Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,834.73
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.
$17,645.00
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.
$39.75 with Hill Physicians vs $5,676.40 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 | $39.75 | ↓ -99% |
| Cigna | Commercial|LocalPlus | $87.23 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $116.33 | ↓ -98% |
| United | Medicaid|> 21 | $131.42 | ↓ -97% |
| Partnership Health Plan | Medicaid|All Plans | $131.42 | ↓ -97% |
| United | Medicaid|< 21 | $131.42 | ↓ -97% |
| Hill Physicians | Medicaid|All Plans | $144.56 | ↓ -97% |
| United | Commercial|All Other Plans | $225.80 | ↓ -95% |
| United | Commercial|HMO | $225.80 | ↓ -95% |
| United | Commercial|Options PPO | $225.80 | ↓ -95% |
| Molina | Medicaid|All Plans | $247.07 | ↓ -95% |
| BCBS - Anthem | Medicaid|All Plans | $249.70 | ↓ -95% |
| BCBS - Anthem | Commercial|Connection EPO | $250.76 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $300.95 | ↓ -94% |
| Health Net | Medicaid|All Plans | $300.95 | ↓ -94% |
| BCBS - Anthem | Commercial|All Other Plans | $313.45 | ↓ -94% |
| BCBS - Anthem | Commercial|MCS | $438.37 | ↓ -91% |
| WCMG | Commercial|All Plans | $678.70 | ↓ -86% |
| United | Commercial|Non-Options PPO | $936.38 | ↓ -81% |
| Kaiser | Medicaid|All Plans | $1,419.10 | ↓ -71% |
| Kaiser | Commercial|All Plans | $1,419.10 | ↓ -71% |
| Kaiser | Medicare|All Plans | $1,419.10 | ↓ -71% |
| Health Net | Commercial|EPPO | $2,406.30 | ↓ -50% |
| Blue Shield CA | Commercial|ACO Trio | $4,010.50 | ↓ -17% |
| Western Health Advantage | Commercial|All Plans | $4,010.50 | ↓ -17% |
| Health Net | Commercial|FFS | $4,380.70 | ↓ -9% |
| Healthsmart | Commercial|All Plans | $4,627.50 | ↓ -4% |
| First Health | Commercial|All Plans | $4,627.50 | ↓ -4% |
| Sutter Health | Commercial|All Plans | $4,936.00 | ↑ +2% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,059.40 | ↑ +5% |
| Blue Shield CA | Commercial|Exchange | $5,059.40 | ↑ +5% |
| MultiPlan | Commercial|All Plans | $5,121.10 | ↑ +6% |
| Aetna | Commercial|All Other Plans | $5,244.50 | ↑ +8% |
| Aetna | Commercial|HMO | $5,244.50 | ↑ +8% |
| Aetna | Commercial|PPO | $5,244.50 | ↑ +8% |
| Blue Shield CA | Commercial|PPO Tandem | $5,553.00 | ↑ +15% |
| Blue Shield CA | Commercial|HMO | $5,553.00 | ↑ +15% |
| Blue Shield CA | Commercial|PPO | $5,553.00 | ↑ +15% |
| Blue Shield CA | Commercial|CalPers | $5,676.40 | ↑ +17% |
Visitor-reported prices
Comments
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,829.51 | $198.83 – $2,075.76 |
| Petaluma Valley Hospital | Petaluma | $8,482.32 | $80.63 – $195.71 |
| Arroyo Grande Hospital | Santa Maria | $4,624.54 | $131.42 – $10,588.90 |
| French Hospital | San Luis Obispo | $4,235.56 | $131.42 – $10,588.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,791.31 | $131.42 – $10,804.50 |
| Bakersfield Memorial Hospital | Bakersfield | $5,728.87 | $61.88 – $2,405.60 |
| Queen of The Valley Medical Center | Napa | $7,160.40 | $80.63 – $211.85 |
| Providence St Joseph Hospital Eureka | Eureka | $4,199.85 | $80.63 – $252.70 |