Membrane collgn porcine maci w/autologous cult chondrocytes at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$84,468.72
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.
$308,280.00
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.
$33,910.80 with WCMG vs $255,872.40 with MultiPlan — 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 | $33,910.80 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $51,975.00 | ↓ -38% |
| Blue Shield CA | Commercial|CalPers | $78,986.40 | ↓ -6% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $78,986.40 | ↓ -6% |
| Blue Shield CA | Commercial|Exchange | $78,986.40 | ↓ -6% |
| Blue Shield CA | Commercial|HMO | $78,986.40 | ↓ -6% |
| Blue Shield CA | Commercial|PPO | $78,986.40 | ↓ -6% |
| Blue Shield CA | Commercial|ACO Trio | $78,986.40 | ↓ -6% |
| Blue Shield CA | Commercial|PPO Tandem | $78,986.40 | ↓ -6% |
| United | Commercial|Non-Options PPO | $79,081.20 | ↓ -6% |
| BCBS - Anthem | Commercial|Connection EPO | $89,095.13 | ↑ +5% |
| Health Net | Commercial|EPPO | $105,557.10 | ↑ +25% |
| BCBS - Anthem | Commercial|All Other Plans | $111,368.91 | ↑ +32% |
| United | Commercial|All Other Plans | $120,116.70 | ↑ +42% |
| United | Commercial|HMO | $120,116.70 | ↑ +42% |
| United | Commercial|Options PPO | $120,116.70 | ↑ +42% |
| Kaiser | Medicaid|All Plans | $126,394.80 | ↑ +50% |
| BCBS - Anthem | Commercial|MCS | $155,752.82 | ↑ +84% |
| Cigna | Commercial|LocalPlus | $156,164.01 | ↑ +85% |
| Kaiser | Commercial|All Plans | $166,471.20 | ↑ +97% |
| Aetna | Commercial|PPO | $169,504.81 | ↑ +101% |
| Aetna | Commercial|All Other Plans | $169,504.81 | ↑ +101% |
| Aetna | Commercial|HMO | $169,504.81 | ↑ +101% |
| Cigna | Commercial|All Other Plans | $208,263.44 | ↑ +147% |
| Health Net | Commercial|FFS | $208,524.10 | ↑ +147% |
| Healthsmart | Commercial|All Plans | $231,210.00 | ↑ +174% |
| First Health | Commercial|All Plans | $231,210.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $246,624.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $255,872.40 | ↑ +203% |
Visitor-reported prices
Comments
Membrane collgn porcine maci w/autologous cult chondrocytes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $74,569.15 | $38,582.94 – $160,796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $73,765.17 | $50,248.75 – $200,995.00 |
| St. Joseph's Medical Center Stockton | Stockton | $35,455.52 | $31,355.22 – $221,691.13 |
| Mercy Medical Center Merced | Merced | $39,334.16 | $19,094.25 – $76,377.00 |
| Dominican Hospital | Santa Cruz | $131,891.85 | $79,081.20 – $293,093.00 |
| Sequoia Hospital | Redwood City | $85,304.50 | $51,557.66 – $234,353.00 |
| Mercy General Hospital | Sacramento | $67,205.04 | $51,975.00 – $246,624.00 |
| Mercy Hospital of Folsom | Folsom | $119,920.92 | $33,910.80 – $252,789.60 |