Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$678.43
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.
$2,476.00
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.
$83.47 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $83.47 | ↓ -88% |
| United | Medicaid|< 21 | $194.71 | ↓ -71% |
| United | Medicaid|> 21 | $194.71 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $214.18 | ↓ -68% |
| WCMG | Commercial|All Plans | $272.36 | ↓ -60% |
| Molina | Medicaid|All Plans | $366.05 | ↓ -46% |
| BCBS - Anthem | Medicaid|All Plans | $370.54 | ↓ -45% |
| California Health & Wellness | Medicaid|All Plans | $445.89 | ↓ -34% |
| Health Net | Medicaid|All Plans | $445.89 | ↓ -34% |
| Partnership Health Plan | Medicaid|All Plans | $837.25 | ↑ +23% |
| BCBS - Anthem | Medicare|All Other Plans | $858.17 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $866.60 | ↑ +28% |
| Kaiser | Medicare|All Plans | $910.04 | ↑ +34% |
| Humana | Medicare|All Plans | $910.04 | ↑ +34% |
| Humana | Commercial|All Plans | $910.04 | ↑ +34% |
| Aetna | Medicare|All Plans | $910.04 | ↑ +34% |
| Molina | Medicare|All Plans | $910.04 | ↑ +34% |
| United | Medicare|All Plans | $910.04 | ↑ +34% |
| Blue Shield CA | Medicare|PPO | $910.04 | ↑ +34% |
| Blue Shield CA | Medicare|HMO | $910.04 | ↑ +34% |
| BCBS - Anthem | Medicare|Imperial | $937.34 | ↑ +38% |
| BrightHealth | Commercial|All Plans | $1,001.04 | ↑ +48% |
| Kaiser | Medicaid|All Plans | $1,015.16 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +51% |
| BlueShield | Medicare|Trauma | $1,137.55 | ↑ +68% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +92% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +95% |
| Kaiser | Commercial|All Plans | $1,337.04 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $1,365.06 | ↑ +101% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +156% |
| First Health | Commercial|All Plans | $1,857.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $1,857.00 | ↑ +174% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +185% |
| Sutter Health | Commercial|All Plans | $1,980.80 | ↑ +192% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +200% |
| MultiPlan | Commercial|All Plans | $2,055.08 | ↑ +203% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +209% |
| United | Commercial|Options PPO | $2,476.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,476.00 | ↑ +265% |
| United | Commercial|HMO | $2,476.00 | ↑ +265% |
| United | Commercial|All Other Plans | $2,476.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +475% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +530% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +663% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +663% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +663% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +688% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +942% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1003% |
Visitor-reported prices
Comments
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,305.09 | $593.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $753.71 | $194.71 – $1,725.78 |
| Mark Twain Medical Center | San Andreas | $1,489.85 | $28.20 – $109.00 |
| French Hospital | San Luis Obispo | $690.32 | $194.71 – $1,725.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $680.42 | $194.71 – $1,467.20 |
| Bakersfield Memorial Hospital | Bakersfield | $673.08 | $194.71 – $1,448.86 |
| Queen of The Valley Medical Center | Napa | $1,450.44 | $1,002.25 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,459.62 | $907.88 – $9,858.00 |