Ghs protein, misc fluid at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4.09
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.
$14.90
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.
$0.59 with WCMG vs $16.58 with Cigna — 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 | $0.59 | ↓ -86% |
| Blue Shield CA | Commercial|ACO Trio | $1.65 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $1.87 | ↓ -54% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2.13 | ↓ -48% |
| Kaiser | Medicaid|All Plans | $2.19 | ↓ -46% |
| Blue Shield CA | Commercial|Exchange | $2.24 | ↓ -45% |
| Kaiser | Commercial|All Plans | $2.88 | ↓ -30% |
| Blue Shield CA | Commercial|PPO Tandem | $2.93 | ↓ -28% |
| Blue Shield CA | Commercial|HMO | $3.14 | ↓ -23% |
| Blue Shield CA | Commercial|CalPers | $3.30 | ↓ -19% |
| Blue Shield CA | Commercial|PPO | $3.52 | ↓ -14% |
| Healthsmart | Commercial|All Plans | $3.99 | ↓ -2% |
| First Health | Commercial|All Plans | $3.99 | ↓ -2% |
| BCBS - Anthem | Commercial|Connection EPO | $4.26 | ↑ +4% |
| Sutter Health | Commercial|All Plans | $4.26 | ↑ +4% |
| MultiPlan | Commercial|All Plans | $4.42 | ↑ +8% |
| Partnership Health Plan | Medicaid|All Plans | $4.60 | ↑ +12% |
| BCBS - Anthem | Medicare|All Other Plans | $5.02 | ↑ +23% |
| BCBS - Anthem | Medicaid|All Plans | $5.32 | ↑ +30% |
| BCBS - Anthem | Commercial|MCS | $5.32 | ↑ +30% |
| Blue Shield CA | Medicare|HMO | $5.32 | ↑ +30% |
| Blue Shield CA | Medicare|PPO | $5.32 | ↑ +30% |
| Hill Physicians | Commercial|All Plans | $5.32 | ↑ +30% |
| Humana | Medicare|All Plans | $5.32 | ↑ +30% |
| Aetna | Commercial|All Other Plans | $5.32 | ↑ +30% |
| Aetna | Commercial|PPO | $5.32 | ↑ +30% |
| Aetna | Medicare|All Plans | $5.32 | ↑ +30% |
| Aetna | Commercial|HMO | $5.32 | ↑ +30% |
| Molina | Medicaid|All Plans | $5.32 | ↑ +30% |
| Molina | Medicare|All Plans | $5.32 | ↑ +30% |
| United | Commercial|All Other Plans | $5.32 | ↑ +30% |
| United | Medicare|All Plans | $5.32 | ↑ +30% |
| United | Commercial|HMO | $5.32 | ↑ +30% |
| United | Commercial|Options PPO | $5.32 | ↑ +30% |
| United | Commercial|Non-Options PPO | $5.32 | ↑ +30% |
| United | Medicaid|< 21 | $5.32 | ↑ +30% |
| United | Medicaid|> 21 | $5.32 | ↑ +30% |
| Health Net | Medicaid|All Plans | $5.32 | ↑ +30% |
| Kaiser | Medicare|All Plans | $5.32 | ↑ +30% |
| BCBS - Anthem | Commercial|All Other Plans | $5.32 | ↑ +30% |
| California Health & Wellness | Medicaid|All Plans | $5.32 | ↑ +30% |
| Humana | Commercial|All Plans | $5.32 | ↑ +30% |
| Hill Physicians | Medicaid|All Plans | $5.32 | ↑ +30% |
| BCBS - Anthem | Medicare|Imperial | $5.48 | ↑ +34% |
| BrightHealth | Commercial|All Plans | $5.86 | ↑ +43% |
| BlueShield | Medicare|Trauma | $6.65 | ↑ +63% |
| Prison Healthcare | Medicaid|All Plans | $7.98 | ↑ +95% |
| Cigna | Commercial|LocalPlus | $12.44 | ↑ +204% |
| Cigna | Commercial|All Other Plans | $16.58 | ↑ +305% |
Visitor-reported prices
Comments
Ghs protein, misc fluid at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $6.38 | $5.61 – $14.61 |
| Sierra Nevada Memorial Hospital | Grass Valley | $8.13 | $3.57 – $5.32 |
| Mercy General Hospital | Sacramento | $3.25 | $1.87 – $12.44 |
| Mercy Hospital of Folsom | Folsom | $5.80 | $0.59 – $12.44 |
| Woodland Memorial Hospital | Woodland | $4.09 | $0.59 – $5.32 |
| Methodist Hospital of Sacramento | Sacramento | $4.30 | $1.87 – $12.44 |
| Petaluma Valley Hospital | Petaluma | not published | $5.50 – $42.21 |
| Queen of The Valley Medical Center | Napa | not published | $5.61 – $53.34 |