Irrigation implantable venous access device for drug delivery systems at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$102.48
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.
$374.00
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.
$20.31 with BCBS - Anthem vs $374.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $20.31 | ↓ -80% |
| Hill Physicians | Commercial|All Plans | $26.57 | ↓ -74% |
| WCMG | Commercial|All Plans | $41.14 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $73.61 | ↓ -28% |
| Aetna | Medicare|All Plans | $78.06 | ↓ -24% |
| Molina | Medicare|All Plans | $78.06 | ↓ -24% |
| Blue Shield CA | Medicare|HMO | $78.06 | ↓ -24% |
| Blue Shield CA | Medicare|PPO | $78.06 | ↓ -24% |
| United | Medicare|All Plans | $78.06 | ↓ -24% |
| Kaiser | Medicare|All Plans | $78.06 | ↓ -24% |
| Humana | Medicare|All Plans | $78.06 | ↓ -24% |
| Humana | Commercial|All Plans | $78.06 | ↓ -24% |
| BCBS - Anthem | Medicare|Imperial | $80.40 | ↓ -22% |
| BrightHealth | Commercial|All Plans | $85.87 | ↓ -16% |
| BlueShield | Medicare|Trauma | $97.58 | ↓ -5% |
| Aetna | Commercial|PPO | $108.81 | ↑ +6% |
| Aetna | Commercial|All Other Plans | $108.81 | ↑ +6% |
| Aetna | Commercial|HMO | $108.81 | ↑ +6% |
| Prison Healthcare | Medicaid|All Plans | $117.09 | ↑ +14% |
| Western Health Advantage | Commercial|All Plans | $130.90 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $153.34 | ↑ +50% |
| Health Net | Medicaid|All Plans | $187.00 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $187.00 | ↑ +82% |
| Blue Shield CA | Commercial|ACO Trio | $190.74 | ↑ +86% |
| Kaiser | Commercial|All Plans | $201.96 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $243.10 | ↑ +137% |
| Cigna | Commercial|LocalPlus | $246.84 | ↑ +141% |
| Blue Shield CA | Commercial|Exchange | $254.32 | ↑ +148% |
| First Health | Commercial|All Plans | $280.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $280.50 | ↑ +174% |
| Blue Shield CA | Commercial|PPO Tandem | $299.20 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $299.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $310.42 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $329.12 | ↑ +221% |
| Blue Shield CA | Commercial|HMO | $336.60 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $336.60 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $344.08 | ↑ +236% |
| United | Commercial|Non-Options PPO | $374.00 | ↑ +265% |
| United | Commercial|All Other Plans | $374.00 | ↑ +265% |
| United | Commercial|HMO | $374.00 | ↑ +265% |
| United | Commercial|Options PPO | $374.00 | ↑ +265% |
Visitor-reported prices
Comments
Irrigation implantable venous access device for drug delivery systems at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $132.28 | $41.35 – $250.66 |
| Banner Lassen Medical Center | Susanville | $202.86 | $11.88 – $305.55 |
| Petaluma Valley Hospital | Petaluma | $123.93 | $79.50 – $81.12 |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $69.00 – $999.00 |
| Mark Twain Medical Center | San Andreas | $198.47 | $77.10 – $292.04 |
| French Hospital | San Luis Obispo | $137.60 | $73.98 – $322.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $155.82 | $64.53 – $195.98 |
| Bakersfield Memorial Hospital | Bakersfield | $154.14 | $14.11 – $438.00 |