Ins/rpl wireless pulm art sensor incl s&i at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,201.69
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.
$11,685.00
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.
$275.87 with United vs $58,040.00 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 | $275.87 | ↓ -91% |
| United | Medicaid|> 21 | $275.87 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $303.46 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $317.67 | ↓ -90% |
| Molina | Medicaid|All Plans | $518.64 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $524.15 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $631.74 | ↓ -80% |
| Health Net | Medicaid|All Plans | $631.74 | ↓ -80% |
| Partnership Health Plan | Medicaid|All Plans | $1,186.24 | ↓ -63% |
| WCMG | Commercial|All Plans | $1,285.35 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $4,089.75 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,790.85 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio | $6,260.00 | ↑ +96% |
| Kaiser | Commercial|All Plans | $6,309.90 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7,977.00 | ↑ +149% |
| Blue Shield CA | Commercial|Exchange | $8,094.00 | ↑ +153% |
| First Health | Commercial|All Plans | $8,763.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $8,763.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $9,348.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $9,698.55 | ↑ +203% |
| Blue Shield CA | Commercial|PPO Tandem | $10,639.00 | ↑ +232% |
| BCBS - Anthem | Medicare|All Other Plans | $11,018.96 | ↑ +244% |
| Aetna | Medicare|All Plans | $11,685.00 | ↑ +265% |
| United | Commercial|HMO | $11,685.00 | ↑ +265% |
| United | Medicare|All Plans | $11,685.00 | ↑ +265% |
| Humana | Medicare|All Plans | $11,685.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $11,685.00 | ↑ +265% |
| United | Commercial|Options PPO | $11,685.00 | ↑ +265% |
| United | Commercial|All Other Plans | $11,685.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $11,685.00 | ↑ +265% |
| Molina | Medicare|All Plans | $11,685.00 | ↑ +265% |
| Humana | Commercial|All Plans | $11,685.00 | ↑ +265% |
| Blue Shield CA | Commercial|HMO | $11,829.00 | ↑ +269% |
| BCBS - Anthem | Medicare|Imperial | $12,035.55 | ↑ +276% |
| Blue Shield CA | Commercial|CalPers | $12,452.00 | ↑ +289% |
| Blue Shield CA | Commercial|PPO | $12,814.00 | ↑ +300% |
| BrightHealth | Commercial|All Plans | $12,853.50 | ↑ +301% |
| BlueShield | Medicare|Trauma | $14,606.25 | ↑ +356% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +418% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +418% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +418% |
| Health Net | Commercial|EPPO | $27,970.00 | ↑ +774% |
| BCBS - Anthem | Commercial|Connection EPO | $33,166.00 | ↑ +936% |
| Kaiser | Medicare|All Plans | $37,357.67 | ↑ +1067% |
| Blue Shield CA | Medicare|HMO | $37,357.67 | ↑ +1067% |
| BCBS - Anthem | Commercial|All Other Plans | $41,457.00 | ↑ +1195% |
| Health Net | Commercial|FFS | $50,742.00 | ↑ +1485% |
| Prison Healthcare | Medicaid|All Plans | $56,036.50 | ↑ +1650% |
| BCBS - Anthem | Commercial|MCS | $58,040.00 | ↑ +1713% |
Visitor-reported prices
Comments
Ins/rpl wireless pulm art sensor incl s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $4,895.47 | $275.87 – $11,438.00 |
| French Hospital | San Luis Obispo | $4,618.16 | $275.87 – $11,781.00 |
| Bakersfield Memorial Hospital | Bakersfield | $35,979.22 | $275.87 – $77,448.44 |
| Providence St Joseph Hospital Eureka | Eureka | $36,843.93 | $11,036.00 – $126,547.00 |
| St. Joseph's Medical Center Stockton | Stockton | $19,590.99 | $275.87 – $55,974.24 |
| Santa Rosa Memorial Hospital | Santa Rosa | $32,159.07 | $4,233.00 – $39,911.86 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,102.24 | $9,779.00 – $68,249.43 |
| Mercy Medical Center Merced | Merced | $54,038.44 | $275.87 – $103,879.71 |