Insertion catheter bladder temporary simple at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$175.09
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.
$639.00
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.
$24.73 with Hill Physicians vs $7,484.00 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 | $24.73 | ↓ -86% |
| WCMG | Commercial|All Plans | $44.00 | ↓ -75% |
| United | Medicaid|> 21 | $114.13 | ↓ -35% |
| United | Medicaid|< 21 | $114.13 | ↓ -35% |
| Hill Physicians | Medicaid|All Plans | $137.90 | ↓ -21% |
| Western Health Advantage | Commercial|All Plans | $140.00 | ↓ -20% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↓ -9% |
| Kaiser | Medicaid|All Plans | $164.00 | ↓ -6% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↓ -3% |
| Humana | Medicare|All Plans | $169.39 | ↓ -3% |
| Aetna | Medicare|All Plans | $169.39 | ↓ -3% |
| Molina | Medicare|All Plans | $169.39 | ↓ -3% |
| United | Medicare|All Plans | $169.39 | ↓ -3% |
| Kaiser | Medicare|All Plans | $169.39 | ↓ -3% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↓ -3% |
| Humana | Commercial|All Plans | $169.39 | ↓ -3% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↓ -0% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +6% |
| Molina | Medicaid|All Plans | $186.87 | ↑ +7% |
| BCBS - Anthem | Medicaid|All Plans | $188.97 | ↑ +8% |
| BlueShield | Medicare|Trauma | $211.74 | ↑ +21% |
| Kaiser | Commercial|All Plans | $216.00 | ↑ +23% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +45% |
| Health Net | Medicaid|All Plans | $287.07 | ↑ +64% |
| California Health & Wellness | Medicaid|All Plans | $287.07 | ↑ +64% |
| Healthsmart | Commercial|All Plans | $300.00 | ↑ +71% |
| First Health | Commercial|All Plans | $300.00 | ↑ +71% |
| Sutter Health | Commercial|All Plans | $320.00 | ↑ +83% |
| MultiPlan | Commercial|All Plans | $332.00 | ↑ +90% |
| United | Commercial|Non-Options PPO | $400.00 | ↑ +128% |
| Partnership Health Plan | Medicaid|All Plans | $400.00 | ↑ +128% |
| United | Commercial|HMO | $400.00 | ↑ +128% |
| United | Commercial|Options PPO | $400.00 | ↑ +128% |
| United | Commercial|All Other Plans | $400.00 | ↑ +128% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1728% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +2343% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +2857% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +2857% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +2857% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +2953% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +3215% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +4174% |
Visitor-reported prices
Comments
Insertion catheter bladder temporary simple at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $71.40 | $44.01 – $291.44 |
| Banner Lassen Medical Center | Susanville | $223.36 | $25.78 – $310.40 |
| Petaluma Valley Hospital | Petaluma | $241.74 | $179.30 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $155.80 | $114.13 – $346.92 |
| Mark Twain Medical Center | San Andreas | $89.91 | $18.11 – $114.13 |
| French Hospital | San Luis Obispo | $149.75 | $95.58 – $346.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $119.47 | $114.13 – $302.12 |
| Bakersfield Memorial Hospital | Bakersfield | $118.18 | $114.13 – $302.12 |