Fem/popl revasc w/stent at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$8,092.59
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.
$29,535.00
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.
$441.18 with United vs $28,092.00 with Health Net — 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 | $441.18 | ↓ -95% |
| United | Medicaid|< 21 | $441.18 | ↓ -95% |
| Hill Physicians | Commercial|All Plans | $480.42 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $485.30 | ↓ -94% |
| Molina | Medicaid|All Plans | $829.42 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $838.05 | ↓ -90% |
| California Health & Wellness | Medicaid|All Plans | $1,010.30 | ↓ -88% |
| Health Net | Medicaid|All Plans | $1,010.30 | ↓ -88% |
| WCMG | Commercial|All Plans | $1,299.54 | ↓ -84% |
| Partnership Health Plan | Medicaid|All Plans | $1,897.07 | ↓ -77% |
| Western Health Advantage | Commercial|All Plans | $4,134.90 | ↓ -49% |
| Kaiser | Medicaid|All Plans | $4,843.74 | ↓ -40% |
| Blue Shield CA | Commercial|ACO Trio | $6,260.00 | ↓ -23% |
| Kaiser | Commercial|All Plans | $6,379.56 | ↓ -21% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7,977.00 | ↓ -1% |
| Blue Shield CA | Commercial|Exchange | $8,094.00 | ↑ +0% |
| First Health | Commercial|All Plans | $8,860.50 | ↑ +9% |
| Healthsmart | Commercial|All Plans | $8,860.50 | ↑ +9% |
| Sutter Health | Commercial|All Plans | $9,451.20 | ↑ +17% |
| MultiPlan | Commercial|All Plans | $9,805.62 | ↑ +21% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +28% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +28% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +28% |
| Blue Shield CA | Commercial|PPO Tandem | $10,639.00 | ↑ +31% |
| BCBS - Anthem | Medicare|All Other Plans | $11,140.61 | ↑ +38% |
| Humana | Commercial|All Plans | $11,814.00 | ↑ +46% |
| Humana | Medicare|All Plans | $11,814.00 | ↑ +46% |
| Aetna | Medicare|All Plans | $11,814.00 | ↑ +46% |
| Molina | Medicare|All Plans | $11,814.00 | ↑ +46% |
| United | Commercial|All Other Plans | $11,814.00 | ↑ +46% |
| United | Medicare|All Plans | $11,814.00 | ↑ +46% |
| United | Commercial|HMO | $11,814.00 | ↑ +46% |
| United | Commercial|Options PPO | $11,814.00 | ↑ +46% |
| United | Commercial|Non-Options PPO | $11,814.00 | ↑ +46% |
| Blue Shield CA | Medicare|PPO | $11,814.00 | ↑ +46% |
| Blue Shield CA | Commercial|HMO | $11,829.00 | ↑ +46% |
| BCBS - Anthem | Medicare|Imperial | $12,168.42 | ↑ +50% |
| Blue Shield CA | Commercial|CalPers | $12,452.00 | ↑ +54% |
| Blue Shield CA | Commercial|PPO | $12,814.00 | ↑ +58% |
| BCBS - Anthem | Commercial|Connection EPO | $12,886.00 | ↑ +59% |
| BrightHealth | Commercial|All Plans | $12,995.40 | ↑ +61% |
| BlueShield | Medicare|Trauma | $14,767.50 | ↑ +82% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +84% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +84% |
| Health Net | Commercial|EPPO | $15,484.00 | ↑ +91% |
| BCBS - Anthem | Commercial|All Other Plans | $16,107.00 | ↑ +99% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +176% |
| BCBS - Anthem | Commercial|MCS | $22,550.00 | ↑ +179% |
| Health Net | Commercial|FFS | $28,092.00 | ↑ +247% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,858.85 | $667.46 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $15,342.09 | $441.08 – $34,105.96 |
| French Hospital | San Luis Obispo | $13,642.39 | $441.08 – $34,105.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $28,333.27 | $441.18 – $19,675.20 |
| Bakersfield Memorial Hospital | Bakersfield | $28,027.79 | $441.18 – $19,429.26 |
| Queen of The Valley Medical Center | Napa | $18,036.15 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,442.80 | $0.80 – $11,269.00 |