Plmt access bil tree sm bwl at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,003.59
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.
$10,962.00
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.
$326.29 with Hill Physicians vs $12,770.00 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 | $326.29 | ↓ -89% |
| United | Medicaid|> 21 | $1,081.53 | ↓ -64% |
| United | Medicaid|< 21 | $1,081.53 | ↓ -64% |
| WCMG | Commercial|All Plans | $1,159.40 | ↓ -61% |
| Hill Physicians | Medicaid|All Plans | $1,189.68 | ↓ -60% |
| Molina | Medicaid|All Plans | $2,033.28 | ↓ -32% |
| BCBS - Anthem | Medicaid|All Plans | $2,054.91 | ↓ -32% |
| Health Net | Medicaid|All Plans | $2,476.70 | ↓ -18% |
| California Health & Wellness | Medicaid|All Plans | $2,476.70 | ↓ -18% |
| Western Health Advantage | Commercial|All Plans | $3,689.00 | ↑ +23% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +42% |
| Kaiser | Medicaid|All Plans | $4,321.40 | ↑ +44% |
| Partnership Health Plan | Medicaid|All Plans | $4,650.58 | ↑ +55% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +69% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +78% |
| Kaiser | Commercial|All Plans | $5,691.60 | ↑ +89% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +115% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +118% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +141% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +141% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +141% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +149% |
| BCBS - Anthem | Medicare|All Other Plans | $7,732.28 | ↑ +157% |
| First Health | Commercial|All Plans | $7,905.00 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $7,905.00 | ↑ +163% |
| United | Medicare|All Plans | $8,199.66 | ↑ +173% |
| Humana | Medicare|All Plans | $8,199.66 | ↑ +173% |
| Aetna | Medicare|All Plans | $8,199.66 | ↑ +173% |
| Molina | Medicare|All Plans | $8,199.66 | ↑ +173% |
| Humana | Commercial|All Plans | $8,199.66 | ↑ +173% |
| Kaiser | Medicare|All Plans | $8,199.66 | ↑ +173% |
| Blue Shield CA | Medicare|HMO | $8,199.66 | ↑ +173% |
| Blue Shield CA | Medicare|PPO | $8,199.66 | ↑ +173% |
| Sutter Health | Commercial|All Plans | $8,432.00 | ↑ +181% |
| BCBS - Anthem | Medicare|Imperial | $8,445.65 | ↑ +181% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +186% |
| MultiPlan | Commercial|All Plans | $8,748.20 | ↑ +191% |
| BrightHealth | Commercial|All Plans | $9,019.63 | ↑ +200% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +218% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +235% |
| BlueShield | Medicare|Trauma | $10,249.58 | ↑ +241% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +245% |
| United | Commercial|HMO | $10,540.00 | ↑ +251% |
| United | Commercial|Options PPO | $10,540.00 | ↑ +251% |
| United | Commercial|All Other Plans | $10,540.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $10,540.00 | ↑ +251% |
| Prison Healthcare | Medicaid|All Plans | $12,299.49 | ↑ +309% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +325% |
Visitor-reported prices
Comments
Plmt access bil tree sm bwl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,300.80 | $4,114.00 – $9,990.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,149.50 | $1,747.00 – $10,824.34 |
| California Hospital Medical Center | Los Angeles | $4,683.65 | $973.38 – $8,832.05 |
| Providence Saint Joseph Medical Center | Burbank | $3,311.70 | $1,747.00 – $10,824.34 |
| Mercy General Hospital | Sacramento | $2,389.72 | $326.29 – $9,019.63 |
| Mercy Hospital of Folsom | Folsom | $4,264.22 | $326.29 – $8,642.80 |
| Woodland Memorial Hospital | Woodland | $3,003.59 | $1,081.53 – $10,540.00 |
| Methodist Hospital of Sacramento | Sacramento | $3,157.06 | $326.29 – $8,748.20 |