Ep & ablate ventric tachy at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$17,940.15
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.
$65,475.00
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.
$952.06 with Hill Physicians vs $65,475.00 with United — 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 | $952.06 | ↓ -95% |
| United | Medicaid|< 21 | $1,010.07 | ↓ -94% |
| United | Medicaid|> 21 | $1,010.07 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $1,228.02 | ↓ -93% |
| Molina | Medicaid|All Plans | $1,654.81 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $2,548.64 | ↓ -86% |
| California Health & Wellness | Medicaid|All Plans | $2,556.51 | ↓ -86% |
| Health Net | Medicaid|All Plans | $2,556.51 | ↓ -86% |
| Partnership Health Plan | Medicaid|All Plans | $3,784.95 | ↓ -79% |
| WCMG | Commercial|All Plans | $7,202.25 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $12,333.00 | ↓ -31% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,724.00 | ↓ -12% |
| Aetna | Commercial|HMO | $16,573.00 | ↓ -8% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↓ -8% |
| Aetna | Commercial|PPO | $16,573.00 | ↓ -8% |
| Blue Shield CA | Commercial|Exchange | $17,053.00 | ↓ -5% |
| Kaiser | Medicare|All Plans | $19,467.00 | ↑ +9% |
| Kaiser | Commercial|All Plans | $19,467.00 | ↑ +9% |
| Kaiser | Medicaid|All Plans | $19,467.00 | ↑ +9% |
| Blue Shield CA | Commercial|PPO Tandem | $21,988.00 | ↑ +23% |
| Western Health Advantage | Commercial|All Plans | $22,916.25 | ↑ +28% |
| Health Net | Commercial|EPPO | $22,966.00 | ↑ +28% |
| Blue Shield CA | Commercial|HMO | $23,316.00 | ↑ +30% |
| Blue Shield CA | Commercial|CalPers | $24,547.00 | ↑ +37% |
| Blue Shield CA | Commercial|PPO | $26,437.00 | ↑ +47% |
| BCBS - Anthem | Medicare|All Other Plans | $30,400.34 | ↑ +69% |
| United | Medicare|All Plans | $32,237.90 | ↑ +80% |
| Humana | Medicare|All Plans | $32,237.90 | ↑ +80% |
| Aetna | Medicare|All Plans | $32,237.90 | ↑ +80% |
| Molina | Medicare|All Plans | $32,237.90 | ↑ +80% |
| Humana | Commercial|All Plans | $32,237.90 | ↑ +80% |
| Blue Shield CA | Medicare|HMO | $32,237.90 | ↑ +80% |
| Blue Shield CA | Medicare|PPO | $32,237.90 | ↑ +80% |
| BCBS - Anthem | Commercial|Connection EPO | $33,166.00 | ↑ +85% |
| BCBS - Anthem | Medicare|Imperial | $33,205.04 | ↑ +85% |
| BrightHealth | Commercial|All Plans | $35,461.69 | ↑ +98% |
| BlueShield | Medicare|Trauma | $40,297.38 | ↑ +125% |
| BCBS - Anthem | Commercial|All Other Plans | $41,457.00 | ↑ +131% |
| Health Net | Commercial|FFS | $41,665.00 | ↑ +132% |
| Cigna | Commercial|LocalPlus | $42,558.75 | ↑ +137% |
| Prison Healthcare | Medicaid|All Plans | $48,356.85 | ↑ +170% |
| Healthsmart | Commercial|All Plans | $49,106.25 | ↑ +174% |
| First Health | Commercial|All Plans | $49,106.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $52,380.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $54,344.25 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $56,308.50 | ↑ +214% |
| BCBS - Anthem | Commercial|MCS | $58,040.00 | ↑ +224% |
| United | Commercial|Options PPO | $65,475.00 | ↑ +265% |
| United | Commercial|All Other Plans | $65,475.00 | ↑ +265% |
| United | Commercial|HMO | $65,475.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $65,475.00 | ↑ +265% |
Visitor-reported prices
Comments
Ep & ablate ventric tachy at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $21,845.69 | $1,242.39 – $58,938.04 |
| Arroyo Grande Hospital | Santa Maria | $29,529.01 | $1,010.07 – $68,993.00 |
| French Hospital | San Luis Obispo | $26,233.82 | $1,010.07 – $65,584.54 |
| Bakersfield Memorial Hospital | Bakersfield | $27,899.34 | $1,010.07 – $73,739.40 |
| St. Joseph's Medical Center Stockton | Stockton | $21,737.48 | $880.22 – $62,107.08 |
| Santa Rosa Memorial Hospital | Santa Rosa | $23,923.59 | $6,682.00 – $36,369.89 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $13,690.08 | $11,790.00 – $62,192.66 |
| Mercy Medical Center Merced | Merced | $12,123.62 | $1,010.07 – $23,541.00 |