Ghs ed peritoneal lavage w guidance if performed at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$818.44
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.
$2,987.00
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.
$93.43 with United vs $12,615.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $93.43 | ↓ -89% |
| United | Medicaid|< 21 | $93.43 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $103.26 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $113.10 | ↓ -86% |
| Molina | Medicaid|All Plans | $153.28 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $154.70 | ↓ -81% |
| Health Net | Medicaid|All Plans | $235.46 | ↓ -71% |
| California Health & Wellness | Medicaid|All Plans | $235.46 | ↓ -71% |
| WCMG | Commercial|All Plans | $312.95 | ↓ -62% |
| Partnership Health Plan | Medicaid|All Plans | $350.58 | ↓ -57% |
| Western Health Advantage | Commercial|All Plans | $995.75 | ↑ +22% |
| BCBS - Anthem | Medicare|All Other Plans | $1,161.82 | ↑ +42% |
| Kaiser | Medicaid|All Plans | $1,166.45 | ↑ +43% |
| Kaiser | Medicare|All Plans | $1,232.05 | ↑ +51% |
| Humana | Medicare|All Plans | $1,232.05 | ↑ +51% |
| Humana | Commercial|All Plans | $1,232.05 | ↑ +51% |
| Aetna | Medicare|All Plans | $1,232.05 | ↑ +51% |
| Molina | Medicare|All Plans | $1,232.05 | ↑ +51% |
| United | Medicare|All Plans | $1,232.05 | ↑ +51% |
| Blue Shield CA | Medicare|PPO | $1,232.05 | ↑ +51% |
| Blue Shield CA | Medicare|HMO | $1,232.05 | ↑ +51% |
| BCBS - Anthem | Medicare|Imperial | $1,269.01 | ↑ +55% |
| BrightHealth | Commercial|All Plans | $1,355.26 | ↑ +66% |
| Kaiser | Commercial|All Plans | $1,536.30 | ↑ +88% |
| BlueShield | Medicare|Trauma | $1,540.06 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $1,848.08 | ↑ +126% |
| First Health | Commercial|All Plans | $2,133.75 | ↑ +161% |
| Healthsmart | Commercial|All Plans | $2,133.75 | ↑ +161% |
| Sutter Health | Commercial|All Plans | $2,276.00 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $2,361.35 | ↑ +189% |
| United | Commercial|Options PPO | $2,845.00 | ↑ +248% |
| United | Commercial|Non-Options PPO | $2,845.00 | ↑ +248% |
| United | Commercial|HMO | $2,845.00 | ↑ +248% |
| United | Commercial|All Other Plans | $2,845.00 | ↑ +248% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +480% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +519% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +688% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +700% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +781% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +786% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +786% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +786% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +951% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +952% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +1001% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +1069% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +1130% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +1166% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +1441% |
Visitor-reported prices
Comments
Ghs ed peritoneal lavage w guidance if performed at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,660.05 | $1,222.26 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $1,178.72 | $93.43 – $2,698.92 |
| Mark Twain Medical Center | San Andreas | $1,566.44 | $69.34 – $262.64 |
| French Hospital | San Luis Obispo | $1,079.57 | $93.43 – $2,698.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $910.07 | $93.43 – $1,962.40 |
| Bakersfield Memorial Hospital | Bakersfield | $900.26 | $93.43 – $1,937.87 |
| Queen of The Valley Medical Center | Napa | $1,717.17 | $1,287.79 – $8,552.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,798.26 | $1,166.53 – $8,925.00 |