Interrog dev eval icpms ip at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$33.43
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.
$122.00
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.
$13.42 with WCMG vs $16,950.00 with United — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $13.42 | ↓ -60% |
| United | Medicaid|> 21 | $27.40 | ↓ -18% |
| United | Medicaid|< 21 | $27.40 | ↓ -18% |
| Hill Physicians | Medicaid|All Plans | $30.14 | ↓ -10% |
| Hill Physicians | Commercial|All Plans | $35.33 | ↑ +6% |
| Western Health Advantage | Commercial|All Plans | $42.70 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $46.21 | ↑ +38% |
| Kaiser | Medicare|All Plans | $49.00 | ↑ +47% |
| Molina | Medicare|All Plans | $49.00 | ↑ +47% |
| Humana | Medicare|All Plans | $49.00 | ↑ +47% |
| Aetna | Medicare|All Plans | $49.00 | ↑ +47% |
| Humana | Commercial|All Plans | $49.00 | ↑ +47% |
| Blue Shield CA | Medicare|PPO | $49.00 | ↑ +47% |
| United | Medicare|All Plans | $49.00 | ↑ +47% |
| Blue Shield CA | Medicare|HMO | $49.00 | ↑ +47% |
| Kaiser | Medicaid|All Plans | $50.02 | ↑ +50% |
| BCBS - Anthem | Medicare|Imperial | $50.47 | ↑ +51% |
| Molina | Medicaid|All Plans | $51.51 | ↑ +54% |
| BCBS - Anthem | Medicaid|All Plans | $52.06 | ↑ +56% |
| BrightHealth | Commercial|All Plans | $53.90 | ↑ +61% |
| BlueShield | Medicare|Trauma | $61.25 | ↑ +83% |
| California Health & Wellness | Medicaid|All Plans | $62.75 | ↑ +88% |
| Health Net | Medicaid|All Plans | $62.75 | ↑ +88% |
| Kaiser | Commercial|All Plans | $65.88 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $73.50 | ↑ +120% |
| Healthsmart | Commercial|All Plans | $91.50 | ↑ +174% |
| First Health | Commercial|All Plans | $91.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $97.60 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $97.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $101.26 | ↑ +203% |
| Partnership Health Plan | Medicaid|All Plans | $117.82 | ↑ +252% |
| United | Commercial|HMO | $122.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $122.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $122.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $122.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +9472% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +17265% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +50603% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +50603% |
Visitor-reported prices
Comments
Interrog dev eval icpms ip at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $50.08 | $27.40 – $114.66 |
| French Hospital | San Luis Obispo | $45.87 | $27.40 – $114.66 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $85.58 | $26.40 – $110.00 |
| Dominican Hospital | Santa Cruz | $60.30 | $27.40 – $160.35 |
| Sierra Nevada Memorial Hospital | Grass Valley | $68.67 | $27.40 – $123.48 |
| Sequoia Hospital | Redwood City | $51.69 | $27.40 – $19,277.00 |
| Mercy Medical Center Redding | Redding | $55.77 | $43.57 – $110.00 |
| Mercy General Hospital | Sacramento | $26.60 | $27.40 – $117.82 |