Ortho whf rigd without jnt cstm w/fit&adj at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$55.08
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.
$201.00
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.
$4.95 with WCMG vs $45.00 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 | $4.95 | ↓ -91% |
| Kaiser | Medicaid|All Plans | $10.35 | ↓ -81% |
| Kaiser | Commercial|All Plans | $10.35 | ↓ -81% |
| Kaiser | Medicare|All Plans | $10.35 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $10.80 | ↓ -80% |
| Partnership Health Plan | Medicaid|All Plans | $11.25 | ↓ -80% |
| Molina | Medicaid|All Plans | $11.70 | ↓ -79% |
| Health Net | Medicaid|All Plans | $12.60 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $12.60 | ↓ -77% |
| Health Net | Commercial|EPPO | $17.55 | ↓ -68% |
| Cigna | Commercial|LocalPlus | $18.00 | ↓ -67% |
| United | Commercial|Non-Options PPO | $23.40 | ↓ -58% |
| Cigna | Commercial|All Other Plans | $23.85 | ↓ -57% |
| United | Commercial|Options PPO | $25.20 | ↓ -54% |
| United | Commercial|HMO | $25.20 | ↓ -54% |
| United | Commercial|All Other Plans | $25.20 | ↓ -54% |
| Blue Shield CA | Commercial|ACO Trio | $29.25 | ↓ -47% |
| Western Health Advantage | Commercial|All Plans | $29.25 | ↓ -47% |
| Health Net | Commercial|FFS | $31.95 | ↓ -42% |
| Healthsmart | Commercial|All Plans | $33.75 | ↓ -39% |
| First Health | Commercial|All Plans | $33.75 | ↓ -39% |
| BCBS - Anthem | Commercial|Connection EPO | $35.10 | ↓ -36% |
| Sutter Health | Commercial|All Plans | $36.00 | ↓ -35% |
| Blue Shield CA | Commercial|Exchange | $36.90 | ↓ -33% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $36.90 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $37.35 | ↓ -32% |
| Aetna | Commercial|HMO | $38.25 | ↓ -31% |
| Aetna | Commercial|All Other Plans | $38.25 | ↓ -31% |
| Aetna | Commercial|PPO | $38.25 | ↓ -31% |
| Blue Shield CA | Commercial|PPO | $40.50 | ↓ -26% |
| Blue Shield CA | Commercial|HMO | $40.50 | ↓ -26% |
| Blue Shield CA | Commercial|PPO Tandem | $40.50 | ↓ -26% |
| Blue Shield CA | Commercial|CalPers | $41.40 | ↓ -25% |
| BCBS - Anthem | Commercial|MCS | $43.65 | ↓ -21% |
| BCBS - Anthem | Commercial|All Other Plans | $43.65 | ↓ -21% |
| United | Medicaid|< 21 | $45.00 | ↓ -18% |
| Hill Physicians | Medicaid|All Plans | $45.00 | ↓ -18% |
| United | Medicaid|> 21 | $45.00 | ↓ -18% |
Visitor-reported prices
Comments
Ortho whf rigd without jnt cstm w/fit&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,103.20 | $79.00 – $158.00 |
| French Hospital | San Luis Obispo | $1,926.29 | $30.02 – $158.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $189.21 | $25.00 – $100.00 |
| Bakersfield Memorial Hospital | Bakersfield | $187.17 | $25.00 – $100.00 |
| St. Joseph's Medical Center Stockton | Stockton | $134.95 | $23.40 – $90.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,262.70 | $229.04 – $1,590.54 |
| Mercy Medical Center Merced | Merced | $120.51 | $18.40 – $80.00 |
| Dominican Hospital | Santa Cruz | $298.35 | $168.41 – $663.00 |