Chmotx admn plrl cav thrcnts at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$448.82
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.
$1,638.00
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.
$140.18 with Hill Physicians vs $19,089.00 with Cigna — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $140.18 | ↓ -69% |
| WCMG | Commercial|All Plans | $180.18 | ↓ -60% |
| United | Medicaid|> 21 | $190.92 | ↓ -57% |
| United | Medicaid|< 21 | $190.92 | ↓ -57% |
| Molina | Medicaid|All Plans | $312.79 | ↓ -30% |
| Hill Physicians | Medicaid|All Plans | $332.96 | ↓ -26% |
| BCBS - Anthem | Medicare|All Other Plans | $411.03 | ↓ -8% |
| Blue Shield CA | Medicare|PPO | $435.87 | ↓ -3% |
| Kaiser | Medicare|All Plans | $435.87 | ↓ -3% |
| Molina | Medicare|All Plans | $435.87 | ↓ -3% |
| Blue Shield CA | Medicare|HMO | $435.87 | ↓ -3% |
| United | Medicare|All Plans | $435.87 | ↓ -3% |
| Humana | Medicare|All Plans | $435.87 | ↓ -3% |
| Aetna | Medicare|All Plans | $435.87 | ↓ -3% |
| Humana | Commercial|All Plans | $435.87 | ↓ -3% |
| BCBS - Anthem | Medicare|Imperial | $448.95 | ↑ +0% |
| BCBS - Anthem | Medicaid|All Plans | $453.45 | ↑ +1% |
| BrightHealth | Commercial|All Plans | $479.46 | ↑ +7% |
| BlueShield | Medicare|Trauma | $544.84 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $573.30 | ↑ +28% |
| Aetna | Commercial|All Other Plans | $579.65 | ↑ +29% |
| Aetna | Commercial|PPO | $579.65 | ↑ +29% |
| Aetna | Commercial|HMO | $579.65 | ↑ +29% |
| Prison Healthcare | Medicaid|All Plans | $653.80 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $671.58 | ↑ +50% |
| California Health & Wellness | Medicaid|All Plans | $693.16 | ↑ +54% |
| Health Net | Medicaid|All Plans | $693.16 | ↑ +54% |
| Blue Shield CA | Commercial|ACO Trio | $835.38 | ↑ +86% |
| Kaiser | Commercial|All Plans | $884.52 | ↑ +97% |
| Partnership Health Plan | Medicaid|All Plans | $1,026.22 | ↑ +129% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,064.70 | ↑ +137% |
| Cigna | Commercial|LocalPlus | $1,081.08 | ↑ +141% |
| Blue Shield CA | Commercial|Exchange | $1,113.84 | ↑ +148% |
| Healthsmart | Commercial|All Plans | $1,228.50 | ↑ +174% |
| First Health | Commercial|All Plans | $1,228.50 | ↑ +174% |
| Blue Shield CA | Commercial|PPO Tandem | $1,310.40 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $1,310.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,359.54 | ↑ +203% |
| United | Commercial|HMO | $1,394.00 | ↑ +211% |
| Blue Shield CA | Commercial|PPO | $1,474.20 | ↑ +228% |
| Blue Shield CA | Commercial|HMO | $1,474.20 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $1,506.96 | ↑ +236% |
| United | Commercial|Options PPO | $1,638.00 | ↑ +265% |
| United | Commercial|All Other Plans | $1,638.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $1,638.00 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $19,089.00 | ↑ +4153% |
Visitor-reported prices
Comments
Chmotx admn plrl cav thrcnts at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Saint Joseph Medical Center | Burbank | $489.30 | $186.43 – $785.93 |
| Mercy General Hospital | Sacramento | $357.09 | $140.18 – $1,310.40 |
| Mercy Hospital of Folsom | Folsom | $637.19 | $140.18 – $1,441.44 |
| Woodland Memorial Hospital | Woodland | $448.82 | $180.18 – $1,638.00 |
| Methodist Hospital of Sacramento | Sacramento | $471.75 | $140.18 – $14,317.00 |
| Providence Holy Cross Medical Center | Mission Hills | $892.85 | $96.39 – $785.93 |
| Providence Saint John's Health Center | Santa Monica | $584.15 | $186.43 – $785.93 |
| Petaluma Valley Hospital | Petaluma | not published | $445.12 – $454.21 |