Infect ag ia optc obs influenza at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$126.04
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.
$460.00
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.
$8.85 with United vs $381.80 with MultiPlan — 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 | $8.85 | ↓ -93% |
| Partnership Health Plan | Medicaid|All Plans | $8.85 | ↓ -93% |
| United | Medicaid|< 21 | $8.85 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $9.74 | ↓ -92% |
| BCBS - Anthem | Medicare|All Other Plans | $15.61 | ↓ -88% |
| Molina | Medicare|All Plans | $16.55 | ↓ -87% |
| Kaiser | Medicare|All Plans | $16.55 | ↓ -87% |
| Humana | Medicare|All Plans | $16.55 | ↓ -87% |
| Humana | Commercial|All Plans | $16.55 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $16.55 | ↓ -87% |
| Aetna | Medicare|All Plans | $16.55 | ↓ -87% |
| United | Medicare|All Plans | $16.55 | ↓ -87% |
| Blue Shield CA | Medicare|PPO | $16.55 | ↓ -87% |
| Blue Shield CA | Medicare|HMO | $16.55 | ↓ -87% |
| Molina | Medicaid|All Plans | $16.64 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $16.82 | ↓ -87% |
| BCBS - Anthem | Medicare|Imperial | $17.05 | ↓ -86% |
| BrightHealth | Commercial|All Plans | $18.20 | ↓ -86% |
| United | Commercial|Options PPO | $19.86 | ↓ -84% |
| United | Commercial|Non-Options PPO | $19.86 | ↓ -84% |
| United | Commercial|All Other Plans | $19.86 | ↓ -84% |
| United | Commercial|HMO | $19.86 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $20.27 | ↓ -84% |
| Health Net | Medicaid|All Plans | $20.27 | ↓ -84% |
| BlueShield | Medicare|Trauma | $20.69 | ↓ -84% |
| Prison Healthcare | Medicaid|All Plans | $24.82 | ↓ -80% |
| Aetna | Commercial|HMO | $35.00 | ↓ -72% |
| Aetna | Commercial|PPO | $35.00 | ↓ -72% |
| Aetna | Commercial|All Other Plans | $35.00 | ↓ -72% |
| Cigna | Commercial|LocalPlus | $36.66 | ↓ -71% |
| Cigna | Commercial|All Other Plans | $48.88 | ↓ -61% |
| WCMG | Commercial|All Plans | $50.60 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $142.60 | ↑ +13% |
| BCBS - Anthem | Commercial|Connection EPO | $158.33 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $161.00 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $184.00 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $188.60 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $193.20 | ↑ +53% |
| BCBS - Anthem | Commercial|All Other Plans | $197.85 | ↑ +57% |
| Kaiser | Commercial|All Plans | $248.40 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $253.00 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $271.40 | ↑ +115% |
| BCBS - Anthem | Commercial|MCS | $277.01 | ↑ +120% |
| Blue Shield CA | Commercial|CalPers | $285.20 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $303.60 | ↑ +141% |
| First Health | Commercial|All Plans | $345.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $345.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $368.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $381.80 | ↑ +203% |
Visitor-reported prices
Comments
Infect ag ia optc obs influenza at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $70.08 | $13.39 – $124.80 |
| Petaluma Valley Hospital | Petaluma | $34.68 | $16.22 – $73.37 |
| Mark Twain Medical Center | San Andreas | $94.58 | $8.85 – $134.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $27.46 | $8.85 – $56.80 |
| Bakersfield Memorial Hospital | Bakersfield | $27.16 | $8.85 – $56.09 |
| Queen of The Valley Medical Center | Napa | $194.82 | $16.55 – $92.72 |
| St. Joseph's Behavioral Health Center | Stockton | $41.69 | $7.30 – $58.40 |
| Healdsburg Hospital | Healdsburg | $56.61 | $16.55 – $41.94 |