G-tube reposition at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$155.36
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.
$567.00
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.
$59.95 with WCMG vs $7,484.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $59.95 | ↓ -61% |
| United | Medicaid|> 21 | $91.00 | ↓ -41% |
| United | Medicaid|< 21 | $91.00 | ↓ -41% |
| Hill Physicians | Commercial|All Plans | $100.68 | ↓ -35% |
| Molina | Medicaid|All Plans | $149.08 | ↓ -4% |
| Hill Physicians | Medicaid|All Plans | $157.78 | ↑ +2% |
| Western Health Advantage | Commercial|All Plans | $190.75 | ↑ +23% |
| BCBS - Anthem | Medicaid|All Plans | $216.13 | ↑ +39% |
| Kaiser | Medicaid|All Plans | $223.45 | ↑ +44% |
| Kaiser | Commercial|All Plans | $294.30 | ↑ +89% |
| BCBS - Anthem | Medicare|All Other Plans | $301.38 | ↑ +94% |
| Kaiser | Medicare|All Plans | $319.60 | ↑ +106% |
| Humana | Medicare|All Plans | $319.60 | ↑ +106% |
| Humana | Commercial|All Plans | $319.60 | ↑ +106% |
| Aetna | Medicare|All Plans | $319.60 | ↑ +106% |
| Molina | Medicare|All Plans | $319.60 | ↑ +106% |
| United | Medicare|All Plans | $319.60 | ↑ +106% |
| Blue Shield CA | Medicare|PPO | $319.60 | ↑ +106% |
| Blue Shield CA | Medicare|HMO | $319.60 | ↑ +106% |
| Health Net | Medicaid|All Plans | $328.48 | ↑ +111% |
| California Health & Wellness | Medicaid|All Plans | $328.48 | ↑ +111% |
| BCBS - Anthem | Medicare|Imperial | $329.19 | ↑ +112% |
| BrightHealth | Commercial|All Plans | $351.56 | ↑ +126% |
| BlueShield | Medicare|Trauma | $399.50 | ↑ +157% |
| First Health | Commercial|All Plans | $408.75 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $408.75 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $436.00 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $452.35 | ↑ +191% |
| Prison Healthcare | Medicaid|All Plans | $479.40 | ↑ +209% |
| Partnership Health Plan | Medicaid|All Plans | $489.12 | ↑ +215% |
| United | Commercial|All Other Plans | $545.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $545.00 | ↑ +251% |
| United | Commercial|HMO | $545.00 | ↑ +251% |
| United | Commercial|Options PPO | $545.00 | ↑ +251% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +558% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +739% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +751% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +1018% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +1144% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +1209% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +1247% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1960% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +2653% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +3233% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +3233% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +3233% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +3341% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +3636% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +4717% |
Visitor-reported prices
Comments
G-tube reposition at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $663.57 | $111.93 – $1,181.70 |
| Petaluma Valley Hospital | Petaluma | $435.54 | $336.70 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $1,437.23 | $91.00 – $3,134.04 |
| French Hospital | San Luis Obispo | $1,316.34 | $91.00 – $740.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,068.11 | $91.00 – $588.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,056.60 | $91.00 – $580.65 |
| Queen of The Valley Medical Center | Napa | $483.99 | $354.75 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,093.44 | $321.35 – $8,018.00 |