Des thora aorta rpr without left sub art 33881 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,368.91
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.
$4,996.00
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.
$549.56 with WCMG vs $37,709.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $549.56 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $1,425.88 | ↑ +4% |
| United | Medicaid|> 21 | $1,474.77 | ↑ +8% |
| United | Medicaid|< 21 | $1,474.77 | ↑ +8% |
| Western Health Advantage | Commercial|All Plans | $1,748.60 | ↑ +28% |
| Hill Physicians | Medicaid|All Plans | $1,782.78 | ↑ +30% |
| Kaiser | Medicaid|All Plans | $2,048.36 | ↑ +50% |
| Molina | Medicaid|All Plans | $2,416.14 | ↑ +77% |
| BCBS - Anthem | Medicaid|All Plans | $2,441.84 | ↑ +78% |
| Kaiser | Commercial|All Plans | $2,697.84 | ↑ +97% |
| California Health & Wellness | Medicaid|All Plans | $3,711.43 | ↑ +171% |
| Health Net | Medicaid|All Plans | $3,711.43 | ↑ +171% |
| First Health | Commercial|All Plans | $3,747.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $3,747.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,996.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,146.68 | ↑ +203% |
| United | Commercial|Options PPO | $4,996.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $4,996.00 | ↑ +265% |
| United | Commercial|HMO | $4,996.00 | ↑ +265% |
| United | Commercial|All Other Plans | $4,996.00 | ↑ +265% |
| Partnership Health Plan | Medicaid|All Plans | $4,996.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $10,207.00 | ↑ +646% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,013.00 | ↑ +851% |
| Blue Shield CA | Commercial|Exchange | $14,112.00 | ↑ +931% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +1111% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +1111% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +1111% |
| Blue Shield CA | Commercial|PPO Tandem | $18,197.00 | ↑ +1229% |
| Blue Shield CA | Commercial|HMO | $19,296.00 | ↑ +1310% |
| Blue Shield CA | Commercial|CalPers | $20,315.00 | ↑ +1384% |
| BCBS - Anthem | Commercial|Connection EPO | $21,548.00 | ↑ +1474% |
| Blue Shield CA | Commercial|PPO | $21,879.00 | ↑ +1498% |
| BCBS - Anthem | Commercial|All Other Plans | $26,935.00 | ↑ +1868% |
| BCBS - Anthem | Commercial|MCS | $37,709.00 | ↑ +2655% |
Visitor-reported prices
Comments
Des thora aorta rpr without left sub art 33881 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $5,757.89 | $1,474.77 – $13,183.94 |
| French Hospital | San Luis Obispo | $5,055.63 | $1,474.77 – $12,639.06 |
| Providence St Joseph Hospital Eureka | Eureka | $7,377.15 | $10,413.00 – $13,524.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,624.96 | $4,666.00 – $16,338.00 |
| Dominican Hospital | Santa Cruz | $16,529.40 | $1,474.77 – $33,058.80 |
| California Hospital Medical Center | Los Angeles | $2,586.99 | $1,333.50 – $8,103.55 |
| Providence St Joseph Hospital Orange | Orange | $1,868.16 | $5,463.00 – $17,143.00 |
| Mercy General Hospital | Sacramento | $1,089.13 | $1,425.88 – $4,996.00 |