Ins cath ren art 2nd+ uni at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,203.16
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.
$15,340.00
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.
$316.46 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 | $316.46 | ↓ -92% |
| United | Medicaid|> 21 | $316.46 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $341.82 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $348.11 | ↓ -92% |
| Molina | Medicaid|All Plans | $594.94 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $600.91 | ↓ -86% |
| Health Net | Medicaid|All Plans | $724.69 | ↓ -83% |
| California Health & Wellness | Medicaid|All Plans | $724.69 | ↓ -83% |
| Partnership Health Plan | Medicaid|All Plans | $1,360.78 | ↓ -68% |
| WCMG | Commercial|All Plans | $1,625.25 | ↓ -61% |
| Western Health Advantage | Commercial|All Plans | $5,171.25 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $6,057.75 | ↑ +44% |
| BCBS - Anthem | Medicare|All Other Plans | $6,698.72 | ↑ +59% |
| Blue Shield CA | Medicare|PPO | $7,103.63 | ↑ +69% |
| Humana | Medicare|All Plans | $7,103.63 | ↑ +69% |
| Aetna | Medicare|All Plans | $7,103.63 | ↑ +69% |
| Molina | Medicare|All Plans | $7,103.63 | ↑ +69% |
| United | Medicare|All Plans | $7,103.63 | ↑ +69% |
| Kaiser | Medicare|All Plans | $7,103.63 | ↑ +69% |
| Blue Shield CA | Medicare|HMO | $7,103.63 | ↑ +69% |
| Humana | Commercial|All Plans | $7,103.63 | ↑ +69% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +73% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +73% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +73% |
| BCBS - Anthem | Medicare|Imperial | $7,316.74 | ↑ +74% |
| BrightHealth | Commercial|All Plans | $7,813.99 | ↑ +86% |
| Kaiser | Commercial|All Plans | $7,978.50 | ↑ +90% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +104% |
| BlueShield | Medicare|Trauma | $8,879.54 | ↑ +111% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +141% |
| Prison Healthcare | Medicaid|All Plans | $10,655.44 | ↑ +154% |
| Healthsmart | Commercial|All Plans | $11,081.25 | ↑ +164% |
| First Health | Commercial|All Plans | $11,081.25 | ↑ +164% |
| Sutter Health | Commercial|All Plans | $11,820.00 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $12,263.25 | ↑ +192% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +201% |
| United | Commercial|HMO | $14,775.00 | ↑ +252% |
| United | Commercial|All Other Plans | $14,775.00 | ↑ +252% |
| United | Commercial|Non-Options PPO | $14,775.00 | ↑ +252% |
| United | Commercial|Options PPO | $14,775.00 | ↑ +252% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +270% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +321% |
Visitor-reported prices
Comments
Ins cath ren art 2nd+ uni at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,707.67 | $478.78 – $12,900.80 |
| Arroyo Grande Hospital | Santa Maria | $4,654.50 | $316.27 – $10,657.50 |
| French Hospital | San Luis Obispo | $4,263.00 | $316.27 – $10,329.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,101.25 | $316.46 – $6,868.48 |
| Bakersfield Memorial Hospital | Bakersfield | $3,099.69 | $316.46 – $6,868.48 |
| Queen of The Valley Medical Center | Napa | $12,411.36 | $2,803.20 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,506.06 | $0.80 – $2,366.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $10,545.27 | $2,681.54 – $15,575.00 |