Infect ag if legionella pneumophila at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$69.05
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.
$252.00
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.
$10.10 with Partnership Health Plan vs $252.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $10.10 | ↓ -85% |
| United | Medicaid|> 21 | $14.49 | ↓ -79% |
| United | Medicaid|< 21 | $14.49 | ↓ -79% |
| BCBS - Anthem | Medicare|All Other Plans | $14.71 | ↓ -79% |
| Aetna | Medicare|All Plans | $15.60 | ↓ -77% |
| Blue Shield CA | Medicare|PPO | $15.60 | ↓ -77% |
| Kaiser | Medicare|All Plans | $15.60 | ↓ -77% |
| Molina | Medicare|All Plans | $15.60 | ↓ -77% |
| Humana | Medicare|All Plans | $15.60 | ↓ -77% |
| Humana | Commercial|All Plans | $15.60 | ↓ -77% |
| Hill Physicians | Commercial|All Plans | $15.60 | ↓ -77% |
| United | Medicare|All Plans | $15.60 | ↓ -77% |
| Blue Shield CA | Medicare|HMO | $15.60 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $15.94 | ↓ -77% |
| BCBS - Anthem | Medicare|Imperial | $16.07 | ↓ -77% |
| BrightHealth | Commercial|All Plans | $17.16 | ↓ -75% |
| United | Commercial|HMO | $18.72 | ↓ -73% |
| United | Commercial|Non-Options PPO | $18.72 | ↓ -73% |
| United | Commercial|All Other Plans | $18.72 | ↓ -73% |
| United | Commercial|Options PPO | $18.72 | ↓ -73% |
| Molina | Medicaid|All Plans | $18.99 | ↓ -72% |
| BlueShield | Medicare|Trauma | $19.50 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $21.91 | ↓ -68% |
| Prison Healthcare | Medicaid|All Plans | $23.40 | ↓ -66% |
| WCMG | Commercial|All Plans | $27.72 | ↓ -60% |
| California Health & Wellness | Medicaid|All Plans | $33.18 | ↓ -52% |
| Health Net | Medicaid|All Plans | $33.18 | ↓ -52% |
| Cigna | Commercial|LocalPlus | $34.55 | ↓ -50% |
| Aetna | Commercial|All Other Plans | $35.00 | ↓ -49% |
| Aetna | Commercial|PPO | $35.00 | ↓ -49% |
| Aetna | Commercial|HMO | $35.00 | ↓ -49% |
| Cigna | Commercial|All Other Plans | $46.07 | ↓ -33% |
| Blue Shield CA | Commercial|ACO Trio | $78.12 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $88.20 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $100.80 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $103.32 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $105.84 | ↑ +53% |
| Kaiser | Commercial|All Plans | $136.08 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $138.60 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $148.68 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $156.24 | ↑ +126% |
| BCBS - Anthem | Commercial|Connection EPO | $158.33 | ↑ +129% |
| Blue Shield CA | Commercial|PPO | $166.32 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $189.00 | ↑ +174% |
| First Health | Commercial|All Plans | $189.00 | ↑ +174% |
| BCBS - Anthem | Commercial|All Other Plans | $197.85 | ↑ +187% |
| Sutter Health | Commercial|All Plans | $201.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $209.16 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $252.00 | ↑ +265% |
Visitor-reported prices
Comments
Infect ag if legionella pneumophila at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $13.14 | $8.10 – $41.39 |
| Petaluma Valley Hospital | Petaluma | $7.74 | $15.29 – $73.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11.13 | $14.19 – $44.83 |
| Bakersfield Memorial Hospital | Bakersfield | $11.01 | $14.19 – $44.83 |
| Queen of The Valley Medical Center | Napa | $7.74 | $15.60 – $92.72 |
| Providence St Joseph Hospital Eureka | Eureka | $7.74 | $15.60 – $105.14 |
| St. Joseph's Behavioral Health Center | Stockton | $17.13 | $3.00 – $24.00 |
| Redwood Memorial Hospital | Fortuna | $7.74 | $105.39 – $105.39 |