Ghs rsv eia (respir synctial vrs) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$92.34
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.
$337.00
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.
$2.92 with Partnership Health Plan vs $279.71 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 | $2.92 | ↓ -97% |
| United | Medicaid|< 21 | $4.19 | ↓ -95% |
| United | Medicaid|> 21 | $4.19 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $4.61 | ↓ -95% |
| Molina | Medicaid|All Plans | $5.49 | ↓ -94% |
| Health Net | Medicaid|All Plans | $9.60 | ↓ -90% |
| California Health & Wellness | Medicaid|All Plans | $9.60 | ↓ -90% |
| BCBS - Anthem | Medicare|All Other Plans | $13.12 | ↓ -86% |
| Kaiser | Medicare|All Plans | $13.91 | ↓ -85% |
| Humana | Medicare|All Plans | $13.91 | ↓ -85% |
| Humana | Commercial|All Plans | $13.91 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $13.91 | ↓ -85% |
| Aetna | Medicare|All Plans | $13.91 | ↓ -85% |
| Molina | Medicare|All Plans | $13.91 | ↓ -85% |
| United | Medicare|All Plans | $13.91 | ↓ -85% |
| Blue Shield CA | Medicare|PPO | $13.91 | ↓ -85% |
| Blue Shield CA | Medicare|HMO | $13.91 | ↓ -85% |
| BCBS - Anthem | Medicare|Imperial | $14.33 | ↓ -84% |
| BrightHealth | Commercial|All Plans | $15.30 | ↓ -83% |
| United | Commercial|HMO | $16.69 | ↓ -82% |
| United | Commercial|All Other Plans | $16.69 | ↓ -82% |
| United | Commercial|Non-Options PPO | $16.69 | ↓ -82% |
| United | Commercial|Options PPO | $16.69 | ↓ -82% |
| BlueShield | Medicare|Trauma | $17.39 | ↓ -81% |
| Prison Healthcare | Medicaid|All Plans | $20.86 | ↓ -77% |
| BCBS - Anthem | Medicaid|All Plans | $21.91 | ↓ -76% |
| Cigna | Commercial|LocalPlus | $30.80 | ↓ -67% |
| Aetna | Commercial|All Other Plans | $35.00 | ↓ -62% |
| Aetna | Commercial|HMO | $35.00 | ↓ -62% |
| Aetna | Commercial|PPO | $35.00 | ↓ -62% |
| WCMG | Commercial|All Plans | $37.07 | ↓ -60% |
| Cigna | Commercial|All Other Plans | $41.07 | ↓ -56% |
| Blue Shield CA | Commercial|ACO Trio | $104.47 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $117.95 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $134.80 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $138.17 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $141.54 | ↑ +53% |
| BCBS - Anthem | Commercial|Connection EPO | $158.33 | ↑ +71% |
| Kaiser | Commercial|All Plans | $181.98 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $185.35 | ↑ +101% |
| BCBS - Anthem | Commercial|All Other Plans | $197.85 | ↑ +114% |
| Blue Shield CA | Commercial|HMO | $198.83 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $208.94 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $222.42 | ↑ +141% |
| First Health | Commercial|All Plans | $252.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $252.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $269.60 | ↑ +192% |
| BCBS - Anthem | Commercial|MCS | $277.01 | ↑ +200% |
| MultiPlan | Commercial|All Plans | $279.71 | ↑ +203% |
Visitor-reported prices
Comments
Ghs rsv eia (respir synctial vrs) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $30.09 | $13.63 – $73.37 |
| Arroyo Grande Hospital | Santa Maria | $26.97 | $4.19 – $41.16 |
| Mark Twain Medical Center | San Andreas | $386.95 | $4.19 – $34.09 |
| French Hospital | San Luis Obispo | $24.70 | $4.19 – $42.13 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12.99 | $4.10 – $39.97 |
| Bakersfield Memorial Hospital | Bakersfield | $12.85 | $4.10 – $39.97 |
| Providence St Joseph Hospital Eureka | Eureka | $160.14 | $13.91 – $105.14 |
| St. Joseph's Behavioral Health Center | Stockton | $156.46 | $13.91 – $219.20 |