Facial bones <3 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$262.50
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.
$958.00
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.
$24.86 with Hill Physicians vs $795.14 with MultiPlan — 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 | $24.86 | ↓ -91% |
| United | Medicaid|< 21 | $37.27 | ↓ -86% |
| United | Medicaid|> 21 | $37.27 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $41.00 | ↓ -84% |
| Molina | Medicaid|All Plans | $48.84 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $70.81 | ↓ -73% |
| Aetna | Commercial|PPO | $71.08 | ↓ -73% |
| Aetna | Commercial|All Other Plans | $71.08 | ↓ -73% |
| Aetna | Commercial|HMO | $71.08 | ↓ -73% |
| California Health & Wellness | Medicaid|All Plans | $85.35 | ↓ -67% |
| Health Net | Medicaid|All Plans | $85.35 | ↓ -67% |
| WCMG | Commercial|All Plans | $105.38 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $109.11 | ↓ -58% |
| Blue Shield CA | Medicare|PPO | $115.71 | ↓ -56% |
| Humana | Medicare|All Plans | $115.71 | ↓ -56% |
| Aetna | Medicare|All Plans | $115.71 | ↓ -56% |
| Molina | Medicare|All Plans | $115.71 | ↓ -56% |
| United | Medicare|All Plans | $115.71 | ↓ -56% |
| Kaiser | Medicare|All Plans | $115.71 | ↓ -56% |
| Blue Shield CA | Medicare|HMO | $115.71 | ↓ -56% |
| Humana | Commercial|All Plans | $115.71 | ↓ -56% |
| BCBS - Anthem | Medicare|Imperial | $119.18 | ↓ -55% |
| BrightHealth | Commercial|All Plans | $127.28 | ↓ -52% |
| BlueShield | Medicare|Trauma | $144.64 | ↓ -45% |
| Partnership Health Plan | Medicaid|All Plans | $160.24 | ↓ -39% |
| Prison Healthcare | Medicaid|All Plans | $173.56 | ↓ -34% |
| United | Commercial|Options PPO | $182.03 | ↓ -31% |
| United | Commercial|HMO | $182.03 | ↓ -31% |
| United | Commercial|All Other Plans | $182.03 | ↓ -31% |
| United | Commercial|Non-Options PPO | $182.03 | ↓ -31% |
| BCBS - Anthem | Commercial|Connection EPO | $312.04 | ↑ +19% |
| Cigna | Commercial|LocalPlus | $326.83 | ↑ +25% |
| Western Health Advantage | Commercial|All Plans | $335.30 | ↑ +28% |
| BCBS - Anthem | Commercial|All Other Plans | $389.91 | ↑ +49% |
| Kaiser | Medicaid|All Plans | $392.78 | ↑ +50% |
| Cigna | Commercial|All Other Plans | $435.81 | ↑ +66% |
| Kaiser | Commercial|All Plans | $517.32 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $545.93 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $718.50 | ↑ +174% |
| First Health | Commercial|All Plans | $718.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $766.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $795.14 | ↑ +203% |
Visitor-reported prices
Comments
Facial bones <3 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $313.61 | $56.38 – $558.48 |
| Banner Lassen Medical Center | Susanville | $174.50 | $17.61 – $258.02 |
| Petaluma Valley Hospital | Petaluma | $912.39 | $112.23 – $144.59 |
| Arroyo Grande Hospital | Santa Maria | $254.66 | $37.27 – $488.04 |
| Mark Twain Medical Center | San Andreas | $422.25 | $37.27 – $155.82 |
| French Hospital | San Luis Obispo | $203.06 | $37.27 – $447.03 |
| Mercy Hospitals – Bakersfield | Bakersfield | $196.63 | $37.27 – $424.11 |
| Bakersfield Memorial Hospital | Bakersfield | $194.51 | $37.27 – $424.11 |