Intracranial angioplasty at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,500.90
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.
$12,777.00
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.
$1,323.24 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $1,323.24 | ↓ -62% |
| WCMG | Commercial|All Plans | $1,405.47 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $1,745.00 | ↓ -50% |
| Molina | Medicaid|All Plans | $2,504.00 | ↓ -28% |
| Western Health Advantage | Commercial|All Plans | $4,471.95 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $5,238.57 | ↑ +50% |
| Health Net | Medicaid|All Plans | $6,388.50 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $6,388.50 | ↑ +82% |
| Kaiser | Commercial|All Plans | $6,899.58 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $9,582.75 | ↑ +174% |
| First Health | Commercial|All Plans | $9,582.75 | ↑ +174% |
| Blue Shield CA | Commercial|ACO Trio | $10,207.00 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $10,221.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $10,604.91 | ↑ +203% |
| United | Commercial|All Other Plans | $12,777.00 | ↑ +265% |
| United | Commercial|Options PPO | $12,777.00 | ↑ +265% |
| United | Commercial|HMO | $12,777.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $12,777.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $12,886.00 | ↑ +268% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,013.00 | ↑ +272% |
| Blue Shield CA | Commercial|Exchange | $14,112.00 | ↑ +303% |
| BCBS - Anthem | Commercial|All Other Plans | $16,107.00 | ↑ +360% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +373% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +373% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +373% |
| Blue Shield CA | Commercial|PPO Tandem | $18,197.00 | ↑ +420% |
| Blue Shield CA | Commercial|HMO | $19,296.00 | ↑ +451% |
| Blue Shield CA | Commercial|CalPers | $20,315.00 | ↑ +480% |
| Blue Shield CA | Commercial|PPO | $21,879.00 | ↑ +525% |
| BCBS - Anthem | Commercial|MCS | $22,550.00 | ↑ +544% |
Visitor-reported prices
Comments
Intracranial angioplasty at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $13,399.74 | $8,260.11 – $25,392.19 |
| Bakersfield Memorial Hospital | Bakersfield | $6,006.33 | $1,083.64 – $16,202.34 |
| St. Joseph's Medical Center Stockton | Stockton | $4,621.68 | $3,301.20 – $13,204.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,840.48 | $4,666.00 – $13,634.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $16,490.49 | $5,087.04 – $20,772.08 |
| Mercy Medical Center Merced | Merced | $8,206.01 | $9,560.40 – $15,774.66 |
| Northridge Hospital Medical Center | Northridge | $10,714.16 | $1,091.85 – $38,402.00 |
| Providence Saint Joseph Medical Center | Burbank | $10,371.20 | $1,807.00 – $7,764.00 |