Ins cath ren art 2nd+ bi at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5,006.53
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.
$18,272.00
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.
$341.03 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 | $341.03 | ↓ -93% |
| United | Medicaid|< 21 | $341.03 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $375.13 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $392.60 | ↓ -92% |
| Molina | Medicaid|All Plans | $641.14 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $648.26 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $780.96 | ↓ -84% |
| Health Net | Medicaid|All Plans | $780.96 | ↓ -84% |
| Partnership Health Plan | Medicaid|All Plans | $1,466.43 | ↓ -71% |
| WCMG | Commercial|All Plans | $1,935.45 | ↓ -61% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↓ -22% |
| Humana | Commercial|All Plans | $4,136.13 | ↓ -17% |
| Humana | Medicare|All Plans | $4,136.13 | ↓ -17% |
| Aetna | Medicare|All Plans | $4,136.13 | ↓ -17% |
| Molina | Medicare|All Plans | $4,136.13 | ↓ -17% |
| United | Medicare|All Plans | $4,136.13 | ↓ -17% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↓ -17% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↓ -17% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↓ -17% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↓ -15% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↓ -9% |
| BlueShield | Medicare|Trauma | $5,170.16 | ↑ +3% |
| Western Health Advantage | Commercial|All Plans | $6,158.25 | ↑ +23% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +24% |
| Kaiser | Medicaid|All Plans | $7,213.95 | ↑ +44% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +45% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +45% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +45% |
| Kaiser | Commercial|All Plans | $9,501.30 | ↑ +90% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +102% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +152% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +155% |
| First Health | Commercial|All Plans | $13,196.25 | ↑ +164% |
| Healthsmart | Commercial|All Plans | $13,196.25 | ↑ +164% |
| Sutter Health | Commercial|All Plans | $14,076.00 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $14,603.85 | ↑ +192% |
| United | Commercial|All Other Plans | $17,595.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $17,595.00 | ↑ +251% |
| United | Commercial|Options PPO | $17,595.00 | ↑ +251% |
| United | Commercial|HMO | $17,595.00 | ↑ +251% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +253% |
Visitor-reported prices
Comments
Ins cath ren art 2nd+ bi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,707.67 | $515.95 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $6,982.40 | $341.03 – $15,987.72 |
| French Hospital | San Luis Obispo | $6,395.09 | $341.03 – $15,955.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,133.47 | $341.03 – $6,756.80 |
| Bakersfield Memorial Hospital | Bakersfield | $3,099.69 | $341.03 – $6,672.34 |
| Providence St Joseph Hospital Eureka | Eureka | $5,500.86 | $4,061.05 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,855.92 | $341.03 – $8,159.76 |
| Mercy Medical Center Merced | Merced | $7,185.28 | $341.03 – $13,812.48 |