Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$193.72
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.
$707.00
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.
$15.32 with United vs $16,950.00 with United — 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $15.32 | ↓ -92% |
| United | Medicaid|> 21 | $15.32 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $16.85 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $19.81 | ↓ -90% |
| Molina | Medicaid|All Plans | $20.08 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $23.45 | ↓ -88% |
| Health Net | Medicaid|All Plans | $35.08 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $35.08 | ↓ -82% |
| Partnership Health Plan | Medicaid|All Plans | $65.88 | ↓ -66% |
| WCMG | Commercial|All Plans | $77.77 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $247.45 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $252.04 | ↑ +30% |
| Blue Shield CA | Medicare|HMO | $267.27 | ↑ +38% |
| Humana | Medicare|All Plans | $267.27 | ↑ +38% |
| Aetna | Medicare|All Plans | $267.27 | ↑ +38% |
| Molina | Medicare|All Plans | $267.27 | ↑ +38% |
| United | Medicare|All Plans | $267.27 | ↑ +38% |
| Blue Shield CA | Medicare|PPO | $267.27 | ↑ +38% |
| Humana | Commercial|All Plans | $267.27 | ↑ +38% |
| Kaiser | Medicare|All Plans | $267.27 | ↑ +38% |
| BCBS - Anthem | Medicare|Imperial | $275.29 | ↑ +42% |
| Kaiser | Medicaid|All Plans | $289.87 | ↑ +50% |
| BrightHealth | Commercial|All Plans | $294.00 | ↑ +52% |
| BCBS - Anthem | Commercial|Connection EPO | $319.63 | ↑ +65% |
| BlueShield | Medicare|Trauma | $334.09 | ↑ +72% |
| Blue Shield CA | Commercial|ACO Trio | $360.57 | ↑ +86% |
| Kaiser | Commercial|All Plans | $381.78 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $399.40 | ↑ +106% |
| Prison Healthcare | Medicaid|All Plans | $400.90 | ↑ +107% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $459.55 | ↑ +137% |
| Blue Shield CA | Commercial|Exchange | $480.76 | ↑ +148% |
| Healthsmart | Commercial|All Plans | $530.25 | ↑ +174% |
| First Health | Commercial|All Plans | $530.25 | ↑ +174% |
| BCBS - Anthem | Commercial|MCS | $559.21 | ↑ +189% |
| Blue Shield CA | Commercial|PPO Tandem | $565.60 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $565.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $586.81 | ↑ +203% |
| Blue Shield CA | Commercial|PPO | $636.30 | ↑ +228% |
| Blue Shield CA | Commercial|HMO | $636.30 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $650.44 | ↑ +236% |
| United | Commercial|Non-Options PPO | $707.00 | ↑ +265% |
| United | Commercial|HMO | $707.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $1,867.00 | ↑ +864% |
| Cigna | Commercial|All Other Plans | $2,488.00 | ↑ +1184% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +8650% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +8650% |
Visitor-reported prices
Comments
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $192.72 | $21.22 – $480.66 |
| Banner Lassen Medical Center | Susanville | $110.10 | $26.68 – $220.19 |
| Petaluma Valley Hospital | Petaluma | $477.36 | $148.11 – $301.12 |
| Arroyo Grande Hospital | Santa Maria | $151.09 | $11.58 – $746.00 |
| Mark Twain Medical Center | San Andreas | $306.36 | $15.32 – $90.16 |
| French Hospital | San Luis Obispo | $138.38 | $11.58 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $87.93 | $15.32 – $237.00 |
| Bakersfield Memorial Hospital | Bakersfield | $86.98 | $15.32 – $12,607.00 |