Complx repair fccmnaxghf 13132 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$333.19
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.
$1,216.00
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.
$133.76 with WCMG vs $17,696.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $133.76 | ↓ -60% |
| United | Medicaid|< 21 | $290.51 | ↓ -13% |
| United | Medicaid|> 21 | $290.51 | ↓ -13% |
| Hill Physicians | Commercial|All Plans | $309.31 | ↓ -7% |
| Western Health Advantage | Commercial|All Plans | $425.60 | ↑ +28% |
| Molina | Medicaid|All Plans | $475.94 | ↑ +43% |
| Kaiser | Medicaid|All Plans | $498.56 | ↑ +50% |
| Hill Physicians | Medicaid|All Plans | $503.75 | ↑ +51% |
| Kaiser | Commercial|All Plans | $656.64 | ↑ +97% |
| BCBS - Anthem | Medicaid|All Plans | $689.95 | ↑ +107% |
| BCBS - Anthem | Medicare|All Other Plans | $758.55 | ↑ +128% |
| Kaiser | Medicare|All Plans | $804.40 | ↑ +141% |
| Humana | Medicare|All Plans | $804.40 | ↑ +141% |
| Humana | Commercial|All Plans | $804.40 | ↑ +141% |
| Aetna | Medicare|All Plans | $804.40 | ↑ +141% |
| Molina | Medicare|All Plans | $804.40 | ↑ +141% |
| United | Medicare|All Plans | $804.40 | ↑ +141% |
| Blue Shield CA | Medicare|PPO | $804.40 | ↑ +141% |
| Blue Shield CA | Medicare|HMO | $804.40 | ↑ +141% |
| BCBS - Anthem | Medicare|Imperial | $828.53 | ↑ +149% |
| BrightHealth | Commercial|All Plans | $884.84 | ↑ +166% |
| First Health | Commercial|All Plans | $912.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $912.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $972.80 | ↑ +192% |
| BlueShield | Medicare|Trauma | $1,005.50 | ↑ +202% |
| MultiPlan | Commercial|All Plans | $1,009.28 | ↑ +203% |
| Health Net | Medicaid|All Plans | $1,048.71 | ↑ +215% |
| California Health & Wellness | Medicaid|All Plans | $1,048.71 | ↑ +215% |
| Prison Healthcare | Medicaid|All Plans | $1,206.60 | ↑ +262% |
| United | Commercial|Non-Options PPO | $1,216.00 | ↑ +265% |
| Partnership Health Plan | Medicaid|All Plans | $1,216.00 | ↑ +265% |
| United | Commercial|Options PPO | $1,216.00 | ↑ +265% |
| United | Commercial|HMO | $1,216.00 | ↑ +265% |
| United | Commercial|All Other Plans | $1,216.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +1070% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +1420% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +1836% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +1864% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +2022% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +2387% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +2387% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +2387% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +2482% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +2771% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +2922% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +2935% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +3010% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +3694% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +5211% |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13132 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,309.68 | $547.82 – $2,937.00 |
| Mark Twain Medical Center | San Andreas | $582.09 | $226.11 – $856.52 |
| Queen of The Valley Medical Center | Napa | $2,222.07 | $577.20 – $8,552.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,554.08 | $522.85 – $9,008.00 |
| Healdsburg Hospital | Healdsburg | $1,860.48 | $547.72 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $2,562.75 | $3,331.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,066.92 | $565.65 – $5,318.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,512.48 | $444.42 – $7,908.00 |