Incision of windpipe at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5,293.68
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.
$19,320.00
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.
$376.81 with United vs $18,400.00 with United — 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 | $376.81 | ↓ -93% |
| United | Medicaid|> 21 | $376.81 | ↓ -93% |
| Molina | Medicaid|All Plans | $617.34 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $653.39 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $894.92 | ↓ -83% |
| Hill Physicians | Commercial|All Plans | $988.82 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $1,360.24 | ↓ -74% |
| Health Net | Medicaid|All Plans | $1,360.24 | ↓ -74% |
| WCMG | Commercial|All Plans | $2,024.00 | ↓ -62% |
| Partnership Health Plan | Medicaid|All Plans | $2,025.36 | ↓ -62% |
| Blue Shield CA | Commercial|ACO Trio | $6,260.00 | ↑ +18% |
| Western Health Advantage | Commercial|All Plans | $6,440.00 | ↑ +22% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +36% |
| BCBS - Anthem | Medicare|All Other Plans | $7,330.67 | ↑ +38% |
| Kaiser | Medicaid|All Plans | $7,544.00 | ↑ +43% |
| Blue Shield CA | Medicare|HMO | $7,773.77 | ↑ +47% |
| Blue Shield CA | Medicare|PPO | $7,773.77 | ↑ +47% |
| United | Medicare|All Plans | $7,773.77 | ↑ +47% |
| Molina | Medicare|All Plans | $7,773.77 | ↑ +47% |
| Aetna | Medicare|All Plans | $7,773.77 | ↑ +47% |
| Humana | Medicare|All Plans | $7,773.77 | ↑ +47% |
| Humana | Commercial|All Plans | $7,773.77 | ↑ +47% |
| Kaiser | Medicare|All Plans | $7,773.77 | ↑ +47% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7,977.00 | ↑ +51% |
| BCBS - Anthem | Medicare|Imperial | $8,006.98 | ↑ +51% |
| Blue Shield CA | Commercial|Exchange | $8,094.00 | ↑ +53% |
| BrightHealth | Commercial|All Plans | $8,551.15 | ↑ +62% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +62% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +70% |
| BlueShield | Medicare|Trauma | $9,717.21 | ↑ +84% |
| Kaiser | Commercial|All Plans | $9,936.00 | ↑ +88% |
| Blue Shield CA | Commercial|PPO Tandem | $10,639.00 | ↑ +101% |
| Prison Healthcare | Medicaid|All Plans | $11,660.66 | ↑ +120% |
| Blue Shield CA | Commercial|HMO | $11,829.00 | ↑ +123% |
| Blue Shield CA | Commercial|CalPers | $12,452.00 | ↑ +135% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +138% |
| Blue Shield CA | Commercial|PPO | $12,814.00 | ↑ +142% |
| Healthsmart | Commercial|All Plans | $13,800.00 | ↑ +161% |
| First Health | Commercial|All Plans | $13,800.00 | ↑ +161% |
| Sutter Health | Commercial|All Plans | $14,720.00 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $15,272.00 | ↑ +188% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +194% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +213% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +213% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +213% |
| United | Commercial|Options PPO | $18,400.00 | ↑ +248% |
| United | Commercial|All Other Plans | $18,400.00 | ↑ +248% |
| United | Commercial|Non-Options PPO | $18,400.00 | ↑ +248% |
| United | Commercial|HMO | $18,400.00 | ↑ +248% |
Visitor-reported prices
Comments
Incision of windpipe at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Mt. Shasta | Mt Shasta | $13,138.09 | $640.57 – $16,549.26 |
| Dominican Hospital | Santa Cruz | $9,151.20 | $376.81 – $25,438.42 |
| Sierra Nevada Memorial Hospital | Grass Valley | $10,529.40 | $376.81 – $18,933.60 |
| Mercy Medical Center Redding | Redding | $8,561.71 | $748.91 – $16,549.26 |
| Mercy General Hospital | Sacramento | $4,211.76 | $376.81 – $14,720.00 |
| Mercy Hospital of Folsom | Folsom | $7,515.48 | $376.81 – $15,088.00 |
| Woodland Memorial Hospital | Woodland | $5,293.68 | $376.81 – $18,400.00 |
| Methodist Hospital of Sacramento | Sacramento | $5,564.16 | $376.81 – $15,272.00 |