Ghs tracheostomy emergency - transtracheal at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,376.31
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.
$5,023.00
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.
$122.19 with United vs $17,696.00 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 | $122.19 | ↓ -91% |
| United | Medicaid|< 21 | $122.19 | ↓ -91% |
| Molina | Medicaid|All Plans | $200.18 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $211.87 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $290.19 | ↓ -79% |
| Hill Physicians | Commercial|All Plans | $311.68 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $441.08 | ↓ -68% |
| Health Net | Medicaid|All Plans | $441.08 | ↓ -68% |
| WCMG | Commercial|All Plans | $526.24 | ↓ -62% |
| Partnership Health Plan | Medicaid|All Plans | $656.76 | ↓ -52% |
| Western Health Advantage | Commercial|All Plans | $1,674.40 | ↑ +22% |
| BCBS - Anthem | Medicare|All Other Plans | $1,835.60 | ↑ +33% |
| United | Medicare|All Plans | $1,946.55 | ↑ +41% |
| Kaiser | Medicare|All Plans | $1,946.55 | ↑ +41% |
| Blue Shield CA | Medicare|PPO | $1,946.55 | ↑ +41% |
| Blue Shield CA | Medicare|HMO | $1,946.55 | ↑ +41% |
| Molina | Medicare|All Plans | $1,946.55 | ↑ +41% |
| Aetna | Medicare|All Plans | $1,946.55 | ↑ +41% |
| Humana | Commercial|All Plans | $1,946.55 | ↑ +41% |
| Humana | Medicare|All Plans | $1,946.55 | ↑ +41% |
| Kaiser | Medicaid|All Plans | $1,961.44 | ↑ +43% |
| BCBS - Anthem | Medicare|Imperial | $2,004.95 | ↑ +46% |
| BrightHealth | Commercial|All Plans | $2,141.20 | ↑ +56% |
| BlueShield | Medicare|Trauma | $2,433.19 | ↑ +77% |
| Kaiser | Commercial|All Plans | $2,583.36 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $2,919.82 | ↑ +112% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +140% |
| First Health | Commercial|All Plans | $3,588.00 | ↑ +161% |
| Healthsmart | Commercial|All Plans | $3,588.00 | ↑ +161% |
| Sutter Health | Commercial|All Plans | $3,827.20 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $3,970.72 | ↑ +189% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +206% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +211% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +245% |
| United | Commercial|Options PPO | $4,784.00 | ↑ +248% |
| United | Commercial|HMO | $4,784.00 | ↑ +248% |
| United | Commercial|Non-Options PPO | $4,784.00 | ↑ +248% |
| United | Commercial|All Other Plans | $4,784.00 | ↑ +248% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +276% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +276% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +276% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +309% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +354% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +378% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +392% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +526% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +635% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +818% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +1186% |
Visitor-reported prices
Comments
Ghs tracheostomy emergency - transtracheal at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,288.99 | $150.29 – $4,076.28 |
| Petaluma Valley Hospital | Petaluma | $2,826.42 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $1,982.50 | $122.19 – $4,539.36 |
| Queen of The Valley Medical Center | Napa | $3,058.98 | $2,203.03 – $7,745.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,732.58 | $1,995.60 – $9,008.00 |
| Healdsburg Hospital | Healdsburg | $1,415.76 | $2,090.52 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,770.21 | $5,981.00 – $20,799.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,500.47 | $122.19 – $7,144.20 |