Dilate biliary duct/ampulla at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$581.71
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.
?
What you pay up front if you don't use insurance.
$2,123.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$131.24 with Hill Physicians vs $10,363.00 with Blue Shield CA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $131.24 | ↓ -77% |
| WCMG | Commercial|All Plans | $233.53 | ↓ -60% |
| United | Medicaid|> 21 | $469.47 | ↓ -19% |
| United | Medicaid|< 21 | $469.47 | ↓ -19% |
| Hill Physicians | Medicaid|All Plans | $516.42 | ↓ -11% |
| Western Health Advantage | Commercial|All Plans | $743.05 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $870.43 | ↑ +50% |
| Molina | Medicaid|All Plans | $882.60 | ↑ +52% |
| BCBS - Anthem | Medicaid|All Plans | $891.99 | ↑ +53% |
| Health Net | Medicaid|All Plans | $1,075.09 | ↑ +85% |
| California Health & Wellness | Medicaid|All Plans | $1,075.09 | ↑ +85% |
| Kaiser | Commercial|All Plans | $1,146.42 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,592.25 | ↑ +174% |
| First Health | Commercial|All Plans | $1,592.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,698.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,762.09 | ↑ +203% |
| Partnership Health Plan | Medicaid|All Plans | $2,018.72 | ↑ +247% |
| United | Commercial|Options PPO | $2,123.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,123.00 | ↑ +265% |
| United | Commercial|HMO | $2,123.00 | ↑ +265% |
| United | Commercial|All Other Plans | $2,123.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +635% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +770% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +790% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +790% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +790% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +819% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +1009% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +1025% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1187% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +1379% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +1544% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +1631% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +1681% |
Visitor-reported prices
Comments
Dilate biliary duct/ampulla at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $731.90 | $451.17 – $1,303.38 |
| Arroyo Grande Hospital | Santa Maria | $751.14 | $469.47 – $1,719.90 |
| French Hospital | San Luis Obispo | $687.96 | $469.47 – $1,719.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $856.27 | $469.47 – $2,054.12 |
| Bakersfield Memorial Hospital | Bakersfield | $847.04 | $469.47 – $2,284.92 |
| St. Joseph's Medical Center Stockton | Stockton | $645.33 | $460.95 – $1,843.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,304.96 | $1,200.00 – $7,908.00 |
| Mercy Medical Center Merced | Merced | $1,156.69 | $469.47 – $2,223.54 |