Consultation/report referred material w/preparation of slides at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$71.35
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.
?
What you pay up front if you don't use insurance.
$260.40
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.
?
The hospital's undiscounted list price — almost no one pays this.
$6.05 with WCMG vs $105.31 with Prison Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $6.05 | ↓ -92% |
| Western Health Advantage | Commercial|All Plans | $19.25 | ↓ -73% |
| Kaiser | Medicaid|All Plans | $22.55 | ↓ -68% |
| Kaiser | Commercial|All Plans | $29.70 | ↓ -58% |
| Hill Physicians | Commercial|All Plans | $33.46 | ↓ -53% |
| First Health | Commercial|All Plans | $41.25 | ↓ -42% |
| Healthsmart | Commercial|All Plans | $41.25 | ↓ -42% |
| BCBS - Anthem | Commercial|Connection EPO | $44.00 | ↓ -38% |
| Sutter Health | Commercial|All Plans | $44.00 | ↓ -38% |
| MultiPlan | Commercial|All Plans | $45.65 | ↓ -36% |
| BCBS - Anthem | Medicare|All Other Plans | $51.87 | ↓ -27% |
| United | Commercial|Options PPO | $55.00 | ↓ -23% |
| United | Commercial|Non-Options PPO | $55.00 | ↓ -23% |
| United | Medicaid|< 21 | $55.00 | ↓ -23% |
| United | Medicaid|> 21 | $55.00 | ↓ -23% |
| Health Net | Medicaid|All Plans | $55.00 | ↓ -23% |
| BCBS - Anthem | Commercial|All Other Plans | $55.00 | ↓ -23% |
| BCBS - Anthem | Medicaid|All Plans | $55.00 | ↓ -23% |
| BCBS - Anthem | Commercial|MCS | $55.00 | ↓ -23% |
| Blue Shield CA | Medicare|PPO | $55.00 | ↓ -23% |
| Humana | Medicare|All Plans | $55.00 | ↓ -23% |
| Aetna | Commercial|All Other Plans | $55.00 | ↓ -23% |
| Aetna | Commercial|PPO | $55.00 | ↓ -23% |
| Aetna | Medicare|All Plans | $55.00 | ↓ -23% |
| Aetna | Commercial|HMO | $55.00 | ↓ -23% |
| Molina | Medicaid|All Plans | $55.00 | ↓ -23% |
| Molina | Medicare|All Plans | $55.00 | ↓ -23% |
| United | Commercial|All Other Plans | $55.00 | ↓ -23% |
| United | Medicare|All Plans | $55.00 | ↓ -23% |
| United | Commercial|HMO | $55.00 | ↓ -23% |
| Humana | Commercial|All Plans | $55.00 | ↓ -23% |
| Partnership Health Plan | Medicaid|All Plans | $55.00 | ↓ -23% |
| California Health & Wellness | Medicaid|All Plans | $55.00 | ↓ -23% |
| Hill Physicians | Medicaid|All Plans | $55.00 | ↓ -23% |
| BCBS - Anthem | Medicare|Imperial | $56.65 | ↓ -21% |
| BrightHealth | Commercial|All Plans | $60.50 | ↓ -15% |
| Cigna | Commercial|LocalPlus | $60.54 | ↓ -15% |
| BlueShield | Medicare|Trauma | $68.75 | ↓ -4% |
| Blue Shield CA | Medicare|HMO | $70.21 | ↓ -2% |
| Kaiser | Medicare|All Plans | $70.21 | ↓ -2% |
| Cigna | Commercial|All Other Plans | $80.73 | ↑ +13% |
| Prison Healthcare | Medicaid|All Plans | $105.31 | ↑ +48% |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $254.04 | $13.50 – $100.00 |
| Banner Lassen Medical Center | Susanville | $76.38 | $10.69 – $175.57 |
| Arroyo Grande Hospital | Santa Maria | $162.22 | $27.50 – $70.44 |
| Mark Twain Medical Center | San Andreas | $33.30 | $7.35 – $28.40 |
| French Hospital | San Luis Obispo | $148.57 | $14.85 – $82.81 |
| Mercy Hospitals – Bakersfield | Bakersfield | $126.52 | $25.00 – $78.56 |
| Bakersfield Memorial Hospital | Bakersfield | $125.15 | $25.00 – $78.56 |
| St. Joseph's Medical Center Stockton | Stockton | $108.49 | $10.50 – $50.00 |