Inj non-compmd foam sclrsnt sgl trncl vein at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,853.61
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.
$6,765.00
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.
$113.65 with Hill Physicians vs $10,485.00 with Health Net — 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 | $113.65 | ↓ -94% |
| WCMG | Commercial|All Plans | $715.55 | ↓ -61% |
| United | Medicaid|< 21 | $1,480.64 | ↓ -20% |
| United | Medicaid|> 21 | $1,480.64 | ↓ -20% |
| Hill Physicians | Medicaid|All Plans | $1,628.70 | ↓ -12% |
| BCBS - Anthem | Medicare|All Other Plans | $2,266.77 | ↑ +22% |
| Western Health Advantage | Commercial|All Plans | $2,276.75 | ↑ +23% |
| Blue Shield CA | Medicare|HMO | $2,403.79 | ↑ +30% |
| Kaiser | Medicare|All Plans | $2,403.79 | ↑ +30% |
| Humana | Medicare|All Plans | $2,403.79 | ↑ +30% |
| Humana | Commercial|All Plans | $2,403.79 | ↑ +30% |
| Aetna | Medicare|All Plans | $2,403.79 | ↑ +30% |
| Molina | Medicare|All Plans | $2,403.79 | ↑ +30% |
| Blue Shield CA | Medicare|PPO | $2,403.79 | ↑ +30% |
| United | Medicare|All Plans | $2,403.79 | ↑ +30% |
| BCBS - Anthem | Medicare|Imperial | $2,475.90 | ↑ +34% |
| BrightHealth | Commercial|All Plans | $2,644.17 | ↑ +43% |
| Kaiser | Medicaid|All Plans | $2,667.05 | ↑ +44% |
| Molina | Medicaid|All Plans | $2,783.60 | ↑ +50% |
| BCBS - Anthem | Medicaid|All Plans | $2,813.22 | ↑ +52% |
| BlueShield | Medicare|Trauma | $3,004.74 | ↑ +62% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +79% |
| California Health & Wellness | Medicaid|All Plans | $3,390.67 | ↑ +83% |
| Health Net | Medicaid|All Plans | $3,390.67 | ↑ +83% |
| Kaiser | Commercial|All Plans | $3,512.70 | ↑ +90% |
| Prison Healthcare | Medicaid|All Plans | $3,605.68 | ↑ +95% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +128% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +131% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +131% |
| First Health | Commercial|All Plans | $4,878.75 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $4,878.75 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $5,204.00 | ↑ +181% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +188% |
| MultiPlan | Commercial|All Plans | $5,399.15 | ↑ +191% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +203% |
| Health Net | Commercial|EPPO | $5,780.00 | ↑ +212% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +237% |
| Partnership Health Plan | Medicaid|All Plans | $6,366.75 | ↑ +243% |
| United | Commercial|HMO | $6,505.00 | ↑ +251% |
| United | Commercial|All Other Plans | $6,505.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $6,505.00 | ↑ +251% |
| United | Commercial|Options PPO | $6,505.00 | ↑ +251% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +255% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +266% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +291% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +291% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +291% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +304% |
| Health Net | Commercial|FFS | $10,485.00 | ↑ +466% |
Visitor-reported prices
Comments
Inj non-compmd foam sclrsnt sgl trncl vein at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Medical Center Stockton | Stockton | $2,110.63 | $753.90 – $3,590.00 |
| Mercy General Hospital | Sacramento | $1,474.77 | $113.65 – $6,366.75 |
| Mercy Hospital of Folsom | Folsom | $2,631.59 | $113.65 – $6,366.75 |
| Woodland Memorial Hospital | Woodland | $1,853.61 | $715.55 – $6,505.00 |
| Methodist Hospital of Sacramento | Sacramento | $1,948.32 | $113.65 – $6,366.75 |
| St. John's Camarillo Hospital | Camarillo | not published | $2,240.06 – $4,331.90 |
| Petaluma Valley Hospital | Petaluma | not published | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $1,480.64 – $2,324.22 |