Debridement bone <= 20 sq cm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$874.06
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.
$3,190.00
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.
$223.13 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 | $223.13 | ↓ -74% |
| United | Medicaid|< 21 | $232.41 | ↓ -73% |
| United | Medicaid|> 21 | $232.41 | ↓ -73% |
| WCMG | Commercial|All Plans | $327.58 | ↓ -63% |
| Molina | Medicaid|All Plans | $380.76 | ↓ -56% |
| Hill Physicians | Medicaid|All Plans | $403.00 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $551.97 | ↓ -37% |
| California Health & Wellness | Medicaid|All Plans | $838.96 | ↓ -4% |
| Health Net | Medicaid|All Plans | $838.96 | ↓ -4% |
| Western Health Advantage | Commercial|All Plans | $1,042.30 | ↑ +19% |
| Kaiser | Medicaid|All Plans | $1,220.98 | ↑ +40% |
| Partnership Health Plan | Medicaid|All Plans | $1,249.19 | ↑ +43% |
| Kaiser | Commercial|All Plans | $1,608.12 | ↑ +84% |
| BCBS - Anthem | Medicare|All Other Plans | $2,007.80 | ↑ +130% |
| Blue Shield CA | Medicare|HMO | $2,129.16 | ↑ +144% |
| Humana | Medicare|All Plans | $2,129.16 | ↑ +144% |
| Humana | Commercial|All Plans | $2,129.16 | ↑ +144% |
| Aetna | Medicare|All Plans | $2,129.16 | ↑ +144% |
| Molina | Medicare|All Plans | $2,129.16 | ↑ +144% |
| United | Medicare|All Plans | $2,129.16 | ↑ +144% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +144% |
| Blue Shield CA | Medicare|PPO | $2,129.16 | ↑ +144% |
| BCBS - Anthem | Medicare|Imperial | $2,193.03 | ↑ +151% |
| First Health | Commercial|All Plans | $2,233.50 | ↑ +156% |
| Healthsmart | Commercial|All Plans | $2,233.50 | ↑ +156% |
| BrightHealth | Commercial|All Plans | $2,342.08 | ↑ +168% |
| Sutter Health | Commercial|All Plans | $2,382.40 | ↑ +173% |
| MultiPlan | Commercial|All Plans | $2,471.74 | ↑ +183% |
| BlueShield | Medicare|Trauma | $2,661.45 | ↑ +204% |
| United | Commercial|HMO | $2,978.00 | ↑ +241% |
| United | Commercial|Non-Options PPO | $2,978.00 | ↑ +241% |
| United | Commercial|All Other Plans | $2,978.00 | ↑ +241% |
| United | Commercial|Options PPO | $2,978.00 | ↑ +241% |
| Prison Healthcare | Medicaid|All Plans | $3,193.74 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +407% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +546% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +555% |
| Health Net | Commercial|EPPO | $5,780.00 | ↑ +561% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +725% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +730% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +730% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +730% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +761% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +858% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +908% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +931% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +937% |
| Health Net | Commercial|FFS | $10,485.00 | ↑ +1100% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +1343% |
Visitor-reported prices
Comments
Debridement bone <= 20 sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,056.33 | $226.00 – $3,763.88 |
| Petaluma Valley Hospital | Petaluma | $3,014.10 | $2,225.71 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $2,248.29 | $232.41 – $5,147.94 |
| Mark Twain Medical Center | San Andreas | $309.69 | $120.30 – $455.70 |
| French Hospital | San Luis Obispo | $2,059.18 | $232.41 – $5,147.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,714.40 | $232.41 – $3,696.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,695.91 | $232.41 – $3,650.59 |
| Queen of The Valley Medical Center | Napa | $3,404.25 | $2,345.04 – $9,858.00 |