078.40 | ↑ +192% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +202% |
| MultiPlan | Commercial|All Plans | $4,231.34 | ↑ +203% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +206% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +206% |
| United | Commercial|Options PPO | $5,098.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $5,098.00 | ↑ +265% |
| United | Commercial|HMO | $5,098.00 | ↑ +265% |
| United | Commercial|All Other Plans | $5,098.00 | ↑ +265% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +271% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +271% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +271% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +283% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +303% |
| Health Net | Commercial|EPPO | $5,780.00 | ↑ +314% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +348% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +371% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +385% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +436% |
| Health Net | Commercial|FFS | $10,485.00 | ↑ +651% |
Visitor-reported prices
Comments
Change of ureter tube/stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,881.65 | $63.59 – $4,655.74 |
| Arroyo Grande Hospital | Santa Maria | $2,517.50 | $51.70 – $5,764.36 |
| French Hospital | San Luis Obispo | $2,305.75 | $51.70 – $5,764.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,137.71 | $51.70 – $4,609.60 |
| Bakersfield Memorial Hospital | Bakersfield | $2,058.51 | $51.70 – $4,431.11 |
| St. Joseph's Medical Center Stockton | Stockton | $1,190.41 | $51.70 – $3,401.16 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,834.40 | $2,238.00 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,636.80 | $2,285.30 – $5,171.00 |