Ins cath ren art 1st uni at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,090.45
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.
$11,279.00
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.
$227.85 with United vs $17,696.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $227.85 | ↓ -93% |
| United | Medicaid|> 21 | $227.85 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $241.47 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $250.64 | ↓ -92% |
| Molina | Medicaid|All Plans | $428.36 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $432.65 | ↓ -86% |
| Health Net | Medicaid|All Plans | $521.78 | ↓ -83% |
| California Health & Wellness | Medicaid|All Plans | $521.78 | ↓ -83% |
| WCMG | Commercial|All Plans | $843.70 | ↓ -73% |
| Partnership Health Plan | Medicaid|All Plans | $979.76 | ↓ -68% |
| Western Health Advantage | Commercial|All Plans | $2,684.50 | ↓ -13% |
| Kaiser | Medicaid|All Plans | $3,144.70 | ↑ +2% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +26% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +34% |
| Humana | Medicare|All Plans | $4,136.13 | ↑ +34% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +34% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +34% |
| United | Medicare|All Plans | $4,136.13 | ↑ +34% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +34% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +34% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +34% |
| Kaiser | Commercial|All Plans | $4,141.80 | ↑ +34% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +38% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +47% |
| BlueShield | Medicare|Trauma | $5,170.16 | ↑ +67% |
| First Health | Commercial|All Plans | $5,752.50 | ↑ +86% |
| Healthsmart | Commercial|All Plans | $5,752.50 | ↑ +86% |
| Sutter Health | Commercial|All Plans | $6,136.00 | ↑ +99% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $6,366.10 | ↑ +106% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +135% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +135% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +135% |
| United | Commercial|HMO | $7,670.00 | ↑ +148% |
| United | Commercial|All Other Plans | $7,670.00 | ↑ +148% |
| United | Commercial|Options PPO | $7,670.00 | ↑ +148% |
| United | Commercial|Non-Options PPO | $7,670.00 | ↑ +148% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +227% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +309% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +313% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +473% |
Visitor-reported prices
Comments
Ins cath ren art 1st uni at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,707.67 | $344.72 – $7,477.22 |
| Petaluma Valley Hospital | Petaluma | $9,612.99 | $1,502.20 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $4,794.03 | $227.71 – $10,657.50 |
| French Hospital | San Luis Obispo | $4,263.00 | $227.71 – $10,638.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,133.47 | $227.85 – $6,616.00 |
| Bakersfield Memorial Hospital | Bakersfield | $3,099.69 | $227.85 – $6,672.34 |
| Queen of The Valley Medical Center | Napa | $9,104.52 | $2,020.41 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,443.12 | $4,061.05 – $17,611.00 |