Drainage of kidney lesion at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,089.15
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.
$3,975.00
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.
$81.18 with United vs $7,484.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $81.18 | ↓ -93% |
| United | Medicaid|> 21 | $81.18 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $92.36 | ↓ -92% |
| Molina | Medicaid|All Plans | $132.99 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $140.76 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $192.79 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $293.03 | ↓ -73% |
| Health Net | Medicaid|All Plans | $293.03 | ↓ -73% |
| WCMG | Commercial|All Plans | $420.42 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $436.32 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $871.89 | ↓ -20% |
| Molina | Medicare|All Plans | $924.59 | ↓ -15% |
| Humana | Medicare|All Plans | $924.59 | ↓ -15% |
| Humana | Commercial|All Plans | $924.59 | ↓ -15% |
| Aetna | Medicare|All Plans | $924.59 | ↓ -15% |
| Kaiser | Medicare|All Plans | $924.59 | ↓ -15% |
| United | Medicare|All Plans | $924.59 | ↓ -15% |
| Blue Shield CA | Medicare|PPO | $924.59 | ↓ -15% |
| Blue Shield CA | Medicare|HMO | $924.59 | ↓ -15% |
| BCBS - Anthem | Medicare|Imperial | $952.33 | ↓ -13% |
| BrightHealth | Commercial|All Plans | $1,017.05 | ↓ -7% |
| BlueShield | Medicare|Trauma | $1,155.74 | ↑ +6% |
| Western Health Advantage | Commercial|All Plans | $1,337.70 | ↑ +23% |
| Prison Healthcare | Medicaid|All Plans | $1,386.88 | ↑ +27% |
| Kaiser | Medicaid|All Plans | $1,567.02 | ↑ +44% |
| Kaiser | Commercial|All Plans | $2,063.88 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $2,866.50 | ↑ +163% |
| First Health | Commercial|All Plans | $2,866.50 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $3,057.60 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $3,172.26 | ↑ +191% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +204% |
| United | Commercial|All Other Plans | $3,822.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $3,822.00 | ↑ +251% |
| United | Commercial|Options PPO | $3,822.00 | ↑ +251% |
| United | Commercial|HMO | $3,822.00 | ↑ +251% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +258% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +287% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +293% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +293% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +375% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +375% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +375% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +391% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +416% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +474% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +505% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +522% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +549% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +587% |
Visitor-reported prices
Comments
Drainage of kidney lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $754.68 | $99.85 – $1,628.92 |
| Banner Lassen Medical Center | Susanville | $1,440.20 | $116.72 – $1,783.83 |
| Arroyo Grande Hospital | Santa Maria | $2,095.06 | $81.18 – $2,986.06 |
| Mark Twain Medical Center | San Andreas | $3,136.86 | $81.18 – $1,466.08 |
| French Hospital | San Luis Obispo | $1,918.84 | $81.18 – $1,940.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,576.38 | $81.18 – $1,044.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,559.39 | $81.18 – $1,031.74 |
| Queen of The Valley Medical Center | Napa | $2,637.72 | $1,005.45 – $6,200.00 |