Insert pm/icd lead dual at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,424.18
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.
$12,497.00
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.
$360.57 with United vs $35,580.00 with Blue Shield CA — 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 | $360.57 | ↓ -89% |
| United | Medicaid|> 21 | $360.57 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $363.28 | ↓ -89% |
| Molina | Medicaid|All Plans | $590.73 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $625.24 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $856.37 | ↓ -75% |
| Health Net | Medicaid|All Plans | $1,301.64 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $1,301.64 | ↓ -62% |
| WCMG | Commercial|All Plans | $1,374.67 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $1,938.08 | ↓ -43% |
| Western Health Advantage | Commercial|All Plans | $4,373.95 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $5,123.77 | ↑ +50% |
| Kaiser | Commercial|All Plans | $6,748.38 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +111% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +163% |
| First Health | Commercial|All Plans | $9,372.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $9,372.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $9,997.60 | ↑ +192% |
| BCBS - Anthem | Medicare|All Other Plans | $10,255.57 | ↑ +200% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +203% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +203% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +203% |
| MultiPlan | Commercial|All Plans | $10,372.51 | ↑ +203% |
| United | Medicare|All Plans | $10,875.47 | ↑ +218% |
| Humana | Medicare|All Plans | $10,875.47 | ↑ +218% |
| Aetna | Medicare|All Plans | $10,875.47 | ↑ +218% |
| Molina | Medicare|All Plans | $10,875.47 | ↑ +218% |
| Humana | Commercial|All Plans | $10,875.47 | ↑ +218% |
| Kaiser | Medicare|All Plans | $10,875.47 | ↑ +218% |
| Blue Shield CA | Medicare|HMO | $10,875.47 | ↑ +218% |
| Blue Shield CA | Medicare|PPO | $10,875.47 | ↑ +218% |
| BCBS - Anthem | Medicare|Imperial | $11,201.73 | ↑ +227% |
| BrightHealth | Commercial|All Plans | $11,963.02 | ↑ +249% |
| United | Commercial|Non-Options PPO | $12,497.00 | ↑ +265% |
| United | Commercial|All Other Plans | $12,497.00 | ↑ +265% |
| United | Commercial|HMO | $12,497.00 | ↑ +265% |
| United | Commercial|Options PPO | $12,497.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +268% |
| Health Net | Commercial|EPPO | $12,714.00 | ↑ +271% |
| BlueShield | Medicare|Trauma | $13,594.34 | ↑ +297% |
| Prison Healthcare | Medicaid|All Plans | $16,313.20 | ↑ +376% |
| Blue Shield CA | Commercial|ACO Trio | $16,598.00 | ↑ +385% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $21,162.00 | ↑ +518% |
| Blue Shield CA | Commercial|Exchange | $22,950.00 | ↑ +570% |
| Health Net | Commercial|FFS | $23,066.00 | ↑ +574% |
| Blue Shield CA | Commercial|PPO Tandem | $29,592.00 | ↑ +764% |
| Blue Shield CA | Commercial|HMO | $31,379.00 | ↑ +816% |
| Blue Shield CA | Commercial|CalPers | $33,036.00 | ↑ +865% |
| Blue Shield CA | Commercial|PPO | $35,580.00 | ↑ +939% |
Visitor-reported prices
Comments
Insert pm/icd lead dual at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,048.78 | $443.50 – $20,488.56 |
| Arroyo Grande Hospital | Santa Maria | $6,893.37 | $360.57 – $15,783.88 |
| French Hospital | San Luis Obispo | $6,442.52 | $360.57 – $16,106.30 |
| Bakersfield Memorial Hospital | Bakersfield | $5,438.21 | $360.57 – $11,706.22 |
| Providence St Joseph Hospital Eureka | Eureka | $20,155.71 | $8,018.00 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,979.86 | $360.57 – $19,942.44 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,289.60 | $5,357.00 – $20,774.00 |
| Mercy Medical Center Merced | Merced | $7,429.39 | $360.57 – $14,281.74 |