Ghs i and d perirectal abscess 46040 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,073.81
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.
$3,919.00
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.
$205.06 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 | $205.06 | ↓ -81% |
| United | Medicaid|> 21 | $205.06 | ↓ -81% |
| Molina | Medicaid|All Plans | $335.96 | ↓ -69% |
| Hill Physicians | Medicaid|All Plans | $355.59 | ↓ -67% |
| WCMG | Commercial|All Plans | $410.52 | ↓ -62% |
| Hill Physicians | Commercial|All Plans | $444.98 | ↓ -59% |
| BCBS - Anthem | Medicaid|All Plans | $487.03 | ↓ -55% |
| California Health & Wellness | Medicaid|All Plans | $740.27 | ↓ -31% |
| Health Net | Medicaid|All Plans | $740.27 | ↓ -31% |
| Partnership Health Plan | Medicaid|All Plans | $1,102.21 | ↑ +3% |
| Western Health Advantage | Commercial|All Plans | $1,306.20 | ↑ +22% |
| BCBS - Anthem | Medicare|All Other Plans | $1,461.11 | ↑ +36% |
| Kaiser | Medicaid|All Plans | $1,530.12 | ↑ +42% |
| Kaiser | Medicare|All Plans | $1,549.43 | ↑ +44% |
| Humana | Medicare|All Plans | $1,549.43 | ↑ +44% |
| Humana | Commercial|All Plans | $1,549.43 | ↑ +44% |
| Aetna | Medicare|All Plans | $1,549.43 | ↑ +44% |
| Molina | Medicare|All Plans | $1,549.43 | ↑ +44% |
| United | Medicare|All Plans | $1,549.43 | ↑ +44% |
| Blue Shield CA | Medicare|PPO | $1,549.43 | ↑ +44% |
| Blue Shield CA | Medicare|HMO | $1,549.43 | ↑ +44% |
| BCBS - Anthem | Medicare|Imperial | $1,595.91 | ↑ +49% |
| BrightHealth | Commercial|All Plans | $1,704.37 | ↑ +59% |
| BlueShield | Medicare|Trauma | $1,936.79 | ↑ +80% |
| Kaiser | Commercial|All Plans | $2,015.28 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $2,324.14 | ↑ +116% |
| First Health | Commercial|All Plans | $2,799.00 | ↑ +161% |
| Healthsmart | Commercial|All Plans | $2,799.00 | ↑ +161% |
| Sutter Health | Commercial|All Plans | $2,985.60 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $3,097.56 | ↑ +188% |
| United | Commercial|Non-Options PPO | $3,732.00 | ↑ +248% |
| United | Commercial|Options PPO | $3,732.00 | ↑ +248% |
| United | Commercial|HMO | $3,732.00 | ↑ +248% |
| United | Commercial|All Other Plans | $3,732.00 | ↑ +248% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +342% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +371% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +501% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +510% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +571% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +672% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +672% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +672% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +701% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +702% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +739% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +791% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +838% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +865% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +1075% |
Visitor-reported prices
Comments
Ghs i and d perirectal abscess 46040 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $5,102.04 | $1,612.61 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $754.58 | $205.06 – $1,110.34 |
| Queen of The Valley Medical Center | Napa | $8,986.20 | $1,699.06 – $8,552.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,981.28 | $1,539.08 – $8,925.00 |
| Healdsburg Hospital | Healdsburg | $2,159.85 | $1,612.29 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $5,999.64 | $6,127.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,938.33 | $1,665.08 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,182.88 | $1,308.22 – $7,908.00 |