Electrocorticography durng sx at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$643.08
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.
$2,347.00
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.
$255.30 with United vs $16,950.00 with United — 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $255.30 | ↓ -60% |
| United | Medicaid|< 21 | $255.30 | ↓ -60% |
| WCMG | Commercial|All Plans | $258.17 | ↓ -60% |
| Molina | Medicaid|All Plans | $418.26 | ↓ -35% |
| Hill Physicians | Medicaid|All Plans | $445.21 | ↓ -31% |
| BCBS - Anthem | Medicaid|All Plans | $606.35 | ↓ -6% |
| Western Health Advantage | Commercial|All Plans | $821.45 | ↑ +28% |
| California Health & Wellness | Medicaid|All Plans | $926.85 | ↑ +44% |
| Health Net | Medicaid|All Plans | $926.85 | ↑ +44% |
| Kaiser | Medicaid|All Plans | $962.27 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,267.38 | ↑ +97% |
| Partnership Health Plan | Medicaid|All Plans | $1,372.24 | ↑ +113% |
| Hill Physicians | Commercial|All Plans | $1,587.26 | ↑ +147% |
| First Health | Commercial|All Plans | $1,760.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $1,760.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,877.60 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $1,877.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,948.01 | ↑ +203% |
| United | Commercial|HMO | $2,347.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $2,347.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $2,347.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,347.00 | ↑ +265% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +2536% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +2536% |
Visitor-reported prices
Comments
Electrocorticography durng sx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $511.65 | $255.30 – $1,877.60 |
| Mercy Hospital of Folsom | Folsom | $912.99 | $255.30 – $1,924.54 |
| Woodland Memorial Hospital | Woodland | $643.08 | $255.30 – $2,347.00 |
| Methodist Hospital of Sacramento | Sacramento | $675.94 | $255.30 – $1,948.01 |
| Providence Holy Cross Medical Center | Mission Hills | $2,164.05 | $2,445.49 – $6,661.89 |
| Petaluma Valley Hospital | Petaluma | not published | $10,181.44 – $10,181.44 |
| Queen of The Valley Medical Center | Napa | not published | $12,866.82 – $12,866.82 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $14,591.05 – $14,591.05 |