Mopath procedure level 3 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$102.00
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.
$372.25
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.
$40.95 with WCMG vs $443.90 with Cigna — 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 | $40.95 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $130.29 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $141.76 | ↑ +39% |
| Humana | Commercial|All Plans | $150.33 | ↑ +47% |
| Humana | Medicare|All Plans | $150.33 | ↑ +47% |
| Aetna | Medicare|All Plans | $150.33 | ↑ +47% |
| Molina | Medicare|All Plans | $150.33 | ↑ +47% |
| United | Medicare|All Plans | $150.33 | ↑ +47% |
| United | Medicaid|< 21 | $150.33 | ↑ +47% |
| United | Medicaid|> 21 | $150.33 | ↑ +47% |
| Kaiser | Medicare|All Plans | $150.33 | ↑ +47% |
| Blue Shield CA | Medicare|HMO | $150.33 | ↑ +47% |
| Blue Shield CA | Medicare|PPO | $150.33 | ↑ +47% |
| Partnership Health Plan | Medicaid|All Plans | $150.33 | ↑ +47% |
| Hill Physicians | Commercial|All Plans | $150.33 | ↑ +47% |
| Kaiser | Medicaid|All Plans | $152.63 | ↑ +50% |
| BCBS - Anthem | Medicare|Imperial | $154.84 | ↑ +52% |
| BrightHealth | Commercial|All Plans | $165.36 | ↑ +62% |
| Hill Physicians | Medicaid|All Plans | $165.36 | ↑ +62% |
| United | Commercial|Non-Options PPO | $180.40 | ↑ +77% |
| United | Commercial|All Other Plans | $180.40 | ↑ +77% |
| United | Commercial|HMO | $180.40 | ↑ +77% |
| United | Commercial|Options PPO | $180.40 | ↑ +77% |
| BlueShield | Medicare|Trauma | $187.91 | ↑ +84% |
| Aetna | Commercial|HMO | $193.56 | ↑ +90% |
| Aetna | Commercial|PPO | $193.56 | ↑ +90% |
| Aetna | Commercial|All Other Plans | $193.56 | ↑ +90% |
| Kaiser | Commercial|All Plans | $201.02 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $225.50 | ↑ +121% |
| Healthsmart | Commercial|All Plans | $279.19 | ↑ +174% |
| First Health | Commercial|All Plans | $279.19 | ↑ +174% |
| Molina | Medicaid|All Plans | $282.62 | ↑ +177% |
| BCBS - Anthem | Medicaid|All Plans | $285.63 | ↑ +180% |
| Sutter Health | Commercial|All Plans | $297.80 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $297.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $308.97 | ↑ +203% |
| Cigna | Commercial|LocalPlus | $332.90 | ↑ +226% |
| California Health & Wellness | Medicaid|All Plans | $344.26 | ↑ +238% |
| Health Net | Medicaid|All Plans | $344.26 | ↑ +238% |
| BCBS - Anthem | Commercial|MCS | $372.25 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $372.25 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $443.90 | ↑ +335% |
Visitor-reported prices
Comments
Mopath procedure level 3 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $278.26 | $30.07 – $481.12 |
| Arroyo Grande Hospital | Santa Maria | $108.72 | $123.88 – $387.32 |
| French Hospital | San Luis Obispo | $99.57 | $66.90 – $455.33 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $70.02 | $10.40 – $20.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $202.88 | $150.33 – $364.81 |
| Mercy Medical Center Redding | Redding | $45.63 | $15.20 – $20.00 |
| Mercy General Hospital | Sacramento | $81.16 | $130.29 – $348.77 |
| Mercy Hospital of Folsom | Folsom | $144.81 | $40.95 – $354.78 |