Perq transcath closure pda at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$6,992.76
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.
$25,521.00
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.
$565.27 with United vs $35,395.39 with Prison Healthcare — 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 | $565.27 | ↓ -92% |
| United | Medicaid|< 21 | $565.27 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $621.36 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $621.80 | ↓ -91% |
| Molina | Medicaid|All Plans | $1,062.71 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $1,073.99 | ↓ -85% |
| Health Net | Medicaid|All Plans | $1,294.47 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $1,294.47 | ↓ -81% |
| Partnership Health Plan | Medicaid|All Plans | $2,430.66 | ↓ -65% |
| WCMG | Commercial|All Plans | $2,807.31 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $8,932.35 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $10,463.61 | ↑ +50% |
| Kaiser | Commercial|All Plans | $13,781.34 | ↑ +97% |
| Aetna | Commercial|All Other Plans | $18,645.00 | ↑ +167% |
| Aetna | Commercial|HMO | $18,645.00 | ↑ +167% |
| Aetna | Commercial|PPO | $18,645.00 | ↑ +167% |
| Health Net | Commercial|EPPO | $18,858.00 | ↑ +170% |
| First Health | Commercial|All Plans | $19,140.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $19,140.75 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $19,145.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $20,416.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $21,182.43 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $22,251.90 | ↑ +218% |
| Blue Shield CA | Medicare|PPO | $23,596.93 | ↑ +237% |
| Humana | Medicare|All Plans | $23,596.93 | ↑ +237% |
| Aetna | Medicare|All Plans | $23,596.93 | ↑ +237% |
| Molina | Medicare|All Plans | $23,596.93 | ↑ +237% |
| United | Medicare|All Plans | $23,596.93 | ↑ +237% |
| Kaiser | Medicare|All Plans | $23,596.93 | ↑ +237% |
| Blue Shield CA | Medicare|HMO | $23,596.93 | ↑ +237% |
| Humana | Commercial|All Plans | $23,596.93 | ↑ +237% |
| BCBS - Anthem | Commercial|All Other Plans | $23,931.00 | ↑ +242% |
| BCBS - Anthem | Medicare|Imperial | $24,304.84 | ↑ +248% |
| United | Commercial|All Other Plans | $25,521.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $25,521.00 | ↑ +265% |
| United | Commercial|Options PPO | $25,521.00 | ↑ +265% |
| United | Commercial|HMO | $25,521.00 | ↑ +265% |
| BrightHealth | Commercial|All Plans | $25,956.62 | ↑ +271% |
| BlueShield | Medicare|Trauma | $29,496.16 | ↑ +322% |
| BCBS - Anthem | Commercial|MCS | $33,503.00 | ↑ +379% |
| Health Net | Commercial|FFS | $34,212.00 | ↑ +389% |
| Prison Healthcare | Medicaid|All Plans | $35,395.39 | ↑ +406% |
Visitor-reported prices
Comments
Perq transcath closure pda at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $13,118.20 | $565.26 – $30,037.00 |
| French Hospital | San Luis Obispo | $12,014.80 | $565.26 – $30,037.00 |
| St Jude Medical Center | Fullerton | $18,377.76 | $15,005.00 – $43,618.46 |
| Providence St Joseph Hospital Orange | Orange | $15,582.72 | $14,032.00 – $43,618.46 |
| Mercy General Hospital | Sacramento | $5,563.58 | $565.27 – $25,956.62 |
| Mercy Hospital of Folsom | Folsom | $9,927.67 | $565.27 – $23,596.93 |
| Woodland Memorial Hospital | Woodland | $6,992.76 | $565.27 – $25,521.00 |
| Methodist Hospital of Sacramento | Sacramento | $7,350.05 | $565.27 – $23,596.93 |