Ghs bladder cath - complex-foley at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$166.60
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.
$608.00
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.
$55.11 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 | $55.11 | ↓ -67% |
| Hill Physicians | Commercial|All Plans | $75.80 | ↓ -55% |
| United | Medicaid|< 21 | $124.06 | ↓ -26% |
| United | Medicaid|> 21 | $124.06 | ↓ -26% |
| Hill Physicians | Medicaid|All Plans | $149.78 | ↓ -10% |
| Western Health Advantage | Commercial|All Plans | $175.35 | ↑ +5% |
| BCBS - Anthem | Medicare|All Other Plans | $193.88 | ↑ +16% |
| Molina | Medicaid|All Plans | $202.98 | ↑ +22% |
| BCBS - Anthem | Medicaid|All Plans | $205.41 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $205.41 | ↑ +23% |
| Kaiser | Medicare|All Plans | $205.60 | ↑ +23% |
| Humana | Medicare|All Plans | $205.60 | ↑ +23% |
| Humana | Commercial|All Plans | $205.60 | ↑ +23% |
| Aetna | Medicare|All Plans | $205.60 | ↑ +23% |
| Molina | Medicare|All Plans | $205.60 | ↑ +23% |
| Blue Shield CA | Medicare|PPO | $205.60 | ↑ +23% |
| United | Medicare|All Plans | $205.60 | ↑ +23% |
| Blue Shield CA | Medicare|HMO | $205.60 | ↑ +23% |
| BCBS - Anthem | Medicare|Imperial | $211.77 | ↑ +27% |
| BrightHealth | Commercial|All Plans | $226.16 | ↑ +36% |
| BlueShield | Medicare|Trauma | $257.00 | ↑ +54% |
| Kaiser | Commercial|All Plans | $270.54 | ↑ +62% |
| Prison Healthcare | Medicaid|All Plans | $308.40 | ↑ +85% |
| Health Net | Medicaid|All Plans | $311.81 | ↑ +87% |
| California Health & Wellness | Medicaid|All Plans | $311.81 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $375.75 | ↑ +126% |
| First Health | Commercial|All Plans | $375.75 | ↑ +126% |
| Sutter Health | Commercial|All Plans | $400.80 | ↑ +141% |
| MultiPlan | Commercial|All Plans | $415.83 | ↑ +150% |
| Partnership Health Plan | Medicaid|All Plans | $464.27 | ↑ +179% |
| United | Commercial|HMO | $501.00 | ↑ +201% |
| United | Commercial|All Other Plans | $501.00 | ↑ +201% |
| United | Commercial|Non-Options PPO | $501.00 | ↑ +201% |
| United | Commercial|Options PPO | $501.00 | ↑ +201% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +513% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +682% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +694% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +943% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +1060% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +1120% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +1156% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1821% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +2467% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +3008% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +3008% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +3008% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +3109% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +3384% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +4392% |
Visitor-reported prices
Comments
Ghs bladder cath - complex-foley at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $263.68 | $152.59 – $469.56 |
| Banner Lassen Medical Center | Susanville | $178.52 | $31.29 – $331.74 |
| Petaluma Valley Hospital | Petaluma | $1,384.14 | $173.40 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $207.58 | $124.06 – $475.30 |
| Mark Twain Medical Center | San Andreas | $145.86 | $54.07 – $204.82 |
| French Hospital | San Luis Obispo | $190.12 | $124.06 – $475.30 |
| Queen of The Valley Medical Center | Napa | $1,461.66 | $182.70 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,192.89 | $165.49 – $8,018.00 |