Perq plmt bile duct stent at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,311.84
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.
$12,087.00
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.
$425.07 with Hill Physicians vs $15,552.00 with Health Net — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $425.07 | ↓ -87% |
| WCMG | Commercial|All Plans | $1,278.31 | ↓ -61% |
| Western Health Advantage | Commercial|All Plans | $4,067.35 | ↑ +23% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +29% |
| United | Medicaid|> 21 | $4,746.45 | ↑ +43% |
| United | Medicaid|< 21 | $4,746.45 | ↑ +43% |
| Kaiser | Medicaid|All Plans | $4,764.61 | ↑ +44% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +53% |
| Hill Physicians | Medicaid|All Plans | $5,221.10 | ↑ +58% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +61% |
| Kaiser | Commercial|All Plans | $6,275.34 | ↑ +89% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +95% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +98% |
| BCBS - Anthem | Medicare|All Other Plans | $7,229.91 | ↑ +118% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +126% |
| Blue Shield CA | Medicare|PPO | $7,666.93 | ↑ +132% |
| Molina | Medicare|All Plans | $7,666.93 | ↑ +132% |
| Aetna | Medicare|All Plans | $7,666.93 | ↑ +132% |
| Kaiser | Medicare|All Plans | $7,666.93 | ↑ +132% |
| Humana | Commercial|All Plans | $7,666.93 | ↑ +132% |
| Humana | Medicare|All Plans | $7,666.93 | ↑ +132% |
| Blue Shield CA | Medicare|HMO | $7,666.93 | ↑ +132% |
| United | Medicare|All Plans | $7,666.93 | ↑ +132% |
| BCBS - Anthem | Medicare|Imperial | $7,896.94 | ↑ +138% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +150% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +150% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +150% |
| BrightHealth | Commercial|All Plans | $8,433.62 | ↑ +155% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +159% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +160% |
| First Health | Commercial|All Plans | $8,715.75 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $8,715.75 | ↑ +163% |
| Molina | Medicaid|All Plans | $8,923.33 | ↑ +169% |
| BCBS - Anthem | Medicaid|All Plans | $9,018.26 | ↑ +172% |
| Sutter Health | Commercial|All Plans | $9,296.80 | ↑ +181% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +189% |
| BlueShield | Medicare|Trauma | $9,583.66 | ↑ +189% |
| MultiPlan | Commercial|All Plans | $9,645.43 | ↑ +191% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +204% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +213% |
| California Health & Wellness | Medicaid|All Plans | $10,869.37 | ↑ +228% |
| Health Net | Medicaid|All Plans | $10,869.37 | ↑ +228% |
| Prison Healthcare | Medicaid|All Plans | $11,500.40 | ↑ +247% |
| United | Commercial|All Other Plans | $11,621.00 | ↑ +251% |
| United | Commercial|Options PPO | $11,621.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $11,621.00 | ↑ +251% |
| Partnership Health Plan | Medicaid|All Plans | $11,621.00 | ↑ +251% |
| United | Commercial|HMO | $11,621.00 | ↑ +251% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +370% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,759.70 | $3,550.50 – $13,082.50 |
| Arroyo Grande Hospital | Santa Maria | $8,812.95 | $4,746.45 – $19,591.18 |
| French Hospital | San Luis Obispo | $7,836.48 | $4,746.45 – $19,591.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,458.53 | $4,746.45 – $11,770.40 |
| St. Joseph's Medical Center Stockton | Stockton | $7,085.70 | $4,746.45 – $20,244.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,989.28 | $5,357.00 – $14,384.78 |
| Northridge Hospital Medical Center | Northridge | $3,913.82 | $3,226.44 – $21,786.21 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,364.40 | $1,747.00 – $12,111.00 |