Cystoscopy (Bladder Scope) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$620.34
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.
$2,264.00
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.
$79.86 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 | $79.86 | ↓ -87% |
| United | Medicaid|> 21 | $99.55 | ↓ -84% |
| United | Medicaid|< 21 | $99.55 | ↓ -84% |
| Molina | Medicaid|All Plans | $163.09 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $172.60 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $236.42 | ↓ -62% |
| WCMG | Commercial|All Plans | $237.16 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $359.32 | ↓ -42% |
| Health Net | Medicaid|All Plans | $359.32 | ↓ -42% |
| Partnership Health Plan | Medicaid|All Plans | $535.07 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $754.60 | ↑ +22% |
| BCBS - Anthem | Medicare|All Other Plans | $827.12 | ↑ +33% |
| United | Medicare|All Plans | $877.12 | ↑ +41% |
| Kaiser | Medicare|All Plans | $877.12 | ↑ +41% |
| Blue Shield CA | Medicare|PPO | $877.12 | ↑ +41% |
| Blue Shield CA | Medicare|HMO | $877.12 | ↑ +41% |
| Molina | Medicare|All Plans | $877.12 | ↑ +41% |
| Aetna | Medicare|All Plans | $877.12 | ↑ +41% |
| Humana | Commercial|All Plans | $877.12 | ↑ +41% |
| Humana | Medicare|All Plans | $877.12 | ↑ +41% |
| Kaiser | Medicaid|All Plans | $883.96 | ↑ +42% |
| BCBS - Anthem | Medicare|Imperial | $903.43 | ↑ +46% |
| BrightHealth | Commercial|All Plans | $964.83 | ↑ +56% |
| BlueShield | Medicare|Trauma | $1,096.40 | ↑ +77% |
| Kaiser | Commercial|All Plans | $1,164.24 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $1,315.68 | ↑ +112% |
| First Health | Commercial|All Plans | $1,617.00 | ↑ +161% |
| Healthsmart | Commercial|All Plans | $1,617.00 | ↑ +161% |
| Sutter Health | Commercial|All Plans | $1,724.80 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $1,789.48 | ↑ +188% |
| United | Commercial|All Other Plans | $2,156.00 | ↑ +248% |
| United | Commercial|HMO | $2,156.00 | ↑ +248% |
| United | Commercial|Non-Options PPO | $2,156.00 | ↑ +248% |
| United | Commercial|Options PPO | $2,156.00 | ↑ +248% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +434% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +528% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +580% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +590% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +735% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +735% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +735% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +807% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +908% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +961% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +992% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +1040% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +1062% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +1353% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +1934% |
Visitor-reported prices
Comments
Cystoscopy (Bladder Scope) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,450.44 | $939.68 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $223.78 | $76.32 – $289.10 |
| Queen of The Valley Medical Center | Napa | $2,173.62 | $990.07 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,532.66 | $896.84 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $1,078.14 | $939.50 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $957.27 | $3,331.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,870.68 | $970.26 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,092.48 | $762.31 – $5,171.00 |