Inj hrt cath w/s&i sel right vent at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,033.28
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.
$14,720.00
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.
$24.90 with Hill Physicians vs $16,573.00 with Aetna — 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 | $24.90 | ↓ -99% |
| United | Medicaid|< 21 | $177.51 | ↓ -96% |
| United | Medicaid|> 21 | $177.51 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $215.82 | ↓ -95% |
| Molina | Medicaid|All Plans | $290.82 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $293.91 | ↓ -93% |
| California Health & Wellness | Medicaid|All Plans | $449.30 | ↓ -89% |
| Health Net | Medicaid|All Plans | $449.30 | ↓ -89% |
| Partnership Health Plan | Medicaid|All Plans | $665.17 | ↓ -84% |
| WCMG | Commercial|All Plans | $1,619.20 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $5,152.00 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $6,035.20 | ↑ +50% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +79% |
| Kaiser | Commercial|All Plans | $7,948.80 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +123% |
| Healthsmart | Commercial|All Plans | $11,040.00 | ↑ +174% |
| First Health | Commercial|All Plans | $11,040.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $11,776.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $12,217.60 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +213% |
| United | Commercial|Non-Options PPO | $14,720.00 | ↑ +265% |
| United | Commercial|All Other Plans | $14,720.00 | ↑ +265% |
| United | Commercial|HMO | $14,720.00 | ↑ +265% |
| United | Commercial|Options PPO | $14,720.00 | ↑ +265% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +311% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +311% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +311% |
Visitor-reported prices
Comments
Inj hrt cath w/s&i sel right vent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $83.22 | $51.30 – $337.46 |
| Arroyo Grande Hospital | Santa Maria | $249.96 | $177.51 – $572.32 |
| French Hospital | San Luis Obispo | $232.07 | $159.84 – $580.16 |
| St. Joseph's Medical Center Stockton | Stockton | $627.99 | $154.69 – $1,794.24 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $266.40 | $1,200.00 – $5,357.00 |
| Dominican Hospital | Santa Cruz | $1,886.85 | $177.51 – $3,773.70 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $612.50 | $1,287.00 – $5,446.00 |
| California Hospital Medical Center | Los Angeles | $1,041.30 | $176.58 – $1,696.13 |