Perq clsr tcat l atr apndge at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$7,495.55
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.
$27,356.00
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.
$678.70 with United vs $33,503.00 with BCBS - Anthem — 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 | $678.70 | ↓ -91% |
| United | Medicaid|> 21 | $678.70 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $739.39 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $746.57 | ↓ -90% |
| Molina | Medicaid|All Plans | $1,275.96 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $1,289.53 | ↓ -83% |
| California Health & Wellness | Medicaid|All Plans | $1,554.22 | ↓ -79% |
| Health Net | Medicaid|All Plans | $1,554.22 | ↓ -79% |
| Partnership Health Plan | Medicaid|All Plans | $2,918.41 | ↓ -61% |
| WCMG | Commercial|All Plans | $3,009.16 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $9,574.60 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio | $12,017.00 | ↑ +60% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,321.00 | ↑ +104% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +121% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +121% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +121% |
| Blue Shield CA | Commercial|Exchange | $16,616.00 | ↑ +122% |
| BCBS - Anthem | Commercial|Connection EPO | $19,145.00 | ↑ +155% |
| Kaiser | Medicare|All Plans | $19,467.00 | ↑ +160% |
| Kaiser | Medicaid|All Plans | $19,467.00 | ↑ +160% |
| Kaiser | Commercial|All Plans | $19,467.00 | ↑ +160% |
| Healthsmart | Commercial|All Plans | $20,517.00 | ↑ +174% |
| First Health | Commercial|All Plans | $20,517.00 | ↑ +174% |
| Blue Shield CA | Commercial|PPO Tandem | $21,425.00 | ↑ +186% |
| Sutter Health | Commercial|All Plans | $21,884.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $22,705.48 | ↑ +203% |
| Blue Shield CA | Commercial|HMO | $22,719.00 | ↑ +203% |
| Blue Shield CA | Commercial|CalPers | $23,919.00 | ↑ +219% |
| BCBS - Anthem | Commercial|All Other Plans | $23,931.00 | ↑ +219% |
| Blue Shield CA | Commercial|PPO | $25,760.00 | ↑ +244% |
| United | Commercial|Options PPO | $27,356.00 | ↑ +265% |
| United | Commercial|HMO | $27,356.00 | ↑ +265% |
| United | Commercial|All Other Plans | $27,356.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $27,356.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $33,503.00 | ↑ +347% |
Visitor-reported prices
Comments
Perq clsr tcat l atr apndge at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,571.18 | $1,026.80 – $17,044.56 |
| Arroyo Grande Hospital | Santa Maria | $11,014.16 | $678.70 – $25,219.32 |
| French Hospital | San Luis Obispo | $10,087.73 | $678.70 – $25,219.32 |
| Bakersfield Memorial Hospital | Bakersfield | $8,215.67 | $678.70 – $22,162.14 |
| St. Joseph's Medical Center Stockton | Stockton | $6,637.05 | $678.70 – $18,963.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,608.62 | $6,511.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,121.60 | $7,883.00 – $15,041.00 |
| Mercy Medical Center Merced | Merced | $12,279.66 | $678.70 – $23,605.56 |