Inj(s) sclerosant spider veins limb/trunk at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$309.08
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.
$1,128.00
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.
$119.35 with WCMG vs $7,484.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $119.35 | ↓ -61% |
| Western Health Advantage | Commercial|All Plans | $379.75 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $444.85 | ↑ +44% |
| BCBS - Anthem | Medicare|All Other Plans | $495.09 | ↑ +60% |
| Aetna | Medicare|All Plans | $525.02 | ↑ +70% |
| Kaiser | Medicare|All Plans | $525.02 | ↑ +70% |
| Molina | Medicare|All Plans | $525.02 | ↑ +70% |
| United | Medicare|All Plans | $525.02 | ↑ +70% |
| Humana | Medicare|All Plans | $525.02 | ↑ +70% |
| Blue Shield CA | Medicare|HMO | $525.02 | ↑ +70% |
| Blue Shield CA | Medicare|PPO | $525.02 | ↑ +70% |
| Humana | Commercial|All Plans | $525.02 | ↑ +70% |
| BCBS - Anthem | Medicare|Imperial | $540.77 | ↑ +75% |
| BrightHealth | Commercial|All Plans | $577.52 | ↑ +87% |
| Kaiser | Commercial|All Plans | $585.90 | ↑ +90% |
| BlueShield | Medicare|Trauma | $656.27 | ↑ +112% |
| Prison Healthcare | Medicaid|All Plans | $787.53 | ↑ +155% |
| Healthsmart | Commercial|All Plans | $813.75 | ↑ +163% |
| First Health | Commercial|All Plans | $813.75 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $868.00 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $900.55 | ↑ +191% |
| United | Commercial|HMO | $1,085.00 | ↑ +251% |
| United | Commercial|Options PPO | $1,085.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $1,085.00 | ↑ +251% |
| United | Commercial|All Other Plans | $1,085.00 | ↑ +251% |
| BCBS - Anthem | Medicaid|All Plans | $1,745.00 | ↑ +465% |
| Molina | Medicaid|All Plans | $2,504.00 | ↑ +710% |
| California Health & Wellness | Medicaid|All Plans | $2,846.00 | ↑ +821% |
| Health Net | Medicaid|All Plans | $2,846.00 | ↑ +821% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +935% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +971% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +1265% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +1284% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +1285% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +1575% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +1575% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +1575% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +1630% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +1720% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +1778% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +1924% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +2030% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +2092% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +2321% |
Visitor-reported prices
Comments
Inj(s) sclerosant spider veins limb/trunk at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $245.91 | $379.75 – $1,085.00 |
| Mercy Hospital of Folsom | Folsom | $438.80 | $119.35 – $1,085.00 |
| Woodland Memorial Hospital | Woodland | $309.08 | $119.35 – $1,085.00 |
| Methodist Hospital of Sacramento | Sacramento | $324.87 | $379.75 – $900.55 |
| St. John's Camarillo Hospital | Camarillo | not published | $507.64 – $936.40 |
| Petaluma Valley Hospital | Petaluma | not published | $547.82 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $507.64 – $507.64 |
| French Hospital | San Luis Obispo | not published | $507.64 – $507.64 |