Pin caspar distraction 12mm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$8,172.05
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.
$29,825.00
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.
$2,523.40 with WCMG vs $22,251.80 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $2,523.40 | ↓ -69% |
| Kaiser | Medicaid|All Plans | $5,276.20 | ↓ -35% |
| Kaiser | Commercial|All Plans | $5,276.20 | ↓ -35% |
| Kaiser | Medicare|All Plans | $5,276.20 | ↓ -35% |
| BCBS - Anthem | Medicaid|All Plans | $5,505.60 | ↓ -33% |
| Partnership Health Plan | Medicaid|All Plans | $5,735.00 | ↓ -30% |
| Molina | Medicaid|All Plans | $5,964.40 | ↓ -27% |
| Health Net | Medicaid|All Plans | $6,423.20 | ↓ -21% |
| California Health & Wellness | Medicaid|All Plans | $6,423.20 | ↓ -21% |
| Health Net | Commercial|EPPO | $8,946.60 | ↑ +9% |
| Cigna | Commercial|LocalPlus | $9,176.00 | ↑ +12% |
| United | Commercial|Non-Options PPO | $11,928.80 | ↑ +46% |
| Cigna | Commercial|All Other Plans | $12,158.20 | ↑ +49% |
| United | Commercial|Options PPO | $12,846.40 | ↑ +57% |
| United | Commercial|HMO | $12,846.40 | ↑ +57% |
| United | Commercial|All Other Plans | $12,846.40 | ↑ +57% |
| Blue Shield CA | Commercial|ACO Trio | $14,911.00 | ↑ +82% |
| Western Health Advantage | Commercial|All Plans | $14,911.00 | ↑ +82% |
| Health Net | Commercial|FFS | $16,287.40 | ↑ +99% |
| First Health | Commercial|All Plans | $17,205.00 | ↑ +111% |
| Healthsmart | Commercial|All Plans | $17,205.00 | ↑ +111% |
| BCBS - Anthem | Commercial|Connection EPO | $17,893.20 | ↑ +119% |
| Sutter Health | Commercial|All Plans | $18,352.00 | ↑ +125% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $18,810.80 | ↑ +130% |
| Blue Shield CA | Commercial|Exchange | $18,810.80 | ↑ +130% |
| MultiPlan | Commercial|All Plans | $19,040.20 | ↑ +133% |
| Aetna | Commercial|HMO | $19,499.00 | ↑ +139% |
| Aetna | Commercial|All Other Plans | $19,499.00 | ↑ +139% |
| Aetna | Commercial|PPO | $19,499.00 | ↑ +139% |
| Blue Shield CA | Commercial|PPO Tandem | $20,646.00 | ↑ +153% |
| Blue Shield CA | Commercial|PPO | $20,646.00 | ↑ +153% |
| Blue Shield CA | Commercial|HMO | $20,646.00 | ↑ +153% |
| Blue Shield CA | Commercial|CalPers | $21,104.80 | ↑ +158% |
| BCBS - Anthem | Commercial|MCS | $22,251.80 | ↑ +172% |
| BCBS - Anthem | Commercial|All Other Plans | $22,251.80 | ↑ +172% |
Visitor-reported prices
Comments
Pin caspar distraction 12mm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,399.88 | $4,383.12 – $14,245.14 |
| Banner Lassen Medical Center | Susanville | $21,271.71 | $2,002.85 – $4,738.45 |
| Petaluma Valley Hospital | Petaluma | $15,798.58 | not published |
| Arroyo Grande Hospital | Santa Maria | $13,212.36 | $4,201.18 – $17,900.68 |
| French Hospital | San Luis Obispo | $12,101.04 | $3,470.54 – $17,900.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9,788.84 | $5,073.75 – $18,265.50 |
| Bakersfield Memorial Hospital | Bakersfield | $9,683.30 | $5,073.75 – $19,686.15 |
| Queen of The Valley Medical Center | Napa | $15,088.35 | not published |