Insertion of heart electrode 33211 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5,933.47
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.
$21,655.00
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.
$159.05 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $159.05 | ↓ -97% |
| United | Medicaid|> 21 | $201.22 | ↓ -97% |
| United | Medicaid|< 21 | $201.22 | ↓ -97% |
| Molina | Medicaid|All Plans | $329.66 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $348.91 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $477.89 | ↓ -92% |
| Health Net | Medicaid|All Plans | $726.37 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $726.37 | ↓ -88% |
| Partnership Health Plan | Medicaid|All Plans | $1,081.54 | ↓ -82% |
| WCMG | Commercial|All Plans | $2,382.05 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $7,579.25 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $8,878.55 | ↑ +50% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +70% |
| BCBS - Anthem | Medicare|All Other Plans | $10,255.57 | ↑ +73% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +75% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +75% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +75% |
| Humana | Commercial|All Plans | $10,875.47 | ↑ +83% |
| Humana | Medicare|All Plans | $10,875.47 | ↑ +83% |
| Aetna | Medicare|All Plans | $10,875.47 | ↑ +83% |
| Molina | Medicare|All Plans | $10,875.47 | ↑ +83% |
| United | Medicare|All Plans | $10,875.47 | ↑ +83% |
| Blue Shield CA | Medicare|PPO | $10,875.47 | ↑ +83% |
| Blue Shield CA | Medicare|HMO | $10,875.47 | ↑ +83% |
| Kaiser | Medicare|All Plans | $10,875.47 | ↑ +83% |
| BCBS - Anthem | Medicare|Imperial | $11,201.73 | ↑ +89% |
| Kaiser | Commercial|All Plans | $11,693.70 | ↑ +97% |
| BrightHealth | Commercial|All Plans | $11,963.02 | ↑ +102% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +113% |
| Health Net | Commercial|EPPO | $12,714.00 | ↑ +114% |
| BlueShield | Medicare|Trauma | $13,594.34 | ↑ +129% |
| Healthsmart | Commercial|All Plans | $16,241.25 | ↑ +174% |
| First Health | Commercial|All Plans | $16,241.25 | ↑ +174% |
| Prison Healthcare | Medicaid|All Plans | $16,313.20 | ↑ +175% |
| Blue Shield CA | Commercial|ACO Trio | $16,598.00 | ↑ +180% |
| Sutter Health | Commercial|All Plans | $17,324.00 | ↑ +192% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +198% |
| MultiPlan | Commercial|All Plans | $17,973.65 | ↑ +203% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $21,162.00 | ↑ +257% |
| United | Commercial|Options PPO | $21,655.00 | ↑ +265% |
| United | Commercial|HMO | $21,655.00 | ↑ +265% |
| United | Commercial|All Other Plans | $21,655.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $21,655.00 | ↑ +265% |
| Blue Shield CA | Commercial|Exchange | $22,950.00 | ↑ +287% |
| Health Net | Commercial|FFS | $23,066.00 | ↑ +289% |
| Blue Shield CA | Commercial|PPO Tandem | $29,592.00 | ↑ +399% |
| Blue Shield CA | Commercial|HMO | $31,379.00 | ↑ +429% |
| Blue Shield CA | Commercial|CalPers | $33,036.00 | ↑ +457% |
| Blue Shield CA | Commercial|PPO | $35,580.00 | ↑ +500% |
Visitor-reported prices
Comments
Insertion of heart electrode 33211 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,139.45 | $247.50 – $20,488.56 |
| Petaluma Valley Hospital | Petaluma | $16,525.53 | $7,716.00 – $15,313.00 |
| Bakersfield Memorial Hospital | Bakersfield | $6,497.37 | $201.22 – $13,986.16 |
| Queen of The Valley Medical Center | Napa | $15,840.09 | $7,745.00 – $46,622.00 |
| Providence St Joseph Hospital Eureka | Eureka | $13,974.00 | $9,008.00 – $46,622.00 |
| Healdsburg Hospital | Healdsburg | $8,326.26 | $6,323.17 – $11,149.80 |
| Redwood Memorial Hospital | Fortuna | $12,488.88 | $9,031.00 – $46,797.00 |
| St. Joseph's Medical Center Stockton | Stockton | $4,786.91 | $201.22 – $13,676.88 |