ER Visit (level 5, high severity) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$10,198.01
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.
$37,219.00
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.
$155.03 with United vs $23,954.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $155.03 | ↓ -98% |
| United | Medicaid|> 21 | $155.03 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $170.53 | ↓ -98% |
| Hill Physicians | Commercial|All Plans | $171.11 | ↓ -98% |
| Molina | Medicaid|All Plans | $203.19 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $294.56 | ↓ -97% |
| Health Net | Medicaid|All Plans | $355.02 | ↓ -97% |
| California Health & Wellness | Medicaid|All Plans | $355.02 | ↓ -97% |
| Partnership Health Plan | Medicaid|All Plans | $666.63 | ↓ -93% |
| WCMG | Commercial|All Plans | $680.13 | ↓ -93% |
| BCBS - Anthem | Medicare|All Other Plans | $759.75 | ↓ -93% |
| United | Medicare|All Plans | $805.67 | ↓ -92% |
| Humana | Commercial|All Plans | $805.67 | ↓ -92% |
| Aetna | Medicare|All Plans | $805.67 | ↓ -92% |
| Humana | Medicare|All Plans | $805.67 | ↓ -92% |
| Blue Shield CA | Medicare|PPO | $805.67 | ↓ -92% |
| Kaiser | Medicare|All Plans | $805.67 | ↓ -92% |
| Molina | Medicare|All Plans | $805.67 | ↓ -92% |
| Blue Shield CA | Medicare|HMO | $805.67 | ↓ -92% |
| BCBS - Anthem | Medicare|Imperial | $829.84 | ↓ -92% |
| BrightHealth | Commercial|All Plans | $886.24 | ↓ -91% |
| BlueShield | Medicare|Trauma | $1,007.09 | ↓ -90% |
| Prison Healthcare | Medicaid|All Plans | $1,208.51 | ↓ -88% |
| Western Health Advantage | Commercial|All Plans | $2,164.05 | ↓ -79% |
| Kaiser | Medicaid|All Plans | $2,535.03 | ↓ -75% |
| Blue Shield CA | Commercial|ACO Trio | $3,276.99 | ↓ -68% |
| Cigna | Commercial|LocalPlus | $4,080.78 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,142.61 | ↓ -59% |
| Kaiser | Commercial|All Plans | $4,513.59 | ↓ -56% |
| First Health | Commercial|All Plans | $4,637.25 | ↓ -55% |
| Healthsmart | Commercial|All Plans | $4,637.25 | ↓ -55% |
| Blue Shield CA | Commercial|Exchange | $4,822.74 | ↓ -53% |
| Aetna | Commercial|HMO | $4,884.57 | ↓ -52% |
| Aetna | Commercial|All Other Plans | $4,884.57 | ↓ -52% |
| Aetna | Commercial|PPO | $4,884.57 | ↓ -52% |
| Sutter Health | Commercial|All Plans | $4,946.40 | ↓ -51% |
| MultiPlan | Commercial|All Plans | $5,131.89 | ↓ -50% |
| Blue Shield CA | Commercial|PPO Tandem | $5,131.89 | ↓ -50% |
| Cigna | Commercial|All Other Plans | $5,441.04 | ↓ -47% |
| Blue Shield CA | Commercial|PPO | $5,564.70 | ↓ -45% |
| Blue Shield CA | Commercial|HMO | $5,564.70 | ↓ -45% |
| Blue Shield CA | Commercial|CalPers | $5,688.36 | ↓ -44% |
| Health Net | Commercial|EPPO | $9,305.00 | ↓ -9% |
| United | Commercial|Non-Options PPO | $12,090.00 | ↑ +19% |
| United | Commercial|HMO | $13,567.00 | ↑ +33% |
| BCBS - Anthem | Commercial|Connection EPO | $13,688.00 | ↑ +34% |
| United | Commercial|All Other Plans | $14,026.00 | ↑ +38% |
| United | Commercial|Options PPO | $14,026.00 | ↑ +38% |
| Health Net | Commercial|FFS | $16,958.00 | ↑ +66% |
| BCBS - Anthem | Commercial|All Other Plans | $17,110.00 | ↑ +68% |
| BCBS - Anthem | Commercial|MCS | $23,954.00 | ↑ +135% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,060.79 | $226.60 – $3,279.18 |
| Banner Lassen Medical Center | Susanville | $3,441.94 | $122.62 – $2,525.88 |
| Petaluma Valley Hospital | Petaluma | $4,458.42 | $802.54 – $818.92 |
| Arroyo Grande Hospital | Santa Maria | $1,593.02 | $155.03 – $3,316.32 |
| Mark Twain Medical Center | San Andreas | $1,886.78 | $138.93 – $526.26 |
| French Hospital | San Luis Obispo | $1,459.03 | $155.03 – $3,392.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,521.69 | $155.03 – $5,573.54 |
| Bakersfield Memorial Hospital | Bakersfield | $2,494.50 | $155.03 – $5,573.54 |