Epidural/lumbar/sacral/ea add level64484 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,054.63
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.
$3,849.00
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.
$50.97 with Hill Physicians vs $7,484.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $50.97 | ↓ -95% |
| United | Medicaid|> 21 | $152.94 | ↓ -85% |
| United | Medicaid|< 21 | $152.94 | ↓ -85% |
| Molina | Medicaid|All Plans | $250.57 | ↓ -76% |
| Hill Physicians | Medicaid|All Plans | $265.20 | ↓ -75% |
| WCMG | Commercial|All Plans | $268.07 | ↓ -75% |
| BCBS - Anthem | Medicaid|All Plans | $363.24 | ↓ -66% |
| Health Net | Medicaid|All Plans | $552.10 | ↓ -48% |
| California Health & Wellness | Medicaid|All Plans | $552.10 | ↓ -48% |
| Partnership Health Plan | Medicaid|All Plans | $822.06 | ↓ -22% |
| Western Health Advantage | Commercial|All Plans | $852.95 | ↓ -19% |
| Kaiser | Medicaid|All Plans | $999.17 | ↓ -5% |
| Kaiser | Commercial|All Plans | $1,315.98 | ↑ +25% |
| Healthsmart | Commercial|All Plans | $1,827.75 | ↑ +73% |
| First Health | Commercial|All Plans | $1,827.75 | ↑ +73% |
| Sutter Health | Commercial|All Plans | $1,949.60 | ↑ +85% |
| MultiPlan | Commercial|All Plans | $2,022.71 | ↑ +92% |
| United | Commercial|All Other Plans | $2,437.00 | ↑ +131% |
| United | Commercial|HMO | $2,437.00 | ↑ +131% |
| United | Commercial|Options PPO | $2,437.00 | ↑ +131% |
| United | Commercial|Non-Options PPO | $2,437.00 | ↑ +131% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +214% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +300% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +306% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +306% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +391% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +391% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +391% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +407% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +433% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +493% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +524% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +543% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +610% |
Visitor-reported prices
Comments
Epidural/lumbar/sacral/ea add level64484 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $732.34 | $171.45 – $495.30 |
| Arroyo Grande Hospital | Santa Maria | $1,391.86 | $152.94 – $3,116.40 |
| Mark Twain Medical Center | San Andreas | $749.25 | $40.36 – $152.94 |
| French Hospital | San Luis Obispo | $1,246.56 | $152.94 – $1,855.14 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,001.70 | $152.94 – $1,175.69 |
| Bakersfield Memorial Hospital | Bakersfield | $484.81 | $152.94 – $1,307.79 |
| Queen of The Valley Medical Center | Napa | $6,021.06 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,659.03 | $2,699.00 – $21,319.00 |