Insert swan-ganz cath at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,858.00
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.
$6,781.00
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.
$85.30 with Hill Physicians vs $17,696.00 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 | $85.30 | ↓ -95% |
| United | Medicaid|> 21 | $145.71 | ↓ -92% |
| United | Medicaid|< 21 | $145.71 | ↓ -92% |
| Molina | Medicaid|All Plans | $238.72 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $254.10 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $346.07 | ↓ -81% |
| Health Net | Medicaid|All Plans | $528.99 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $528.99 | ↓ -72% |
| WCMG | Commercial|All Plans | $616.44 | ↓ -67% |
| Partnership Health Plan | Medicaid|All Plans | $783.20 | ↓ -58% |
| BCBS - Anthem | Medicare|All Other Plans | $1,925.02 | ↑ +4% |
| Western Health Advantage | Commercial|All Plans | $1,961.40 | ↑ +6% |
| United | Medicare|All Plans | $2,041.38 | ↑ +10% |
| Molina | Medicare|All Plans | $2,041.38 | ↑ +10% |
| Blue Shield CA | Medicare|PPO | $2,041.38 | ↑ +10% |
| Blue Shield CA | Medicare|HMO | $2,041.38 | ↑ +10% |
| Aetna | Medicare|All Plans | $2,041.38 | ↑ +10% |
| Humana | Commercial|All Plans | $2,041.38 | ↑ +10% |
| Humana | Medicare|All Plans | $2,041.38 | ↑ +10% |
| Kaiser | Medicare|All Plans | $2,041.38 | ↑ +10% |
| BCBS - Anthem | Medicare|Imperial | $2,102.62 | ↑ +13% |
| BrightHealth | Commercial|All Plans | $2,245.52 | ↑ +21% |
| Kaiser | Medicaid|All Plans | $2,297.64 | ↑ +24% |
| BlueShield | Medicare|Trauma | $2,551.73 | ↑ +37% |
| Kaiser | Commercial|All Plans | $3,026.16 | ↑ +63% |
| Prison Healthcare | Medicaid|All Plans | $3,062.07 | ↑ +65% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +78% |
| Healthsmart | Commercial|All Plans | $4,203.00 | ↑ +126% |
| First Health | Commercial|All Plans | $4,203.00 | ↑ +126% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +127% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +130% |
| Sutter Health | Commercial|All Plans | $4,483.20 | ↑ +141% |
| MultiPlan | Commercial|All Plans | $4,651.32 | ↑ +150% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +155% |
| United | Commercial|All Other Plans | $5,604.00 | ↑ +202% |
| United | Commercial|Non-Options PPO | $5,604.00 | ↑ +202% |
| United | Commercial|Options PPO | $5,604.00 | ↑ +202% |
| United | Commercial|HMO | $5,604.00 | ↑ +202% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +203% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +237% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +254% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +265% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +363% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +444% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +580% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +792% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +792% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +792% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +852% |
Visitor-reported prices
Comments
Insert swan-ganz cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,137.93 | $141.65 – $3,734.50 |
| Arroyo Grande Hospital | Santa Maria | $2,070.24 | $145.71 – $4,740.26 |
| French Hospital | San Luis Obispo | $1,929.43 | $145.71 – $4,740.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,669.13 | $145.71 – $3,599.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,651.14 | $145.71 – $3,211.35 |
| Queen of The Valley Medical Center | Napa | $2,628.03 | $2,235.08 – $7,745.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,763.58 | $2,024.63 – $9,008.00 |
| Healdsburg Hospital | Healdsburg | $1,517.76 | $2,120.93 – $7,151.31 |