Cystoscopy and treatment at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,563.82
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.
$9,357.00
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.
$151.18 with Hill Physicians vs $12,615.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $151.18 | ↓ -94% |
| United | Medicaid|> 21 | $338.36 | ↓ -87% |
| United | Medicaid|< 21 | $338.36 | ↓ -87% |
| Molina | Medicaid|All Plans | $554.34 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $586.71 | ↓ -77% |
| BCBS - Anthem | Medicaid|All Plans | $803.61 | ↓ -69% |
| WCMG | Commercial|All Plans | $1,029.27 | ↓ -60% |
| Health Net | Medicaid|All Plans | $1,221.42 | ↓ -52% |
| California Health & Wellness | Medicaid|All Plans | $1,221.42 | ↓ -52% |
| Partnership Health Plan | Medicaid|All Plans | $1,818.67 | ↓ -29% |
| BCBS - Anthem | Medicare|All Other Plans | $2,538.51 | ↓ -1% |
| Blue Shield CA | Medicare|PPO | $2,691.95 | ↑ +5% |
| Blue Shield CA | Medicare|HMO | $2,691.95 | ↑ +5% |
| Humana | Commercial|All Plans | $2,691.95 | ↑ +5% |
| Aetna | Medicare|All Plans | $2,691.95 | ↑ +5% |
| Humana | Medicare|All Plans | $2,691.95 | ↑ +5% |
| Molina | Medicare|All Plans | $2,691.95 | ↑ +5% |
| United | Medicare|All Plans | $2,691.95 | ↑ +5% |
| Kaiser | Medicare|All Plans | $2,691.95 | ↑ +5% |
| BCBS - Anthem | Medicare|Imperial | $2,772.71 | ↑ +8% |
| BrightHealth | Commercial|All Plans | $2,961.14 | ↑ +15% |
| Western Health Advantage | Commercial|All Plans | $3,274.95 | ↑ +28% |
| BlueShield | Medicare|Trauma | $3,364.94 | ↑ +31% |
| Kaiser | Medicaid|All Plans | $3,836.37 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $4,037.93 | ↑ +57% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +73% |
| Kaiser | Commercial|All Plans | $5,052.78 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +120% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +123% |
| Health Net | Commercial|EPPO | $5,780.00 | ↑ +125% |
| Healthsmart | Commercial|All Plans | $7,017.75 | ↑ +174% |
| First Health | Commercial|All Plans | $7,017.75 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +181% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +183% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +183% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +183% |
| Sutter Health | Commercial|All Plans | $7,485.60 | ↑ +192% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +194% |
| MultiPlan | Commercial|All Plans | $7,766.31 | ↑ +203% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +226% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +244% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +251% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +254% |
| United | Commercial|Non-Options PPO | $9,357.00 | ↑ +265% |
| United | Commercial|Options PPO | $9,357.00 | ↑ +265% |
| United | Commercial|HMO | $9,357.00 | ↑ +265% |
| United | Commercial|All Other Plans | $9,357.00 | ↑ +265% |
| Health Net | Commercial|FFS | $10,485.00 | ↑ +309% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +392% |
Visitor-reported prices
Comments
Cystoscopy and treatment at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $4,301.85 | $2,570.00 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $289.71 | $107.11 – $405.72 |
| Queen of The Valley Medical Center | Napa | $6,023.61 | $2,968.05 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,070.20 | $2,688.58 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $3,197.70 | $2,816.47 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $2,838.66 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,546.76 | $2,908.69 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,153.44 | $2,285.30 – $6,920.00 |