Hlth bhv ivntj indiv 1st 30 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$82.75
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.
$302.00
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.
$28.93 with WCMG vs $316.71 with Prison Healthcare — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $28.93 | ↓ -65% |
| United | Medicaid|< 21 | $57.63 | ↓ -30% |
| United | Medicaid|> 21 | $57.63 | ↓ -30% |
| Hill Physicians | Commercial|All Plans | $61.76 | ↓ -25% |
| Hill Physicians | Medicaid|All Plans | $63.39 | ↓ -23% |
| Western Health Advantage | Commercial|All Plans | $92.05 | ↑ +11% |
| Kaiser | Medicaid|All Plans | $107.83 | ↑ +30% |
| Molina | Medicaid|All Plans | $108.34 | ↑ +31% |
| BCBS - Anthem | Medicaid|All Plans | $109.50 | ↑ +32% |
| Health Net | Medicaid|All Plans | $131.97 | ↑ +59% |
| California Health & Wellness | Medicaid|All Plans | $131.97 | ↑ +59% |
| Kaiser | Commercial|All Plans | $142.02 | ↑ +72% |
| Healthsmart | Commercial|All Plans | $197.25 | ↑ +138% |
| First Health | Commercial|All Plans | $197.25 | ↑ +138% |
| BCBS - Anthem | Medicare|All Other Plans | $199.11 | ↑ +141% |
| Sutter Health | Commercial|All Plans | $210.40 | ↑ +154% |
| Humana | Commercial|All Plans | $211.14 | ↑ +155% |
| Humana | Medicare|All Plans | $211.14 | ↑ +155% |
| Aetna | Medicare|All Plans | $211.14 | ↑ +155% |
| Molina | Medicare|All Plans | $211.14 | ↑ +155% |
| United | Medicare|All Plans | $211.14 | ↑ +155% |
| Kaiser | Medicare|All Plans | $211.14 | ↑ +155% |
| Blue Shield CA | Medicare|HMO | $211.14 | ↑ +155% |
| Blue Shield CA | Medicare|PPO | $211.14 | ↑ +155% |
| BCBS - Anthem | Medicare|Imperial | $217.47 | ↑ +163% |
| MultiPlan | Commercial|All Plans | $218.29 | ↑ +164% |
| BrightHealth | Commercial|All Plans | $232.25 | ↑ +181% |
| Partnership Health Plan | Medicaid|All Plans | $247.81 | ↑ +199% |
| United | Commercial|HMO | $263.00 | ↑ +218% |
| United | Commercial|Non-Options PPO | $263.00 | ↑ +218% |
| United | Commercial|Options PPO | $263.00 | ↑ +218% |
| United | Commercial|All Other Plans | $263.00 | ↑ +218% |
| BlueShield | Medicare|Trauma | $263.92 | ↑ +219% |
| Prison Healthcare | Medicaid|All Plans | $316.71 | ↑ +283% |
Visitor-reported prices
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Hlth bhv ivntj indiv 1st 30 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $92.49 | $57.63 – $204.15 |
| St. Joseph's Medical Center Stockton | Stockton | $77.03 | $55.02 – $227.96 |
| St. Mary Medical Center | Long Beach | $112.23 | $51.87 – $326.64 |
| Mercy General Hospital | Sacramento | $65.84 | $57.63 – $247.81 |
| Mercy Hospital of Folsom | Folsom | $117.48 | $28.93 – $247.81 |
| Woodland Memorial Hospital | Woodland | $82.75 | $28.93 – $263.00 |
| Methodist Hospital of Sacramento | Sacramento | $86.98 | $57.63 – $247.81 |
| Healdsburg Hospital | Healdsburg | not published | $239.15 – $239.15 |