Dress/debrid prtl-thick burn l 16030 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$186.05
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.
$679.00
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.
$74.69 with WCMG vs $9,068.00 with Blue Shield CA — 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 | $74.69 | ↓ -60% |
| United | Medicaid|> 21 | $93.56 | ↓ -50% |
| United | Medicaid|< 21 | $93.56 | ↓ -50% |
| Hill Physicians | Commercial|All Plans | $132.30 | ↓ -29% |
| Molina | Medicaid|All Plans | $153.28 | ↓ -18% |
| Hill Physicians | Medicaid|All Plans | $162.24 | ↓ -13% |
| BCBS - Anthem | Medicaid|All Plans | $222.21 | ↑ +19% |
| Western Health Advantage | Commercial|All Plans | $237.65 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $278.39 | ↑ +50% |
| California Health & Wellness | Medicaid|All Plans | $337.75 | ↑ +82% |
| Health Net | Medicaid|All Plans | $337.75 | ↑ +82% |
| Kaiser | Commercial|All Plans | $366.66 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $495.09 | ↑ +166% |
| Partnership Health Plan | Medicaid|All Plans | $502.87 | ↑ +170% |
| Healthsmart | Commercial|All Plans | $509.25 | ↑ +174% |
| First Health | Commercial|All Plans | $509.25 | ↑ +174% |
| Blue Shield CA | Medicare|HMO | $525.02 | ↑ +182% |
| Humana | Medicare|All Plans | $525.02 | ↑ +182% |
| Humana | Commercial|All Plans | $525.02 | ↑ +182% |
| Aetna | Medicare|All Plans | $525.02 | ↑ +182% |
| Molina | Medicare|All Plans | $525.02 | ↑ +182% |
| United | Medicare|All Plans | $525.02 | ↑ +182% |
| Kaiser | Medicare|All Plans | $525.02 | ↑ +182% |
| Blue Shield CA | Medicare|PPO | $525.02 | ↑ +182% |
| BCBS - Anthem | Medicare|Imperial | $540.77 | ↑ +191% |
| Sutter Health | Commercial|All Plans | $543.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $563.57 | ↑ +203% |
| BrightHealth | Commercial|All Plans | $577.52 | ↑ +210% |
| BlueShield | Medicare|Trauma | $656.27 | ↑ +253% |
| United | Commercial|All Other Plans | $679.00 | ↑ +265% |
| United | Commercial|HMO | $679.00 | ↑ +265% |
| United | Commercial|Options PPO | $679.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $679.00 | ↑ +265% |
| Prison Healthcare | Medicaid|All Plans | $787.53 | ↑ +323% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1620% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +2199% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +2281% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +2773% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +2934% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +2978% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +3020% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +3797% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +3797% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +3797% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +3923% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +3946% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +4399% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +4636% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +4774% |
Visitor-reported prices
Comments
Dress/debrid prtl-thick burn l 16030 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $191.73 | $115.08 – $924.00 |
| Petaluma Valley Hospital | Petaluma | $1,672.80 | $547.82 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $584.65 | $93.56 – $1,338.68 |
| French Hospital | San Luis Obispo | $519.80 | $93.56 – $1,299.48 |
| Bakersfield Memorial Hospital | Bakersfield | $321.86 | $93.56 – $692.83 |
| Queen of The Valley Medical Center | Napa | $1,826.82 | $577.20 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,340.28 | $522.85 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $954.72 | $547.72 – $5,198.77 |