Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5,451.78
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.
$19,897.00
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.
$258.38 with United 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $258.38 | ↓ -95% |
| United | Medicaid|> 21 | $258.38 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $284.22 | ↓ -95% |
| Hill Physicians | Commercial|All Plans | $437.73 | ↓ -92% |
| Molina | Medicaid|All Plans | $485.75 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $490.87 | ↓ -91% |
| Health Net | Medicaid|All Plans | $591.69 | ↓ -89% |
| California Health & Wellness | Medicaid|All Plans | $591.69 | ↓ -89% |
| Partnership Health Plan | Medicaid|All Plans | $1,111.03 | ↓ -80% |
| WCMG | Commercial|All Plans | $2,188.67 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↓ -7% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +18% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +20% |
| Western Health Advantage | Commercial|All Plans | $6,963.95 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $8,157.77 | ↑ +50% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +58% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +75% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +85% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +90% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +90% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +90% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +90% |
| Kaiser | Commercial|All Plans | $10,744.38 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $12,886.00 | ↑ +136% |
| Healthsmart | Commercial|All Plans | $14,922.75 | ↑ +174% |
| First Health | Commercial|All Plans | $14,922.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $15,917.60 | ↑ +192% |
| BCBS - Anthem | Commercial|All Other Plans | $16,107.00 | ↑ +195% |
| MultiPlan | Commercial|All Plans | $16,514.51 | ↑ +203% |
| United | Commercial|Options PPO | $19,897.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $19,897.00 | ↑ +265% |
| United | Commercial|All Other Plans | $19,897.00 | ↑ +265% |
| United | Commercial|HMO | $19,897.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $22,550.00 | ↑ +314% |
Visitor-reported prices
Comments
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $15,790.34 | $390.91 – $28,119.78 |
| Arroyo Grande Hospital | Santa Maria | $22,666.46 | $258.35 – $51,899.82 |
| French Hospital | San Luis Obispo | $21,183.68 | $258.35 – $52,959.20 |
| Bakersfield Memorial Hospital | Bakersfield | $21,546.94 | $258.38 – $58,123.89 |
| Queen of The Valley Medical Center | Napa | $33,316.77 | $8,552.00 – $32,162.00 |
| Providence St Joseph Hospital Eureka | Eureka | $12,456.24 | $8,925.00 – $47,967.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,891.13 | $258.35 – $33,974.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $33,316.77 | $3,423.00 – $25,242.00 |