Lead capillary at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2.95
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.
?
What you pay up front if you don't use insurance.
$10.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.55 with WCMG vs $35.75 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $0.55 | ↓ -81% |
| Blue Shield CA | Commercial|ACO Trio | $1.55 | ↓ -47% |
| Western Health Advantage | Commercial|All Plans | $1.75 | ↓ -41% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2.00 | ↓ -32% |
| Kaiser | Medicaid|All Plans | $2.05 | ↓ -31% |
| Blue Shield CA | Commercial|Exchange | $2.10 | ↓ -29% |
| Kaiser | Commercial|All Plans | $2.70 | ↓ -8% |
| Blue Shield CA | Commercial|PPO Tandem | $2.75 | ↓ -7% |
| Blue Shield CA | Commercial|HMO | $2.95 | ↑ +0% |
| Blue Shield CA | Commercial|CalPers | $3.10 | ↑ +5% |
| Blue Shield CA | Commercial|PPO | $3.30 | ↑ +12% |
| First Health | Commercial|All Plans | $3.75 | ↑ +27% |
| Healthsmart | Commercial|All Plans | $3.75 | ↑ +27% |
| Sutter Health | Commercial|All Plans | $4.00 | ↑ +36% |
| BCBS - Anthem | Commercial|Connection EPO | $4.00 | ↑ +36% |
| MultiPlan | Commercial|All Plans | $4.15 | ↑ +41% |
| BCBS - Anthem | Medicare|All Other Plans | $4.72 | ↑ +60% |
| BCBS - Anthem | Commercial|All Other Plans | $5.00 | ↑ +69% |
| BCBS - Anthem | Medicaid|All Plans | $5.00 | ↑ +69% |
| BCBS - Anthem | Commercial|MCS | $5.00 | ↑ +69% |
| Blue Shield CA | Medicare|HMO | $5.00 | ↑ +69% |
| Blue Shield CA | Medicare|PPO | $5.00 | ↑ +69% |
| Partnership Health Plan | Medicaid|All Plans | $5.00 | ↑ +69% |
| Hill Physicians | Commercial|All Plans | $5.00 | ↑ +69% |
| Humana | Medicare|All Plans | $5.00 | ↑ +69% |
| Aetna | Commercial|All Other Plans | $5.00 | ↑ +69% |
| Aetna | Commercial|PPO | $5.00 | ↑ +69% |
| Aetna | Medicare|All Plans | $5.00 | ↑ +69% |
| Aetna | Commercial|HMO | $5.00 | ↑ +69% |
| Molina | Medicaid|All Plans | $5.00 | ↑ +69% |
| Molina | Medicare|All Plans | $5.00 | ↑ +69% |
| United | Commercial|All Other Plans | $5.00 | ↑ +69% |
| United | Medicare|All Plans | $5.00 | ↑ +69% |
| United | Commercial|HMO | $5.00 | ↑ +69% |
| United | Commercial|Options PPO | $5.00 | ↑ +69% |
| United | Commercial|Non-Options PPO | $5.00 | ↑ +69% |
| United | Medicaid|< 21 | $5.00 | ↑ +69% |
| United | Medicaid|> 21 | $5.00 | ↑ +69% |
| Health Net | Medicaid|All Plans | $5.00 | ↑ +69% |
| Kaiser | Medicare|All Plans | $5.00 | ↑ +69% |
| California Health & Wellness | Medicaid|All Plans | $5.00 | ↑ +69% |
| Humana | Commercial|All Plans | $5.00 | ↑ +69% |
| Hill Physicians | Medicaid|All Plans | $5.00 | ↑ +69% |
| BCBS - Anthem | Medicare|Imperial | $5.15 | ↑ +75% |
| BrightHealth | Commercial|All Plans | $5.50 | ↑ +86% |
| BlueShield | Medicare|Trauma | $6.25 | ↑ +112% |
| Prison Healthcare | Medicaid|All Plans | $7.50 | ↑ +154% |
| Cigna | Commercial|LocalPlus | $26.81 | ↑ +809% |
| Cigna | Commercial|All Other Plans | $35.75 | ↑ +1112% |
Visitor-reported prices
Comments
Lead capillary at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5.06 | $1.35 – $32.13 |
| Banner Lassen Medical Center | Susanville | $8.76 | $2.42 – $17.54 |
| Petaluma Valley Hospital | Petaluma | $52.02 | $11.87 – $98.81 |
| Arroyo Grande Hospital | Santa Maria | $5.06 | $2.50 – $31.20 |
| Mark Twain Medical Center | San Andreas | $20.65 | $2.71 – $5.00 |
| French Hospital | San Luis Obispo | $4.63 | $1.35 – $36.67 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6.89 | $2.50 – $34.79 |
| Bakersfield Memorial Hospital | Bakersfield | $6.81 | $2.50 – $34.79 |