Perq art m-thrombect &/nfs at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,947.25
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.
$14,406.00
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.
$662.32 with United vs $21,879.00 with Blue Shield CA — 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $662.32 | ↓ -83% |
| United | Medicaid|> 21 | $662.32 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $728.55 | ↓ -82% |
| Hill Physicians | Commercial|All Plans | $808.84 | ↓ -80% |
| Molina | Medicaid|All Plans | $1,245.16 | ↓ -68% |
| BCBS - Anthem | Medicaid|All Plans | $1,258.41 | ↓ -68% |
| California Health & Wellness | Medicaid|All Plans | $1,516.71 | ↓ -62% |
| Health Net | Medicaid|All Plans | $1,516.71 | ↓ -62% |
| WCMG | Commercial|All Plans | $1,521.30 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $2,847.98 | ↓ -28% |
| Western Health Advantage | Commercial|All Plans | $4,840.50 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $5,670.30 | ↑ +44% |
| Kaiser | Commercial|All Plans | $7,468.20 | ↑ +89% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +156% |
| Blue Shield CA | Commercial|ACO Trio | $10,207.00 | ↑ +159% |
| First Health | Commercial|All Plans | $10,372.50 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $10,372.50 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $11,064.00 | ↑ +180% |
| MultiPlan | Commercial|All Plans | $11,478.90 | ↑ +191% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +220% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,013.00 | ↑ +230% |
| United | Commercial|Options PPO | $13,830.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $13,830.00 | ↑ +250% |
| United | Commercial|HMO | $13,830.00 | ↑ +250% |
| United | Commercial|All Other Plans | $13,830.00 | ↑ +250% |
| Blue Shield CA | Commercial|Exchange | $14,112.00 | ↑ +258% |
| Aetna | Commercial|HMO | $14,501.00 | ↑ +267% |
| Aetna | Commercial|PPO | $14,501.00 | ↑ +267% |
| Aetna | Commercial|All Other Plans | $14,501.00 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +348% |
| Blue Shield CA | Commercial|PPO Tandem | $18,197.00 | ↑ +361% |
| Blue Shield CA | Commercial|HMO | $19,296.00 | ↑ +389% |
| Blue Shield CA | Commercial|CalPers | $20,315.00 | ↑ +415% |
| Blue Shield CA | Commercial|PPO | $21,879.00 | ↑ +454% |
Visitor-reported prices
Comments
Perq art m-thrombect &/nfs at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $12,246.05 | $1,002.02 – $21,808.02 |
| Bakersfield Memorial Hospital | Bakersfield | $4,700.54 | $662.32 – $12,679.92 |
| Queen of The Valley Medical Center | Napa | $6,584.61 | $7,745.00 – $15,790.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,761.15 | $662.32 – $10,746.12 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,597.60 | $4,666.00 – $14,805.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,551.34 | $478.56 – $1,994.00 |
| Mercy Medical Center Merced | Merced | $6,742.38 | $662.32 – $12,961.08 |
| Northridge Hospital Medical Center | Northridge | $11,606.96 | $662.32 – $41,602.00 |