Endovenous rf abl vein addl at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$937.08
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.
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What you pay up front if you don't use insurance.
$3,420.00
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.
$125.31 with Hill Physicians vs $19,040.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $125.31 | ↓ -87% |
| WCMG | Commercial|All Plans | $361.79 | ↓ -61% |
| United | Medicaid|> 21 | $437.82 | ↓ -53% |
| United | Medicaid|< 21 | $437.82 | ↓ -53% |
| Hill Physicians | Medicaid|All Plans | $529.36 | ↓ -44% |
| Molina | Medicaid|All Plans | $717.43 | ↓ -23% |
| BCBS - Anthem | Medicaid|All Plans | $724.93 | ↓ -23% |
| Health Net | Medicaid|All Plans | $1,102.04 | ↑ +18% |
| California Health & Wellness | Medicaid|All Plans | $1,102.04 | ↑ +18% |
| Western Health Advantage | Commercial|All Plans | $1,151.15 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $1,348.49 | ↑ +44% |
| Partnership Health Plan | Medicaid|All Plans | $1,640.92 | ↑ +75% |
| Kaiser | Commercial|All Plans | $1,776.06 | ↑ +90% |
| Healthsmart | Commercial|All Plans | $2,466.75 | ↑ +163% |
| First Health | Commercial|All Plans | $2,466.75 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $2,631.20 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $2,729.87 | ↑ +191% |
| United | Commercial|All Other Plans | $3,289.00 | ↑ +251% |
| United | Commercial|HMO | $3,289.00 | ↑ +251% |
| United | Commercial|Options PPO | $3,289.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $3,289.00 | ↑ +251% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +356% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +453% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +453% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +453% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +470% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +699% |
| Blue Shield CA | Commercial|ACO Trio | $8,882.00 | ↑ +848% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,325.00 | ↑ +1109% |
| Blue Shield CA | Commercial|Exchange | $12,281.00 | ↑ +1211% |
| Blue Shield CA | Commercial|PPO Tandem | $15,836.00 | ↑ +1590% |
| Blue Shield CA | Commercial|HMO | $16,792.00 | ↑ +1692% |
| Blue Shield CA | Commercial|CalPers | $17,679.00 | ↑ +1787% |
| Blue Shield CA | Commercial|PPO | $19,040.00 | ↑ +1932% |
Visitor-reported prices
Comments
Endovenous rf abl vein addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $3,933.75 | $437.82 – $9,007.18 |
| French Hospital | San Luis Obispo | $3,602.88 | $437.82 – $9,007.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,659.92 | $437.82 – $4,758.83 |
| Bakersfield Memorial Hospital | Bakersfield | $2,441.29 | $437.82 – $5,293.53 |
| St. Joseph's Medical Center Stockton | Stockton | $2,758.31 | $0.80 – $2,457.84 |
| Mercy Medical Center Merced | Merced | $3,228.54 | $437.82 – $6,206.31 |
| Mercy General Hospital | Sacramento | $745.56 | $125.31 – $2,631.20 |
| Mercy Hospital of Folsom | Folsom | $1,330.38 | $125.31 – $2,696.98 |