#covid19rsv-rsv at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$205.78
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.
$751.00
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.
$62.39 with Partnership Health Plan vs $751.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $62.39 | ↓ -70% |
| United | Medicaid|< 21 | $62.39 | ↓ -70% |
| United | Medicaid|> 21 | $62.39 | ↓ -70% |
| BCBS - Anthem | Medicare|All Other Plans | $66.20 | ↓ -68% |
| Hill Physicians | Medicaid|All Plans | $68.63 | ↓ -67% |
| Blue Shield CA | Medicare|PPO | $70.20 | ↓ -66% |
| Kaiser | Medicare|All Plans | $70.20 | ↓ -66% |
| United | Medicare|All Plans | $70.20 | ↓ -66% |
| Molina | Medicare|All Plans | $70.20 | ↓ -66% |
| Humana | Medicare|All Plans | $70.20 | ↓ -66% |
| Humana | Commercial|All Plans | $70.20 | ↓ -66% |
| Hill Physicians | Commercial|All Plans | $70.20 | ↓ -66% |
| Aetna | Medicare|All Plans | $70.20 | ↓ -66% |
| Blue Shield CA | Medicare|HMO | $70.20 | ↓ -66% |
| BCBS - Anthem | Medicare|Imperial | $72.31 | ↓ -65% |
| BrightHealth | Commercial|All Plans | $77.22 | ↓ -62% |
| WCMG | Commercial|All Plans | $82.61 | ↓ -60% |
| United | Commercial|All Other Plans | $84.24 | ↓ -59% |
| United | Commercial|Options PPO | $84.24 | ↓ -59% |
| United | Commercial|Non-Options PPO | $84.24 | ↓ -59% |
| United | Commercial|HMO | $84.24 | ↓ -59% |
| BlueShield | Medicare|Trauma | $87.75 | ↓ -57% |
| Prison Healthcare | Medicaid|All Plans | $105.30 | ↓ -49% |
| Molina | Medicaid|All Plans | $117.29 | ↓ -43% |
| BCBS - Anthem | Medicaid|All Plans | $118.54 | ↓ -42% |
| Health Net | Medicaid|All Plans | $142.87 | ↓ -31% |
| California Health & Wellness | Medicaid|All Plans | $142.87 | ↓ -31% |
| Cigna | Commercial|LocalPlus | $155.46 | ↓ -24% |
| Cigna | Commercial|All Other Plans | $207.30 | ↑ +1% |
| Aetna | Commercial|PPO | $232.05 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $232.05 | ↑ +13% |
| Aetna | Commercial|HMO | $232.05 | ↑ +13% |
| Blue Shield CA | Commercial|ACO Trio | $232.81 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $262.85 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $300.40 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $307.91 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $315.42 | ↑ +53% |
| Kaiser | Commercial|All Plans | $405.54 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $413.05 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $443.09 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $465.62 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $495.66 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $563.25 | ↑ +174% |
| First Health | Commercial|All Plans | $563.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $600.80 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $600.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $623.33 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $751.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $751.00 | ↑ +265% |
Visitor-reported prices
Comments
#covid19rsv-rsv at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $113.01 | $69.66 – $201.24 |
| Banner Lassen Medical Center | Susanville | $117.74 | $14.04 – $204.67 |
| Petaluma Valley Hospital | Petaluma | $135.15 | $68.80 – $506.26 |
| Arroyo Grande Hospital | Santa Maria | $180.62 | $56.16 – $204.82 |
| Mark Twain Medical Center | San Andreas | $152.52 | $62.39 – $171.99 |
| French Hospital | San Luis Obispo | $165.43 | $56.16 – $214.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $85.33 | $57.50 – $201.73 |
| Bakersfield Memorial Hospital | Bakersfield | $84.41 | $57.50 – $201.73 |