Intro cath svc/ivc at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,089.15
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.
$3,975.00
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.
$96.98 with United vs $7,484.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $96.98 | ↓ -91% |
| United | Medicaid|> 21 | $96.98 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $102.04 | ↓ -91% |
| Molina | Medicaid|All Plans | $158.88 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $168.17 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $230.32 | ↓ -79% |
| California Health & Wellness | Medicaid|All Plans | $350.10 | ↓ -68% |
| Health Net | Medicaid|All Plans | $350.10 | ↓ -68% |
| WCMG | Commercial|All Plans | $415.69 | ↓ -62% |
| Partnership Health Plan | Medicaid|All Plans | $521.25 | ↓ -52% |
| Western Health Advantage | Commercial|All Plans | $1,322.65 | ↑ +21% |
| Kaiser | Medicaid|All Plans | $1,549.39 | ↑ +42% |
| Kaiser | Commercial|All Plans | $2,040.66 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $2,834.25 | ↑ +160% |
| First Health | Commercial|All Plans | $2,834.25 | ↑ +160% |
| Sutter Health | Commercial|All Plans | $3,023.20 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $3,136.57 | ↑ +188% |
| United | Commercial|Options PPO | $3,779.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $3,779.00 | ↑ +247% |
| United | Commercial|HMO | $3,779.00 | ↑ +247% |
| United | Commercial|All Other Plans | $3,779.00 | ↑ +247% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +293% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +375% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +375% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +375% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +391% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +587% |
Visitor-reported prices
Comments
Intro cath svc/ivc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $508.96 | $119.29 – $906.36 |
| Arroyo Grande Hospital | Santa Maria | $383.92 | $96.98 – $804.58 |
| French Hospital | San Luis Obispo | $357.12 | $96.93 – $351.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $565.41 | $96.98 – $1,356.36 |
| Bakersfield Memorial Hospital | Bakersfield | $699.14 | $96.98 – $1,508.76 |
| Providence St Joseph Hospital Eureka | Eureka | $1,168.92 | $2,699.00 – $21,319.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,457.07 | $96.98 – $624.12 |
| Santa Rosa Memorial Hospital | Santa Rosa | $812.43 | $871.73 – $4,042.00 |