Endo, single, pulmonary at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$768.57
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.
$2,805.00
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.
$237.05 with WCMG vs $2,090.35 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 | $237.05 | ↓ -69% |
| Kaiser | Medicaid|All Plans | $495.65 | ↓ -36% |
| Kaiser | Commercial|All Plans | $495.65 | ↓ -36% |
| Kaiser | Medicare|All Plans | $495.65 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $517.20 | ↓ -33% |
| Partnership Health Plan | Medicaid|All Plans | $538.75 | ↓ -30% |
| Molina | Medicaid|All Plans | $560.30 | ↓ -27% |
| Health Net | Medicaid|All Plans | $603.40 | ↓ -21% |
| California Health & Wellness | Medicaid|All Plans | $603.40 | ↓ -21% |
| Health Net | Commercial|EPPO | $840.45 | ↑ +9% |
| Cigna | Commercial|LocalPlus | $862.00 | ↑ +12% |
| United | Commercial|Non-Options PPO | $1,120.60 | ↑ +46% |
| Cigna | Commercial|All Other Plans | $1,142.15 | ↑ +49% |
| United | Commercial|Options PPO | $1,206.80 | ↑ +57% |
| United | Commercial|HMO | $1,206.80 | ↑ +57% |
| United | Commercial|All Other Plans | $1,206.80 | ↑ +57% |
| Blue Shield CA | Commercial|ACO Trio | $1,400.75 | ↑ +82% |
| Western Health Advantage | Commercial|All Plans | $1,400.75 | ↑ +82% |
| Health Net | Commercial|FFS | $1,530.05 | ↑ +99% |
| First Health | Commercial|All Plans | $1,616.25 | ↑ +110% |
| Healthsmart | Commercial|All Plans | $1,616.25 | ↑ +110% |
| BCBS - Anthem | Commercial|Connection EPO | $1,680.90 | ↑ +119% |
| Sutter Health | Commercial|All Plans | $1,724.00 | ↑ +124% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,767.10 | ↑ +130% |
| Blue Shield CA | Commercial|Exchange | $1,767.10 | ↑ +130% |
| MultiPlan | Commercial|All Plans | $1,788.65 | ↑ +133% |
| Aetna | Commercial|HMO | $1,831.75 | ↑ +138% |
| Aetna | Commercial|All Other Plans | $1,831.75 | ↑ +138% |
| Aetna | Commercial|PPO | $1,831.75 | ↑ +138% |
| Blue Shield CA | Commercial|PPO Tandem | $1,939.50 | ↑ +152% |
| Blue Shield CA | Commercial|PPO | $1,939.50 | ↑ +152% |
| Blue Shield CA | Commercial|HMO | $1,939.50 | ↑ +152% |
| Blue Shield CA | Commercial|CalPers | $1,982.60 | ↑ +158% |
| BCBS - Anthem | Commercial|MCS | $2,090.35 | ↑ +172% |
| BCBS - Anthem | Commercial|All Other Plans | $2,090.35 | ↑ +172% |
Visitor-reported prices
Comments
Endo, single, pulmonary at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,178.10 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield | $920.08 | $476.25 – $1,714.50 |
| Bakersfield Memorial Hospital | Bakersfield | $910.16 | $476.25 – $1,847.85 |
| Queen of The Valley Medical Center | Napa | $1,124.55 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $1,262.25 | not published |
| Healdsburg Hospital | Healdsburg | $774.18 | not published |
| Redwood Memorial Hospital | Fortuna | $1,262.25 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $583.30 | $396.24 – $1,524.00 |