Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$8,172.05
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.
$29,825.00
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.
$897.11 with Partnership Health Plan vs $12,484.40 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $897.11 | ↓ -89% |
| United | Medicaid|< 21 | $897.11 | ↓ -89% |
| United | Medicaid|> 21 | $897.11 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $986.82 | ↓ -88% |
| BCBS - Anthem | Commercial|Connection EPO | $1,231.48 | ↓ -85% |
| WCMG | Commercial|All Plans | $1,492.70 | ↓ -82% |
| BCBS - Anthem | Commercial|All Other Plans | $1,539.35 | ↓ -81% |
| Hill Physicians | Commercial|All Plans | $1,584.01 | ↓ -81% |
| Molina | Medicaid|All Plans | $1,686.57 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $1,704.51 | ↓ -79% |
| Health Net | Medicaid|All Plans | $2,054.38 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $2,054.38 | ↓ -75% |
| BCBS - Anthem | Commercial|MCS | $2,152.83 | ↓ -74% |
| United | Commercial|Options PPO | $2,641.01 | ↓ -68% |
| United | Commercial|HMO | $2,641.01 | ↓ -68% |
| United | Commercial|All Other Plans | $2,641.01 | ↓ -68% |
| Kaiser | Medicaid|All Plans | $3,121.10 | ↓ -62% |
| Kaiser | Commercial|All Plans | $3,121.10 | ↓ -62% |
| Kaiser | Medicare|All Plans | $3,121.10 | ↓ -62% |
| Cigna | Commercial|LocalPlus | $3,475.86 | ↓ -57% |
| United | Commercial|Non-Options PPO | $3,557.48 | ↓ -56% |
| Cigna | Commercial|All Other Plans | $4,635.47 | ↓ -43% |
| Health Net | Commercial|EPPO | $5,292.30 | ↓ -35% |
| Blue Shield CA | Commercial|ACO Trio | $8,820.50 | ↑ +8% |
| Western Health Advantage | Commercial|All Plans | $8,820.50 | ↑ +8% |
| Health Net | Commercial|FFS | $9,634.70 | ↑ +18% |
| Healthsmart | Commercial|All Plans | $10,177.50 | ↑ +25% |
| First Health | Commercial|All Plans | $10,177.50 | ↑ +25% |
| Sutter Health | Commercial|All Plans | $10,856.00 | ↑ +33% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,127.40 | ↑ +36% |
| Blue Shield CA | Commercial|Exchange | $11,127.40 | ↑ +36% |
| MultiPlan | Commercial|All Plans | $11,263.10 | ↑ +38% |
| Aetna | Commercial|HMO | $11,534.50 | ↑ +41% |
| Aetna | Commercial|PPO | $11,534.50 | ↑ +41% |
| Aetna | Commercial|All Other Plans | $11,534.50 | ↑ +41% |
| Blue Shield CA | Commercial|HMO | $12,213.00 | ↑ +49% |
| Blue Shield CA | Commercial|PPO Tandem | $12,213.00 | ↑ +49% |
| Blue Shield CA | Commercial|PPO | $12,213.00 | ↑ +49% |
| Blue Shield CA | Commercial|CalPers | $12,484.40 | ↑ +53% |
Visitor-reported prices
Comments
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,999.20 | $1,026.81 – $14,245.14 |
| Petaluma Valley Hospital | Petaluma | $18,177.26 | $961.13 – $3,212.85 |
| Arroyo Grande Hospital | Santa Maria | $7,817.85 | $897.11 – $17,900.68 |
| French Hospital | San Luis Obispo | $7,160.28 | $897.11 – $17,900.68 |
| Queen of The Valley Medical Center | Napa | $13,603.05 | $1,040.38 – $3,212.85 |
| Providence St Joseph Hospital Eureka | Eureka | $7,264.92 | $1,241.00 – $3,212.85 |
| Healdsburg Hospital | Healdsburg | $8,670.07 | $2,450.64 – $2,450.64 |
| Redwood Memorial Hospital | Fortuna | $7,264.92 | $1,244.04 – $3,084.49 |