Fo nontorsion joint cf at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$112.89
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.
$412.00
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.
$45.32 with WCMG vs $399.64 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $45.32 | ↓ -60% |
| Kaiser | Medicaid|All Plans | $94.76 | ↓ -16% |
| Kaiser | Medicare|All Plans | $94.76 | ↓ -16% |
| Kaiser | Commercial|All Plans | $94.76 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $98.88 | ↓ -12% |
| Partnership Health Plan | Medicaid|All Plans | $103.00 | ↓ -9% |
| Molina | Medicaid|All Plans | $107.12 | ↓ -5% |
| Health Net | Medicaid|All Plans | $115.36 | ↑ +2% |
| California Health & Wellness | Medicaid|All Plans | $115.36 | ↑ +2% |
| United | Medicaid|> 21 | $126.38 | ↑ +12% |
| United | Medicaid|< 21 | $126.38 | ↑ +12% |
| Hill Physicians | Medicaid|All Plans | $139.02 | ↑ +23% |
| Health Net | Commercial|EPPO | $160.68 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $164.80 | ↑ +46% |
| United | Commercial|Non-Options PPO | $214.24 | ↑ +90% |
| Cigna | Commercial|All Other Plans | $218.36 | ↑ +93% |
| United | Commercial|HMO | $230.72 | ↑ +104% |
| United | Commercial|Options PPO | $230.72 | ↑ +104% |
| United | Commercial|All Other Plans | $230.72 | ↑ +104% |
| Blue Shield CA | Commercial|ACO Trio | $267.80 | ↑ +137% |
| Western Health Advantage | Commercial|All Plans | $267.80 | ↑ +137% |
| Health Net | Commercial|FFS | $292.52 | ↑ +159% |
| First Health | Commercial|All Plans | $309.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $309.00 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $321.36 | ↑ +185% |
| Sutter Health | Commercial|All Plans | $329.60 | ↑ +192% |
| Blue Shield CA | Commercial|Exchange | $337.84 | ↑ +199% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $337.84 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $341.96 | ↑ +203% |
| Aetna | Commercial|All Other Plans | $350.20 | ↑ +210% |
| Aetna | Commercial|PPO | $350.20 | ↑ +210% |
| Aetna | Commercial|HMO | $350.20 | ↑ +210% |
| Blue Shield CA | Commercial|HMO | $370.80 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $370.80 | ↑ +228% |
| Blue Shield CA | Commercial|PPO Tandem | $370.80 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $379.04 | ↑ +236% |
| BCBS - Anthem | Commercial|MCS | $399.64 | ↑ +254% |
| BCBS - Anthem | Commercial|All Other Plans | $399.64 | ↑ +254% |
Visitor-reported prices
Comments
Fo nontorsion joint cf at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $86.89 | $101.50 – $198.94 |
| French Hospital | San Luis Obispo | $79.58 | $38.57 – $198.94 |
| Dominican Hospital | Santa Cruz | $298.35 | $126.38 – $663.00 |
| Mercy General Hospital | Sacramento | $89.82 | $94.76 – $366.68 |
| Mercy Hospital of Folsom | Folsom | $160.27 | $45.32 – $395.52 |
| Woodland Memorial Hospital | Woodland | $112.89 | $45.32 – $412.00 |
| Methodist Hospital of Sacramento | Sacramento | $118.66 | $94.76 – $370.80 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $35.00 | $241.15 – $446.13 |