Insert intracorporeal device at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$12,080.66
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.
$44,090.00
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.
$1,192.80 with United vs $44,090.00 with United — 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 | $1,192.80 | ↓ -90% |
| United | Medicaid|> 21 | $1,192.80 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $1,441.92 | ↓ -88% |
| Hill Physicians | Commercial|All Plans | $1,809.77 | ↓ -85% |
| Molina | Medicaid|All Plans | $1,954.18 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $1,974.97 | ↓ -84% |
| Health Net | Medicaid|All Plans | $3,001.82 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $3,001.82 | ↓ -75% |
| Partnership Health Plan | Medicaid|All Plans | $4,469.68 | ↓ -63% |
| WCMG | Commercial|All Plans | $4,849.90 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $10,207.00 | ↓ -16% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,013.00 | ↑ +8% |
| Blue Shield CA | Commercial|Exchange | $14,112.00 | ↑ +17% |
| Western Health Advantage | Commercial|All Plans | $15,431.50 | ↑ +28% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +37% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +37% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +37% |
| Kaiser | Medicaid|All Plans | $18,076.90 | ↑ +50% |
| Blue Shield CA | Commercial|PPO Tandem | $18,197.00 | ↑ +51% |
| Blue Shield CA | Commercial|HMO | $19,296.00 | ↑ +60% |
| Blue Shield CA | Commercial|CalPers | $20,315.00 | ↑ +68% |
| BCBS - Anthem | Commercial|Connection EPO | $21,548.00 | ↑ +78% |
| Blue Shield CA | Commercial|PPO | $21,879.00 | ↑ +81% |
| Kaiser | Commercial|All Plans | $23,808.60 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $26,935.00 | ↑ +123% |
| Healthsmart | Commercial|All Plans | $33,067.50 | ↑ +174% |
| First Health | Commercial|All Plans | $33,067.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $35,272.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $36,594.70 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $37,709.00 | ↑ +212% |
| United | Commercial|HMO | $44,090.00 | ↑ +265% |
| United | Commercial|All Other Plans | $44,090.00 | ↑ +265% |
| United | Commercial|Options PPO | $44,090.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $44,090.00 | ↑ +265% |
Visitor-reported prices
Comments
Insert intracorporeal device at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $9,611.62 | $1,192.80 – $35,272.00 |
| Mercy Hospital of Folsom | Folsom | $17,151.01 | $1,192.80 – $36,153.80 |
| Woodland Memorial Hospital | Woodland | $12,080.66 | $1,192.80 – $44,090.00 |
| Methodist Hospital of Sacramento | Sacramento | $12,697.92 | $1,192.80 – $36,594.70 |
| St. John's Camarillo Hospital | Camarillo | not published | $1,467.14 – $1,787.87 |
| Petaluma Valley Hospital | Petaluma | not published | $6,619.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $1,192.80 – $1,467.14 |
| Mark Twain Medical Center | San Andreas | not published | $1,192.80 – $1,192.80 |