Gamunex-c/gammaked at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5,081.88
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.
$18,547.00
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.
$48.35 with Partnership Health Plan vs $385.12 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $48.35 | ↓ -99% |
| WCMG | Commercial|All Plans | $51.04 | ↓ -99% |
| Hill Physicians | Commercial|All Plans | $51.25 | ↓ -99% |
| Hill Physicians | Medicaid|All Plans | $53.18 | ↓ -99% |
| BCBS - Anthem | Medicare|All Other Plans | $59.52 | ↓ -99% |
| Western Health Advantage | Commercial|All Plans | $62.96 | ↓ -99% |
| Aetna | Medicare|All Plans | $63.12 | ↓ -99% |
| Humana | Commercial|All Plans | $63.12 | ↓ -99% |
| Humana | Medicare|All Plans | $63.12 | ↓ -99% |
| Molina | Medicare|All Plans | $63.12 | ↓ -99% |
| Blue Shield CA | Medicare|PPO | $63.12 | ↓ -99% |
| United | Medicare|All Plans | $63.12 | ↓ -99% |
| Blue Shield CA | Medicare|HMO | $63.12 | ↓ -99% |
| Kaiser | Medicare|All Plans | $63.12 | ↓ -99% |
| BCBS - Anthem | Medicare|Imperial | $65.01 | ↓ -99% |
| BrightHealth | Commercial|All Plans | $69.43 | ↓ -99% |
| United | Commercial|Non-Options PPO | $76.74 | ↓ -98% |
| BCBS - Anthem | Commercial|Connection EPO | $76.81 | ↓ -98% |
| BlueShield | Medicare|Trauma | $78.90 | ↓ -98% |
| United | Commercial|Options PPO | $80.87 | ↓ -98% |
| United | Commercial|HMO | $80.87 | ↓ -98% |
| United | Commercial|All Other Plans | $80.87 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio | $87.60 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $87.60 | ↓ -98% |
| Blue Shield CA | Commercial|PPO Tandem | $87.60 | ↓ -98% |
| Blue Shield CA | Commercial|CalPers | $87.60 | ↓ -98% |
| Blue Shield CA | Commercial|PPO | $87.60 | ↓ -98% |
| Blue Shield CA | Commercial|Exchange | $87.60 | ↓ -98% |
| Blue Shield CA | Commercial|HMO | $87.60 | ↓ -98% |
| Molina | Medicaid|All Plans | $90.90 | ↓ -98% |
| Prison Healthcare | Medicaid|All Plans | $94.68 | ↓ -98% |
| BCBS - Anthem | Commercial|All Other Plans | $96.01 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $102.07 | ↓ -98% |
| Aetna | Commercial|HMO | $103.76 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $103.76 | ↓ -98% |
| Aetna | Commercial|PPO | $103.76 | ↓ -98% |
| Health Net | Medicaid|All Plans | $110.72 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $110.72 | ↓ -98% |
| Cigna | Commercial|LocalPlus | $112.46 | ↓ -98% |
| Health Net | Commercial|EPPO | $123.32 | ↓ -98% |
| BCBS - Anthem | Commercial|MCS | $134.27 | ↓ -97% |
| Cigna | Commercial|All Other Plans | $149.98 | ↓ -97% |
| Kaiser | Medicaid|All Plans | $190.24 | ↓ -96% |
| Health Net | Commercial|FFS | $231.26 | ↓ -95% |
| Kaiser | Commercial|All Plans | $250.56 | ↓ -95% |
| First Health | Commercial|All Plans | $348.00 | ↓ -93% |
| Healthsmart | Commercial|All Plans | $348.00 | ↓ -93% |
| Sutter Health | Commercial|All Plans | $371.20 | ↓ -93% |
| MultiPlan | Commercial|All Plans | $385.12 | ↓ -92% |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,118.16 | $20.62 – $900.00 |
| Petaluma Valley Hospital | Petaluma | $3,195.43 | $48.73 – $103.95 |
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $52.23 – $1,136.80 |
| French Hospital | San Luis Obispo | $14,700.00 | $48.35 – $5,684.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,425.45 | $45.08 – $1,847.20 |
| Bakersfield Memorial Hospital | Bakersfield | $6,772.62 | $61.03 – $364.98 |
| Queen of The Valley Medical Center | Napa | $6,349.04 | $49.73 – $103.95 |
| Providence St Joseph Hospital Eureka | Eureka | $6,349.04 | $49.73 – $103.95 |