Disaccharidases at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$36.17
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.
$132.00
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.
$2.17 with WCMG vs $65.46 with Cigna — 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 | $2.17 | ↓ -94% |
| Blue Shield CA | Commercial|ACO Trio | $6.10 | ↓ -83% |
| Western Health Advantage | Commercial|All Plans | $6.89 | ↓ -81% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7.87 | ↓ -78% |
| Kaiser | Medicaid|All Plans | $8.07 | ↓ -78% |
| Blue Shield CA | Commercial|Exchange | $8.26 | ↓ -77% |
| Kaiser | Commercial|All Plans | $10.62 | ↓ -71% |
| Blue Shield CA | Commercial|PPO Tandem | $10.82 | ↓ -70% |
| Blue Shield CA | Commercial|HMO | $11.60 | ↓ -68% |
| Blue Shield CA | Commercial|CalPers | $12.19 | ↓ -66% |
| Blue Shield CA | Commercial|PPO | $12.98 | ↓ -64% |
| Healthsmart | Commercial|All Plans | $14.75 | ↓ -59% |
| First Health | Commercial|All Plans | $14.75 | ↓ -59% |
| BCBS - Anthem | Commercial|Connection EPO | $15.73 | ↓ -57% |
| Sutter Health | Commercial|All Plans | $15.73 | ↓ -57% |
| MultiPlan | Commercial|All Plans | $16.32 | ↓ -55% |
| Partnership Health Plan | Medicaid|All Plans | $17.74 | ↓ -51% |
| BCBS - Anthem | Medicare|All Other Plans | $18.54 | ↓ -49% |
| BCBS - Anthem | Medicaid|All Plans | $19.66 | ↓ -46% |
| BCBS - Anthem | Commercial|MCS | $19.66 | ↓ -46% |
| Blue Shield CA | Medicare|HMO | $19.66 | ↓ -46% |
| Blue Shield CA | Medicare|PPO | $19.66 | ↓ -46% |
| Hill Physicians | Commercial|All Plans | $19.66 | ↓ -46% |
| Humana | Medicare|All Plans | $19.66 | ↓ -46% |
| Aetna | Commercial|All Other Plans | $19.66 | ↓ -46% |
| Aetna | Commercial|PPO | $19.66 | ↓ -46% |
| Aetna | Medicare|All Plans | $19.66 | ↓ -46% |
| Aetna | Commercial|HMO | $19.66 | ↓ -46% |
| Molina | Medicaid|All Plans | $19.66 | ↓ -46% |
| Molina | Medicare|All Plans | $19.66 | ↓ -46% |
| United | Commercial|All Other Plans | $19.66 | ↓ -46% |
| United | Medicare|All Plans | $19.66 | ↓ -46% |
| United | Commercial|HMO | $19.66 | ↓ -46% |
| United | Commercial|Options PPO | $19.66 | ↓ -46% |
| United | Commercial|Non-Options PPO | $19.66 | ↓ -46% |
| United | Medicaid|< 21 | $19.66 | ↓ -46% |
| United | Medicaid|> 21 | $19.66 | ↓ -46% |
| Health Net | Medicaid|All Plans | $19.66 | ↓ -46% |
| Kaiser | Medicare|All Plans | $19.66 | ↓ -46% |
| BCBS - Anthem | Commercial|All Other Plans | $19.66 | ↓ -46% |
| California Health & Wellness | Medicaid|All Plans | $19.66 | ↓ -46% |
| Humana | Commercial|All Plans | $19.66 | ↓ -46% |
| Hill Physicians | Medicaid|All Plans | $19.66 | ↓ -46% |
| BCBS - Anthem | Medicare|Imperial | $20.25 | ↓ -44% |
| BrightHealth | Commercial|All Plans | $21.63 | ↓ -40% |
| BlueShield | Medicare|Trauma | $24.58 | ↓ -32% |
| Prison Healthcare | Medicaid|All Plans | $29.49 | ↓ -18% |
| Cigna | Commercial|LocalPlus | $49.09 | ↑ +36% |
| Cigna | Commercial|All Other Plans | $65.46 | ↑ +81% |
Visitor-reported prices
Comments
Disaccharidases at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $78.84 | $22.17 – $140.40 |
| Banner Lassen Medical Center | Susanville | $195.31 | $4.43 – $60.14 |
| Petaluma Valley Hospital | Petaluma | $41.95 | $21.73 – $146.79 |
| Arroyo Grande Hospital | Santa Maria | $177.62 | $22.17 – $60.59 |
| Mark Twain Medical Center | San Andreas | $224.31 | $22.17 – $60.59 |
| French Hospital | San Luis Obispo | $162.68 | $16.70 – $67.15 |
| Mercy Hospitals – Bakersfield | Bakersfield | $120.88 | $22.17 – $260.64 |
| Bakersfield Memorial Hospital | Bakersfield | $119.57 | $22.17 – $257.39 |