Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,056.00
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.
$3,854.00
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.
$100.68 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 | $100.68 | ↓ -90% |
| United | Medicaid|< 21 | $220.03 | ↓ -79% |
| United | Medicaid|> 21 | $220.03 | ↓ -79% |
| Hill Physicians | Medicaid|All Plans | $242.03 | ↓ -77% |
| WCMG | Commercial|All Plans | $275.55 | ↓ -74% |
| Molina | Medicaid|All Plans | $413.66 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $418.06 | ↓ -60% |
| Health Net | Medicaid|All Plans | $503.87 | ↓ -52% |
| California Health & Wellness | Medicaid|All Plans | $503.87 | ↓ -52% |
| BCBS - Anthem | Medicare|All Other Plans | $858.17 | ↓ -19% |
| Western Health Advantage | Commercial|All Plans | $876.75 | ↓ -17% |
| Kaiser | Medicare|All Plans | $910.04 | ↓ -14% |
| United | Medicare|All Plans | $910.04 | ↓ -14% |
| Blue Shield CA | Medicare|PPO | $910.04 | ↓ -14% |
| Blue Shield CA | Medicare|HMO | $910.04 | ↓ -14% |
| Aetna | Medicare|All Plans | $910.04 | ↓ -14% |
| Humana | Medicare|All Plans | $910.04 | ↓ -14% |
| Humana | Commercial|All Plans | $910.04 | ↓ -14% |
| Molina | Medicare|All Plans | $910.04 | ↓ -14% |
| BCBS - Anthem | Medicare|Imperial | $937.34 | ↓ -11% |
| Partnership Health Plan | Medicaid|All Plans | $946.13 | ↓ -10% |
| BrightHealth | Commercial|All Plans | $1,001.04 | ↓ -5% |
| Kaiser | Medicaid|All Plans | $1,027.05 | ↓ -3% |
| BlueShield | Medicare|Trauma | $1,137.55 | ↑ +8% |
| Kaiser | Commercial|All Plans | $1,352.70 | ↑ +28% |
| Prison Healthcare | Medicaid|All Plans | $1,365.06 | ↑ +29% |
| First Health | Commercial|All Plans | $1,878.75 | ↑ +78% |
| Healthsmart | Commercial|All Plans | $1,878.75 | ↑ +78% |
| Sutter Health | Commercial|All Plans | $2,004.00 | ↑ +90% |
| MultiPlan | Commercial|All Plans | $2,079.15 | ↑ +97% |
| United | Commercial|HMO | $2,505.00 | ↑ +137% |
| United | Commercial|Options PPO | $2,505.00 | ↑ +137% |
| United | Commercial|Non-Options PPO | $2,505.00 | ↑ +137% |
| United | Commercial|All Other Plans | $2,505.00 | ↑ +137% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +213% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +269% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +299% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +305% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +305% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +390% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +390% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +390% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +406% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +433% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +492% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +523% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +542% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +570% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +609% |
Visitor-reported prices
Comments
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $738.03 | $332.89 – $1,617.30 |
| Petaluma Valley Hospital | Petaluma | $1,305.09 | $951.25 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,643.52 | $220.03 – $2,259.88 |
| Mark Twain Medical Center | San Andreas | $2,839.83 | $78.65 – $297.92 |
| French Hospital | San Luis Obispo | $1,461.38 | $220.03 – $1,739.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,062.55 | $220.03 – $2,199.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,008.89 | $220.03 – $1,549.98 |
| Queen of The Valley Medical Center | Napa | $3,624.57 | $1,002.25 – $6,200.00 |