Insertion picc without port or pump with imaging guidance=>5y at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,760.45
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.
$6,425.00
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.
$82.00 with Hill Physicians vs $12,615.00 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 | $82.00 | ↓ -95% |
| United | Medicaid|> 21 | $362.99 | ↓ -79% |
| United | Medicaid|< 21 | $362.99 | ↓ -79% |
| Hill Physicians | Medicaid|All Plans | $399.29 | ↓ -77% |
| WCMG | Commercial|All Plans | $565.40 | ↓ -68% |
| Molina | Medicaid|All Plans | $682.42 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $689.68 | ↓ -61% |
| Health Net | Medicaid|All Plans | $831.25 | ↓ -53% |
| California Health & Wellness | Medicaid|All Plans | $831.25 | ↓ -53% |
| Partnership Health Plan | Medicaid|All Plans | $1,560.86 | ↓ -11% |
| Western Health Advantage | Commercial|All Plans | $1,799.00 | ↑ +2% |
| BCBS - Anthem | Medicare|All Other Plans | $1,925.02 | ↑ +9% |
| Humana | Medicare|All Plans | $2,041.38 | ↑ +16% |
| Kaiser | Medicare|All Plans | $2,041.38 | ↑ +16% |
| Blue Shield CA | Medicare|PPO | $2,041.38 | ↑ +16% |
| Blue Shield CA | Medicare|HMO | $2,041.38 | ↑ +16% |
| Molina | Medicare|All Plans | $2,041.38 | ↑ +16% |
| Aetna | Medicare|All Plans | $2,041.38 | ↑ +16% |
| Humana | Commercial|All Plans | $2,041.38 | ↑ +16% |
| United | Medicare|All Plans | $2,041.38 | ↑ +16% |
| BCBS - Anthem | Medicare|Imperial | $2,102.62 | ↑ +19% |
| Kaiser | Medicaid|All Plans | $2,107.40 | ↑ +20% |
| BrightHealth | Commercial|All Plans | $2,245.52 | ↑ +28% |
| BlueShield | Medicare|Trauma | $2,551.73 | ↑ +45% |
| Kaiser | Commercial|All Plans | $2,775.60 | ↑ +58% |
| Prison Healthcare | Medicaid|All Plans | $3,062.07 | ↑ +74% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $3,855.00 | ↑ +119% |
| First Health | Commercial|All Plans | $3,855.00 | ↑ +119% |
| Sutter Health | Commercial|All Plans | $4,112.00 | ↑ +134% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +140% |
| MultiPlan | Commercial|All Plans | $4,266.20 | ↑ +142% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +143% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +170% |
| United | Commercial|Options PPO | $5,140.00 | ↑ +192% |
| United | Commercial|HMO | $5,140.00 | ↑ +192% |
| United | Commercial|Non-Options PPO | $5,140.00 | ↑ +192% |
| United | Commercial|All Other Plans | $5,140.00 | ↑ +192% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +194% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +194% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +194% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +220% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +255% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +274% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +285% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +309% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +389% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +412% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +617% |
Visitor-reported prices
Comments
Insertion picc without port or pump with imaging guidance=>5y at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,831.72 | $549.17 – $3,734.50 |
| Banner Lassen Medical Center | Susanville | $829.98 | $310.69 – $1,542.30 |
| Petaluma Valley Hospital | Petaluma | $4,013.19 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $2,158.41 | $362.99 – $4,794.16 |
| French Hospital | San Luis Obispo | $1,976.86 | $362.99 – $4,349.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,435.40 | $362.99 – $3,095.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,419.93 | $362.99 – $3,056.51 |
| Queen of The Valley Medical Center | Napa | $5,483.01 | $2,235.08 – $7,455.00 |