Dorsi & plantar flex ass/res at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$157.55
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.
$575.00
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.
$63.25 with WCMG vs $557.75 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 | $63.25 | ↓ -60% |
| United | Medicaid|> 21 | $72.51 | ↓ -54% |
| United | Medicaid|< 21 | $72.51 | ↓ -54% |
| Hill Physicians | Medicaid|All Plans | $79.76 | ↓ -49% |
| Molina | Medicaid|All Plans | $95.03 | ↓ -40% |
| Kaiser | Medicaid|All Plans | $132.25 | ↓ -16% |
| Kaiser | Commercial|All Plans | $132.25 | ↓ -16% |
| Kaiser | Medicare|All Plans | $132.25 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $137.77 | ↓ -13% |
| Partnership Health Plan | Medicaid|All Plans | $143.75 | ↓ -9% |
| Health Net | Medicaid|All Plans | $161.00 | ↑ +2% |
| California Health & Wellness | Medicaid|All Plans | $161.00 | ↑ +2% |
| Health Net | Commercial|EPPO | $224.25 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $230.00 | ↑ +46% |
| United | Commercial|Non-Options PPO | $299.00 | ↑ +90% |
| Cigna | Commercial|All Other Plans | $304.75 | ↑ +93% |
| United | Commercial|HMO | $322.00 | ↑ +104% |
| United | Commercial|Options PPO | $322.00 | ↑ +104% |
| United | Commercial|All Other Plans | $322.00 | ↑ +104% |
| Western Health Advantage | Commercial|All Plans | $373.75 | ↑ +137% |
| Blue Shield CA | Commercial|ACO Trio | $373.75 | ↑ +137% |
| Health Net | Commercial|FFS | $408.25 | ↑ +159% |
| Healthsmart | Commercial|All Plans | $431.25 | ↑ +174% |
| First Health | Commercial|All Plans | $431.25 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $448.50 | ↑ +185% |
| Sutter Health | Commercial|All Plans | $460.00 | ↑ +192% |
| Blue Shield CA | Commercial|Exchange | $471.50 | ↑ +199% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $471.50 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $477.25 | ↑ +203% |
| Aetna | Commercial|PPO | $488.75 | ↑ +210% |
| Aetna | Commercial|HMO | $488.75 | ↑ +210% |
| Aetna | Commercial|All Other Plans | $488.75 | ↑ +210% |
| Blue Shield CA | Commercial|HMO | $517.50 | ↑ +228% |
| Blue Shield CA | Commercial|PPO Tandem | $517.50 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $517.50 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $529.00 | ↑ +236% |
| BCBS - Anthem | Commercial|All Other Plans | $557.75 | ↑ +254% |
| BCBS - Anthem | Commercial|MCS | $557.75 | ↑ +254% |
Visitor-reported prices
Comments
Dorsi & plantar flex ass/res at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $152.87 | $83.76 – $272.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $144.69 | $72.51 – $351.00 |
| Bakersfield Memorial Hospital | Bakersfield | $143.13 | $72.51 – $378.30 |
| St. Joseph's Medical Center Stockton | Stockton | $103.20 | $72.51 – $351.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $336.10 | $79.20 – $323.40 |
| Mercy Medical Center Merced | Merced | $105.06 | $46.92 – $195.84 |
| Dominican Hospital | Santa Cruz | $387.90 | $72.51 – $508.00 |
| St. Mary Medical Center | Long Beach | $711.65 | $65.26 – $440.00 |