Monitor elec vad, rep at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$8,172.05
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.
$29,825.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,940.95 with WCMG vs $17,115.65 with BCBS - Anthem — 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 | $1,940.95 | ↓ -76% |
| Kaiser | Medicaid|All Plans | $4,058.35 | ↓ -50% |
| Kaiser | Commercial|All Plans | $4,058.35 | ↓ -50% |
| Kaiser | Medicare|All Plans | $4,058.35 | ↓ -50% |
| BCBS - Anthem | Medicaid|All Plans | $4,234.80 | ↓ -48% |
| Partnership Health Plan | Medicaid|All Plans | $4,411.25 | ↓ -46% |
| Molina | Medicaid|All Plans | $4,587.70 | ↓ -44% |
| Health Net | Medicaid|All Plans | $4,940.60 | ↓ -40% |
| California Health & Wellness | Medicaid|All Plans | $4,940.60 | ↓ -40% |
| Health Net | Commercial|EPPO | $6,881.55 | ↓ -16% |
| Cigna | Commercial|LocalPlus | $7,058.00 | ↓ -14% |
| United | Commercial|Non-Options PPO | $9,175.40 | ↑ +12% |
| Cigna | Commercial|All Other Plans | $9,351.85 | ↑ +14% |
| United | Commercial|Options PPO | $9,881.20 | ↑ +21% |
| United | Commercial|HMO | $9,881.20 | ↑ +21% |
| United | Commercial|All Other Plans | $9,881.20 | ↑ +21% |
| Blue Shield CA | Commercial|ACO Trio | $11,469.25 | ↑ +40% |
| Western Health Advantage | Commercial|All Plans | $11,469.25 | ↑ +40% |
| Health Net | Commercial|FFS | $12,527.95 | ↑ +53% |
| First Health | Commercial|All Plans | $13,233.75 | ↑ +62% |
| Healthsmart | Commercial|All Plans | $13,233.75 | ↑ +62% |
| BCBS - Anthem | Commercial|Connection EPO | $13,763.10 | ↑ +68% |
| Sutter Health | Commercial|All Plans | $14,116.00 | ↑ +73% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $14,468.90 | ↑ +77% |
| Blue Shield CA | Commercial|Exchange | $14,468.90 | ↑ +77% |
| MultiPlan | Commercial|All Plans | $14,645.35 | ↑ +79% |
| Aetna | Commercial|HMO | $14,998.25 | ↑ +84% |
| Aetna | Commercial|All Other Plans | $14,998.25 | ↑ +84% |
| Aetna | Commercial|PPO | $14,998.25 | ↑ +84% |
| Blue Shield CA | Commercial|PPO Tandem | $15,880.50 | ↑ +94% |
| Blue Shield CA | Commercial|PPO | $15,880.50 | ↑ +94% |
| Blue Shield CA | Commercial|HMO | $15,880.50 | ↑ +94% |
| Blue Shield CA | Commercial|CalPers | $16,233.40 | ↑ +99% |
| BCBS - Anthem | Commercial|MCS | $17,115.65 | ↑ +109% |
| BCBS - Anthem | Commercial|All Other Plans | $17,115.65 | ↑ +109% |
Visitor-reported prices
Comments
Monitor elec vad, rep at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $6,501.85 | $4,058.35 – $15,704.05 |
| Mercy Hospital of Folsom | Folsom | $11,601.93 | $1,940.95 – $16,939.20 |
| Woodland Memorial Hospital | Woodland | $8,172.05 | $1,940.95 – $17,645.00 |
| Methodist Hospital of Sacramento | Sacramento | $8,589.60 | $4,058.35 – $15,880.50 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $22,533.92 – $41,687.75 |
| Providence Saint Joseph Medical Center | Burbank | not published | $22,533.92 – $41,687.75 |
| Providence St Joseph Hospital Orange | Orange | not published | $19,153.83 – $41,687.75 |
| Providence Holy Cross Medical Center | Mission Hills | not published | $22,533.92 – $41,687.75 |