Integra meshed bil wound mat at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$13,812.34
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.
$50,410.00
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.
$14.30 with United 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $14.30 | ↓ -100% |
| United | Medicaid|> 21 | $14.30 | ↓ -100% |
| Hill Physicians | Medicaid|All Plans | $15.73 | ↓ -100% |
| Molina | Medicaid|All Plans | $26.88 | ↓ -100% |
| Health Net | Medicaid|All Plans | $32.75 | ↓ -100% |
| California Health & Wellness | Medicaid|All Plans | $32.75 | ↓ -100% |
| Partnership Health Plan | Medicaid|All Plans | $61.49 | ↓ -100% |
| BCBS - Anthem | Commercial|Connection EPO | $92.66 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $115.82 | ↓ -99% |
| Cigna | Commercial|LocalPlus | $160.05 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $161.98 | ↓ -99% |
| Cigna | Commercial|All Other Plans | $213.45 | ↓ -98% |
| WCMG | Commercial|All Plans | $1,492.70 | ↓ -89% |
| Kaiser | Medicaid|All Plans | $3,121.10 | ↓ -77% |
| Kaiser | Commercial|All Plans | $3,121.10 | ↓ -77% |
| Kaiser | Medicare|All Plans | $3,121.10 | ↓ -77% |
| BCBS - Anthem | Medicaid|All Plans | $3,256.80 | ↓ -76% |
| Health Net | Commercial|EPPO | $5,292.30 | ↓ -62% |
| United | Commercial|Non-Options PPO | $7,056.40 | ↓ -49% |
| United | Commercial|Options PPO | $7,599.20 | ↓ -45% |
| United | Commercial|All Other Plans | $7,599.20 | ↓ -45% |
| United | Commercial|HMO | $7,599.20 | ↓ -45% |
| Blue Shield CA | Commercial|ACO Trio | $8,820.50 | ↓ -36% |
| Western Health Advantage | Commercial|All Plans | $8,820.50 | ↓ -36% |
| Health Net | Commercial|FFS | $9,634.70 | ↓ -30% |
| First Health | Commercial|All Plans | $10,177.50 | ↓ -26% |
| Healthsmart | Commercial|All Plans | $10,177.50 | ↓ -26% |
| Sutter Health | Commercial|All Plans | $10,856.00 | ↓ -21% |
| Blue Shield CA | Commercial|Exchange | $11,127.40 | ↓ -19% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,127.40 | ↓ -19% |
| MultiPlan | Commercial|All Plans | $11,263.10 | ↓ -18% |
| Aetna | Commercial|All Other Plans | $11,534.50 | ↓ -16% |
| Aetna | Commercial|HMO | $11,534.50 | ↓ -16% |
| Aetna | Commercial|PPO | $11,534.50 | ↓ -16% |
| Blue Shield CA | Commercial|PPO Tandem | $12,213.00 | ↓ -12% |
| Blue Shield CA | Commercial|HMO | $12,213.00 | ↓ -12% |
| Blue Shield CA | Commercial|PPO | $12,213.00 | ↓ -12% |
| Blue Shield CA | Commercial|CalPers | $12,484.40 | ↓ -10% |
Visitor-reported prices
Comments
Integra meshed bil wound mat at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $53,973.90 | $72.32 – $171.13 |
| Queen of The Valley Medical Center | Napa | $36,637.92 | $78.28 – $176.69 |
| Providence St Joseph Hospital Eureka | Eureka | $20,463.61 | $93.38 – $160.06 |
| Healdsburg Hospital | Healdsburg | $24,127.41 | $167.67 – $184.39 |
| Redwood Memorial Hospital | Fortuna | $20,463.61 | $93.60 – $93.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $53,973.90 | $77.75 – $176.69 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $40,790.56 | $95.72 – $296.10 |
| Sierra Nevada Memorial Hospital | Grass Valley | $11,724.59 | $14.30 – $12,471.48 |