Embo or occlude vascular venous s&i at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,857.28
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.
$10,428.00
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.
$407.84 with Hill Physicians vs $28,092.00 with Health Net — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $407.84 | ↓ -86% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↓ -64% |
| WCMG | Commercial|All Plans | $1,147.08 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↓ -54% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↓ -54% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↓ -39% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↓ -32% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↓ -29% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↓ -27% |
| Western Health Advantage | Commercial|All Plans | $3,649.80 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,275.48 | ↑ +50% |
| United | Medicaid|< 21 | $4,381.60 | ↑ +53% |
| United | Medicaid|> 21 | $4,381.60 | ↑ +53% |
| Hill Physicians | Medicaid|All Plans | $4,819.76 | ↑ +69% |
| Kaiser | Commercial|All Plans | $5,631.12 | ↑ +97% |
| First Health | Commercial|All Plans | $7,821.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $7,821.00 | ↑ +174% |
| Molina | Medicaid|All Plans | $8,237.41 | ↑ +188% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +190% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +190% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +190% |
| BCBS - Anthem | Medicaid|All Plans | $8,325.04 | ↑ +191% |
| Sutter Health | Commercial|All Plans | $8,342.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $8,655.24 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $9,833.61 | ↑ +244% |
| Health Net | Medicaid|All Plans | $10,033.86 | ↑ +251% |
| California Health & Wellness | Medicaid|All Plans | $10,033.86 | ↑ +251% |
| Molina | Medicare|All Plans | $10,428.00 | ↑ +265% |
| United | Commercial|Options PPO | $10,428.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $10,428.00 | ↑ +265% |
| United | Commercial|HMO | $10,428.00 | ↑ +265% |
| Partnership Health Plan | Medicaid|All Plans | $10,428.00 | ↑ +265% |
| United | Medicare|All Plans | $10,428.00 | ↑ +265% |
| United | Commercial|All Other Plans | $10,428.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $10,428.00 | ↑ +265% |
| Humana | Medicare|All Plans | $10,428.00 | ↑ +265% |
| Humana | Commercial|All Plans | $10,428.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $10,428.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $10,740.84 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $11,470.80 | ↑ +301% |
| BlueShield | Medicare|Trauma | $13,035.00 | ↑ +356% |
| BCBS - Anthem | Commercial|Connection EPO | $13,725.00 | ↑ +380% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +422% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +422% |
| Health Net | Commercial|EPPO | $15,484.00 | ↑ +442% |
| BCBS - Anthem | Commercial|All Other Plans | $17,156.00 | ↑ +500% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +682% |
| BCBS - Anthem | Commercial|MCS | $24,018.00 | ↑ +741% |
| Health Net | Commercial|FFS | $28,092.00 | ↑ +883% |
Visitor-reported prices
Comments
Embo or occlude vascular venous s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,626.94 | $4,085.10 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $18,047.48 | $4,381.60 – $41,323.66 |
| French Hospital | San Luis Obispo | $17,025.35 | $4,381.60 – $41,323.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13,040.65 | $4,381.60 – $28,120.00 |
| Bakersfield Memorial Hospital | Bakersfield | $12,900.05 | $4,381.60 – $27,768.50 |
| Providence St Joseph Hospital Eureka | Eureka | $14,004.09 | $1,802.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,126.81 | $4,381.60 – $28,087.08 |
| Santa Rosa Memorial Hospital | Santa Rosa | $22,849.02 | $691.00 – $20,488.00 |