Graft fish skin 16mm round marigen 2units-cost per sq cm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,300.13
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.
$4,745.00
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.
$67.44 with Hill Physicians vs $1,522.60 with Blue Shield CA — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $67.44 | ↓ -95% |
| Partnership Health Plan | Medicaid|All Plans | $75.46 | ↓ -94% |
| United | Medicaid|> 21 | $75.46 | ↓ -94% |
| United | Medicaid|< 21 | $75.46 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $83.01 | ↓ -94% |
| United | Commercial|HMO | $124.51 | ↓ -90% |
| United | Commercial|Options PPO | $124.51 | ↓ -90% |
| United | Commercial|All Other Plans | $124.51 | ↓ -90% |
| Molina | Medicaid|All Plans | $141.86 | ↓ -89% |
| Cigna | Commercial|LocalPlus | $147.98 | ↓ -89% |
| Health Net | Medicaid|All Plans | $172.80 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $172.80 | ↓ -87% |
| WCMG | Commercial|All Plans | $182.05 | ↓ -86% |
| Cigna | Commercial|All Other Plans | $197.35 | ↓ -85% |
| BCBS - Anthem | Commercial|Connection EPO | $261.86 | ↓ -80% |
| BCBS - Anthem | Commercial|All Other Plans | $327.32 | ↓ -75% |
| United | Commercial|Non-Options PPO | $350.86 | ↓ -73% |
| Kaiser | Medicaid|All Plans | $380.65 | ↓ -71% |
| Kaiser | Commercial|All Plans | $380.65 | ↓ -71% |
| Kaiser | Medicare|All Plans | $380.65 | ↓ -71% |
| BCBS - Anthem | Medicaid|All Plans | $397.20 | ↓ -69% |
| BCBS - Anthem | Commercial|MCS | $457.77 | ↓ -65% |
| Health Net | Commercial|EPPO | $645.45 | ↓ -50% |
| Blue Shield CA | Commercial|ACO Trio | $1,075.75 | ↓ -17% |
| Western Health Advantage | Commercial|All Plans | $1,075.75 | ↓ -17% |
| Health Net | Commercial|FFS | $1,175.05 | ↓ -10% |
| Healthsmart | Commercial|All Plans | $1,241.25 | ↓ -5% |
| First Health | Commercial|All Plans | $1,241.25 | ↓ -5% |
| Sutter Health | Commercial|All Plans | $1,324.00 | ↑ +2% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,357.10 | ↑ +4% |
| Blue Shield CA | Commercial|Exchange | $1,357.10 | ↑ +4% |
| MultiPlan | Commercial|All Plans | $1,373.65 | ↑ +6% |
| Aetna | Commercial|All Other Plans | $1,406.75 | ↑ +8% |
| Aetna | Commercial|HMO | $1,406.75 | ↑ +8% |
| Aetna | Commercial|PPO | $1,406.75 | ↑ +8% |
| Blue Shield CA | Commercial|PPO | $1,489.50 | ↑ +15% |
| Blue Shield CA | Commercial|PPO Tandem | $1,489.50 | ↑ +15% |
| Blue Shield CA | Commercial|HMO | $1,489.50 | ↑ +15% |
| Blue Shield CA | Commercial|CalPers | $1,522.60 | ↑ +17% |
Visitor-reported prices
Comments
Graft fish skin 16mm round marigen 2units-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $6,012.98 | $75.46 – $13,768.02 |
| French Hospital | San Luis Obispo | $5,507.21 | $75.46 – $13,768.02 |
| Sierra Nevada Memorial Hospital | Grass Valley | $2,746.80 | $70.30 – $2,912.56 |
| Mercy General Hospital | Sacramento | $1,034.41 | $67.44 – $1,472.95 |
| Mercy Hospital of Folsom | Folsom | $1,845.81 | $67.44 – $1,588.80 |
| Woodland Memorial Hospital | Woodland | $1,300.13 | $75.46 – $1,655.00 |
| Methodist Hospital of Sacramento | Sacramento | $1,366.56 | $67.44 – $1,489.50 |