Evasc prlng admn rx agnt 1st at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5,289.30
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.
?
What you pay up front if you don't use insurance.
$19,304.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$444.15 with United vs $18,584.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $444.15 | ↓ -92% |
| United | Medicaid|> 21 | $444.15 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $488.56 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $556.36 | ↓ -89% |
| Molina | Medicaid|All Plans | $835.00 | ↓ -84% |
| Health Net | Medicaid|All Plans | $1,017.10 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $1,017.10 | ↓ -81% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↓ -81% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↓ -75% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↓ -75% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↓ -67% |
| Partnership Health Plan | Medicaid|All Plans | $1,909.85 | ↓ -64% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↓ -63% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↓ -62% |
| WCMG | Commercial|All Plans | $2,044.24 | ↓ -61% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $2,118.82 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $6,504.40 | ↑ +23% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +36% |
| Kaiser | Medicaid|All Plans | $7,619.44 | ↑ +44% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +70% |
| Kaiser | Commercial|All Plans | $10,035.36 | ↑ +90% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +139% |
| First Health | Commercial|All Plans | $13,938.00 | ↑ +164% |
| Healthsmart | Commercial|All Plans | $13,938.00 | ↑ +164% |
| Sutter Health | Commercial|All Plans | $14,867.20 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $15,424.72 | ↑ +192% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +213% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +213% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +213% |
| United | Commercial|All Other Plans | $18,584.00 | ↑ +251% |
| United | Commercial|HMO | $18,584.00 | ↑ +251% |
| United | Commercial|Options PPO | $18,584.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $18,584.00 | ↑ +251% |
Visitor-reported prices
Comments
Evasc prlng admn rx agnt 1st at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $8,082.42 | $671.95 – $14,393.34 |
| Arroyo Grande Hospital | Santa Maria | $4,031.76 | $444.15 – $9,231.60 |
| French Hospital | San Luis Obispo | $3,692.64 | $444.15 – $9,231.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,563.83 | $444.15 – $8,549.34 |
| Bakersfield Memorial Hospital | Bakersfield | $2,256.32 | $444.15 – $6,086.52 |
| St. Joseph's Medical Center Stockton | Stockton | $2,690.40 | $444.15 – $5,111.40 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,252.16 | $1,597.00 – $5,357.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $9,273.76 | $986.01 – $11,681.60 |