Ins picc wo subq prt/pmp w image guidnc <5yr at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$545.81
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.
$1,992.00
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.
$78.32 with Hill Physicians vs $12,615.00 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 | $78.32 | ↓ -86% |
| WCMG | Commercial|All Plans | $219.12 | ↓ -60% |
| United | Medicaid|> 21 | $386.45 | ↓ -29% |
| United | Medicaid|< 21 | $386.45 | ↓ -29% |
| Hill Physicians | Medicaid|All Plans | $425.10 | ↓ -22% |
| Western Health Advantage | Commercial|All Plans | $697.20 | ↑ +28% |
| Molina | Medicaid|All Plans | $726.53 | ↑ +33% |
| BCBS - Anthem | Medicaid|All Plans | $734.26 | ↑ +35% |
| BCBS - Anthem | Medicare|All Other Plans | $766.15 | ↑ +40% |
| United | Medicare|All Plans | $812.46 | ↑ +49% |
| Blue Shield CA | Medicare|PPO | $812.46 | ↑ +49% |
| Blue Shield CA | Medicare|HMO | $812.46 | ↑ +49% |
| Humana | Commercial|All Plans | $812.46 | ↑ +49% |
| Aetna | Medicare|All Plans | $812.46 | ↑ +49% |
| Humana | Medicare|All Plans | $812.46 | ↑ +49% |
| Kaiser | Medicare|All Plans | $812.46 | ↑ +49% |
| Molina | Medicare|All Plans | $812.46 | ↑ +49% |
| Kaiser | Medicaid|All Plans | $816.72 | ↑ +50% |
| BCBS - Anthem | Medicare|Imperial | $836.83 | ↑ +53% |
| Health Net | Medicaid|All Plans | $884.97 | ↑ +62% |
| California Health & Wellness | Medicaid|All Plans | $884.97 | ↑ +62% |
| BrightHealth | Commercial|All Plans | $893.71 | ↑ +64% |
| BlueShield | Medicare|Trauma | $1,015.58 | ↑ +86% |
| Kaiser | Commercial|All Plans | $1,075.68 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $1,218.69 | ↑ +123% |
| Healthsmart | Commercial|All Plans | $1,494.00 | ↑ +174% |
| First Health | Commercial|All Plans | $1,494.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,593.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,653.36 | ↑ +203% |
| Partnership Health Plan | Medicaid|All Plans | $1,661.74 | ↑ +204% |
| United | Commercial|Options PPO | $1,992.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $1,992.00 | ↑ +265% |
| United | Commercial|All Other Plans | $1,992.00 | ↑ +265% |
| United | Commercial|HMO | $1,992.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +506% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +614% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +673% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +684% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +849% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +849% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +849% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +931% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +1046% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +1106% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +1141% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +1195% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +1221% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +1551% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +2211% |
Visitor-reported prices
Comments
Ins picc wo subq prt/pmp w image guidnc <5yr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $896.80 | $123.65 – $1,666.46 |
| Petaluma Valley Hospital | Petaluma | $2,208.81 | $845.36 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,618.70 | $386.45 – $3,706.36 |
| French Hospital | San Luis Obispo | $1,423.36 | $386.45 – $3,558.38 |
| Bakersfield Memorial Hospital | Bakersfield | $1,419.93 | $386.45 – $3,056.51 |
| Queen of The Valley Medical Center | Napa | $2,270.52 | $890.68 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,486.14 | $806.82 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $710.94 | $845.19 – $3,982.87 |