Ins lv lead exist pm/icd at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,537.62
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.
?
What you pay up front if you don't use insurance.
$12,911.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$279.60 with United vs $28,092.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $279.60 | ↓ -92% |
| United | Medicaid|> 21 | $279.60 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $307.56 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $487.77 | ↓ -86% |
| Molina | Medicaid|All Plans | $525.65 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $531.24 | ↓ -85% |
| Health Net | Medicaid|All Plans | $640.28 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $640.28 | ↓ -82% |
| Partnership Health Plan | Medicaid|All Plans | $1,202.28 | ↓ -66% |
| WCMG | Commercial|All Plans | $1,420.21 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +25% |
| Western Health Advantage | Commercial|All Plans | $4,518.85 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $5,293.51 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +60% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +62% |
| Kaiser | Commercial|All Plans | $6,971.94 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +113% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +134% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +134% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +134% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +137% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +149% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +156% |
| First Health | Commercial|All Plans | $9,683.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $9,683.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $10,328.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $10,716.13 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $12,175.08 | ↑ +244% |
| Molina | Medicare|All Plans | $12,911.00 | ↑ +265% |
| United | Commercial|All Other Plans | $12,911.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $12,911.00 | ↑ +265% |
| Humana | Commercial|All Plans | $12,911.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $12,911.00 | ↑ +265% |
| United | Commercial|Options PPO | $12,911.00 | ↑ +265% |
| Humana | Medicare|All Plans | $12,911.00 | ↑ +265% |
| United | Commercial|HMO | $12,911.00 | ↑ +265% |
| United | Medicare|All Plans | $12,911.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $12,911.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $13,298.33 | ↑ +276% |
| BCBS - Anthem | Commercial|Connection EPO | $13,725.00 | ↑ +288% |
| Kaiser | Medicare|All Plans | $13,752.49 | ↑ +289% |
| Blue Shield CA | Medicare|HMO | $13,752.49 | ↑ +289% |
| BrightHealth | Commercial|All Plans | $14,202.10 | ↑ +301% |
| Health Net | Commercial|EPPO | $15,484.00 | ↑ +338% |
| BlueShield | Medicare|Trauma | $16,138.75 | ↑ +356% |
| BCBS - Anthem | Commercial|All Other Plans | $17,156.00 | ↑ +385% |
| Prison Healthcare | Medicaid|All Plans | $20,628.74 | ↑ +483% |
| BCBS - Anthem | Commercial|MCS | $24,018.00 | ↑ +579% |
| Health Net | Commercial|FFS | $28,092.00 | ↑ +694% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $15,211.74 | $423.01 – $27,089.40 |
| Arroyo Grande Hospital | Santa Maria | $22,068.97 | $279.60 – $50,531.74 |
| French Hospital | San Luis Obispo | $20,566.68 | $279.60 – $51,416.68 |
| Bakersfield Memorial Hospital | Bakersfield | $22,624.45 | $279.60 – $48,701.13 |
| Queen of The Valley Medical Center | Napa | $33,111.75 | $7,483.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,084.60 | $279.60 – $25,956.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $15,113.85 | $2,995.00 – $20,488.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,028.00 | $6,920.00 – $24,869.57 |