Insertion intra aortic balloon assist device percutaneous at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,893.72
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.
$10,561.00
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.
$243.50 with Hill Physicians vs $22,550.00 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 | $243.50 | ↓ -92% |
| United | Medicaid|< 21 | $248.64 | ↓ -91% |
| United | Medicaid|> 21 | $248.64 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $300.58 | ↓ -90% |
| Molina | Medicaid|All Plans | $407.36 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $411.69 | ↓ -86% |
| California Health & Wellness | Medicaid|All Plans | $625.74 | ↓ -78% |
| Health Net | Medicaid|All Plans | $625.74 | ↓ -78% |
| Partnership Health Plan | Medicaid|All Plans | $931.72 | ↓ -68% |
| WCMG | Commercial|All Plans | $1,103.63 | ↓ -62% |
| Western Health Advantage | Commercial|All Plans | $3,511.55 | ↑ +21% |
| Kaiser | Medicaid|All Plans | $4,113.53 | ↑ +42% |
| Kaiser | Commercial|All Plans | $5,417.82 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $7,524.75 | ↑ +160% |
| First Health | Commercial|All Plans | $7,524.75 | ↑ +160% |
| Sutter Health | Commercial|All Plans | $8,026.40 | ↑ +177% |
| MultiPlan | Commercial|All Plans | $8,327.39 | ↑ +188% |
| United | Commercial|Non-Options PPO | $10,033.00 | ↑ +247% |
| United | Commercial|Options PPO | $10,033.00 | ↑ +247% |
| United | Commercial|HMO | $10,033.00 | ↑ +247% |
| United | Commercial|All Other Plans | $10,033.00 | ↑ +247% |
| Blue Shield CA | Commercial|ACO Trio | $10,207.00 | ↑ +253% |
| BCBS - Anthem | Commercial|Connection EPO | $12,886.00 | ↑ +345% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,013.00 | ↑ +350% |
| Blue Shield CA | Commercial|Exchange | $14,112.00 | ↑ +388% |
| BCBS - Anthem | Commercial|All Other Plans | $16,107.00 | ↑ +457% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +473% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +473% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +473% |
| Blue Shield CA | Commercial|PPO Tandem | $18,197.00 | ↑ +529% |
| Blue Shield CA | Commercial|HMO | $19,296.00 | ↑ +567% |
| Blue Shield CA | Commercial|CalPers | $20,315.00 | ↑ +602% |
| Blue Shield CA | Commercial|PPO | $21,879.00 | ↑ +656% |
| BCBS - Anthem | Commercial|MCS | $22,550.00 | ↑ +679% |
Visitor-reported prices
Comments
Insertion intra aortic balloon assist device percutaneous at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,603.04 | $305.83 – $4,635.54 |
| Arroyo Grande Hospital | Santa Maria | $822.62 | $248.64 – $1,883.56 |
| French Hospital | San Luis Obispo | $768.32 | $248.64 – $1,864.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,143.86 | $248.64 – $7,541.86 |
| Bakersfield Memorial Hospital | Bakersfield | $3,109.96 | $248.64 – $8,389.26 |
| Queen of The Valley Medical Center | Napa | $10,556.49 | $9,256.00 – $32,162.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,170.05 | $11,046.00 – $31,625.00 |
| Healdsburg Hospital | Healdsburg | $4,050.93 | not published |