Lactation class at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$93.71
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.
$342.00
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.
$37.62 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 | $37.62 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $119.70 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $140.22 | ↑ +50% |
| Kaiser | Commercial|All Plans | $184.68 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $256.50 | ↑ +174% |
| First Health | Commercial|All Plans | $256.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $273.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $283.86 | ↑ +203% |
| United | Commercial|Non-Options PPO | $342.00 | ↑ +265% |
| United | Commercial|HMO | $342.00 | ↑ +265% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +17988% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +17988% |
Visitor-reported prices
Comments
Lactation class at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $24.40 | $20.00 – $40.00 |
| French Hospital | San Luis Obispo | $22.74 | $10.80 – $39.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $161.39 | $217.50 – $348.00 |
| Bakersfield Memorial Hospital | Bakersfield | $159.65 | $217.50 – $435.00 |
| St. Joseph's Medical Center Stockton | Stockton | $104.96 | $74.97 – $292.74 |
| Mercy Medical Center Merced | Merced | $213.73 | $249.00 – $415.00 |
| Sequoia Hospital | Redwood City | $175.45 | $30.10 – $19,277.00 |
| St. Mary Medical Center | Long Beach | $178.45 | $103.75 – $415.00 |