Gu dilat ureter/urethra s&i at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$875.98
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.
$3,197.00
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.
$88.43 with Hill Physicians vs $9,646.88 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $88.43 | ↓ -90% |
| United | Medicaid|> 21 | $119.07 | ↓ -86% |
| United | Medicaid|< 21 | $119.07 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $130.98 | ↓ -85% |
| Molina | Medicaid|All Plans | $156.06 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $272.67 | ↓ -69% |
| Health Net | Medicaid|All Plans | $272.67 | ↓ -69% |
| Aetna | Commercial|All Other Plans | $289.54 | ↓ -67% |
| Aetna | Commercial|HMO | $289.54 | ↓ -67% |
| Aetna | Commercial|PPO | $289.54 | ↓ -67% |
| BCBS - Anthem | Medicaid|All Plans | $297.01 | ↓ -66% |
| WCMG | Commercial|All Plans | $351.67 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $512.00 | ↓ -42% |
| Western Health Advantage | Commercial|All Plans | $1,118.95 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,310.77 | ↑ +50% |
| BCBS - Anthem | Commercial|Connection EPO | $1,587.22 | ↑ +81% |
| Kaiser | Commercial|All Plans | $1,726.38 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $1,983.36 | ↑ +126% |
| First Health | Commercial|All Plans | $2,397.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $2,397.75 | ↑ +174% |
| BCBS - Anthem | Medicare|All Other Plans | $2,538.51 | ↑ +190% |
| Sutter Health | Commercial|All Plans | $2,557.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,653.51 | ↑ +203% |
| Blue Shield CA | Medicare|PPO | $2,691.95 | ↑ +207% |
| Humana | Medicare|All Plans | $2,691.95 | ↑ +207% |
| Aetna | Medicare|All Plans | $2,691.95 | ↑ +207% |
| Molina | Medicare|All Plans | $2,691.95 | ↑ +207% |
| United | Medicare|All Plans | $2,691.95 | ↑ +207% |
| Kaiser | Medicare|All Plans | $2,691.95 | ↑ +207% |
| Blue Shield CA | Medicare|HMO | $2,691.95 | ↑ +207% |
| Humana | Commercial|All Plans | $2,691.95 | ↑ +207% |
| BCBS - Anthem | Medicare|Imperial | $2,772.71 | ↑ +217% |
| BCBS - Anthem | Commercial|MCS | $2,776.97 | ↑ +217% |
| BrightHealth | Commercial|All Plans | $2,961.14 | ↑ +238% |
| United | Commercial|All Other Plans | $3,197.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $3,197.00 | ↑ +265% |
| United | Commercial|Options PPO | $3,197.00 | ↑ +265% |
| United | Commercial|HMO | $3,197.00 | ↑ +265% |
| BlueShield | Medicare|Trauma | $3,364.94 | ↑ +284% |
| Prison Healthcare | Medicaid|All Plans | $4,037.93 | ↑ +361% |
| Cigna | Commercial|LocalPlus | $7,234.63 | ↑ +726% |
| Cigna | Commercial|All Other Plans | $9,646.88 | ↑ +1001% |
Visitor-reported prices
Comments
Gu dilat ureter/urethra s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,996.41 | $180.15 – $8,667.96 |
| Arroyo Grande Hospital | Santa Maria | $3,239.11 | $119.07 – $8,417.40 |
| French Hospital | San Luis Obispo | $2,966.66 | $119.07 – $9,895.32 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,023.44 | $119.07 – $9,387.82 |
| Bakersfield Memorial Hospital | Bakersfield | $1,668.02 | $119.07 – $9,387.82 |
| St. Joseph's Medical Center Stockton | Stockton | $1,140.43 | $119.07 – $3,879.00 |
| Mercy Medical Center Merced | Merced | $2,433.38 | $119.07 – $4,441.50 |
| Dominican Hospital | Santa Cruz | $2,123.10 | $119.07 – $29,252.78 |