Initiation & management bipap/cpap initial day at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,209.17
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.
$4,413.00
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.
$36.79 with Hill Physicians vs $16,950.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $36.79 | ↓ -97% |
| United | Medicaid|> 21 | $72.68 | ↓ -94% |
| United | Medicaid|< 21 | $72.68 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $79.95 | ↓ -93% |
| Molina | Medicaid|All Plans | $95.26 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $111.19 | ↓ -91% |
| California Health & Wellness | Medicaid|All Plans | $166.44 | ↓ -86% |
| Health Net | Medicaid|All Plans | $166.44 | ↓ -86% |
| BCBS - Anthem | Medicare|All Other Plans | $252.04 | ↓ -79% |
| Blue Shield CA | Medicare|HMO | $267.27 | ↓ -78% |
| Humana | Medicare|All Plans | $267.27 | ↓ -78% |
| Aetna | Medicare|All Plans | $267.27 | ↓ -78% |
| Molina | Medicare|All Plans | $267.27 | ↓ -78% |
| United | Medicare|All Plans | $267.27 | ↓ -78% |
| Humana | Commercial|All Plans | $267.27 | ↓ -78% |
| Kaiser | Medicare|All Plans | $267.27 | ↓ -78% |
| Blue Shield CA | Medicare|PPO | $267.27 | ↓ -78% |
| BCBS - Anthem | Medicare|Imperial | $275.29 | ↓ -77% |
| BrightHealth | Commercial|All Plans | $294.00 | ↓ -76% |
| Partnership Health Plan | Medicaid|All Plans | $312.52 | ↓ -74% |
| BlueShield | Medicare|Trauma | $334.09 | ↓ -72% |
| Prison Healthcare | Medicaid|All Plans | $400.90 | ↓ -67% |
| WCMG | Commercial|All Plans | $485.43 | ↓ -60% |
| BCBS - Anthem | Commercial|Connection EPO | $897.45 | ↓ -26% |
| BCBS - Anthem | Commercial|All Other Plans | $1,121.43 | ↓ -7% |
| Western Health Advantage | Commercial|All Plans | $1,544.55 | ↑ +28% |
| BCBS - Anthem | Commercial|MCS | $1,570.15 | ↑ +30% |
| Kaiser | Medicaid|All Plans | $1,809.33 | ↑ +50% |
| Cigna | Commercial|LocalPlus | $1,867.00 | ↑ +54% |
| Blue Shield CA | Commercial|ACO Trio | $2,250.63 | ↑ +86% |
| Kaiser | Commercial|All Plans | $2,383.02 | ↑ +97% |
| Cigna | Commercial|All Other Plans | $2,488.00 | ↑ +106% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2,868.45 | ↑ +137% |
| Blue Shield CA | Commercial|Exchange | $3,000.84 | ↑ +148% |
| Healthsmart | Commercial|All Plans | $3,309.75 | ↑ +174% |
| First Health | Commercial|All Plans | $3,309.75 | ↑ +174% |
| Blue Shield CA | Commercial|PPO Tandem | $3,530.40 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $3,530.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $3,662.79 | ↑ +203% |
| Blue Shield CA | Commercial|HMO | $3,971.70 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $3,971.70 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $4,059.96 | ↑ +236% |
| United | Commercial|HMO | $4,413.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $4,413.00 | ↑ +265% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +1302% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +1302% |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,508.78 | $51.47 – $4,014.66 |
| Banner Lassen Medical Center | Susanville | $488.88 | $40.68 – $977.76 |
| Petaluma Valley Hospital | Petaluma | $3,532.77 | $295.10 – $415.86 |
| Arroyo Grande Hospital | Santa Maria | $4,133.63 | $54.94 – $3,407.46 |
| Mark Twain Medical Center | San Andreas | $3,244.09 | $72.68 – $3,198.72 |
| French Hospital | San Luis Obispo | $3,217.93 | $54.94 – $2,839.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,340.33 | $72.68 – $5,353.92 |
| Bakersfield Memorial Hospital | Bakersfield | $4,293.54 | $72.68 – $12,607.00 |