Plcmt dlyd xtn pros 1st vsl at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,639.72
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.
$9,634.00
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.
$672.37 with United vs $17,696.00 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 | $672.37 | ↓ -75% |
| United | Medicaid|< 21 | $672.37 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $739.61 | ↓ -72% |
| Hill Physicians | Commercial|All Plans | $744.15 | ↓ -72% |
| WCMG | Commercial|All Plans | $1,059.74 | ↓ -60% |
| Molina | Medicaid|All Plans | $1,264.06 | ↓ -52% |
| BCBS - Anthem | Medicaid|All Plans | $1,277.75 | ↓ -52% |
| California Health & Wellness | Medicaid|All Plans | $1,539.73 | ↓ -42% |
| Health Net | Medicaid|All Plans | $1,539.73 | ↓ -42% |
| Partnership Health Plan | Medicaid|All Plans | $2,891.19 | ↑ +10% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +25% |
| Western Health Advantage | Commercial|All Plans | $3,371.90 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $3,949.94 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +60% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +62% |
| Kaiser | Commercial|All Plans | $5,202.36 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +113% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +137% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +149% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +157% |
| First Health | Commercial|All Plans | $7,225.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $7,225.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $7,707.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $7,996.22 | ↑ +203% |
| United | Commercial|Non-Options PPO | $9,634.00 | ↑ +265% |
| United | Commercial|All Other Plans | $9,634.00 | ↑ +265% |
| United | Commercial|HMO | $9,634.00 | ↑ +265% |
| United | Commercial|Options PPO | $9,634.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +283% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +293% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +293% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +293% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +379% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +570% |
Visitor-reported prices
Comments
Plcmt dlyd xtn pros 1st vsl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,189.65 | $672.37 – $5,013.68 |
| French Hospital | San Luis Obispo | $2,040.76 | $672.37 – $5,013.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,721.13 | $672.37 – $8,926.70 |
| Bakersfield Memorial Hospital | Bakersfield | $3,681.01 | $672.37 – $9,929.70 |
| Queen of The Valley Medical Center | Napa | $5,298.90 | $5,592.00 – $17,369.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,152.75 | $5,835.00 – $47,967.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,832.11 | $0.80 – $3,741.36 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,168.49 | $2,238.00 – $25,242.00 |