Plmt nephroureteral catheter at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,504.91
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.
$9,142.00
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.
$249.56 with Hill Physicians vs $10,485.00 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 | $249.56 | ↓ -90% |
| WCMG | Commercial|All Plans | $1,005.62 | ↓ -60% |
| United | Medicaid|> 21 | $1,043.18 | ↓ -58% |
| United | Medicaid|< 21 | $1,043.18 | ↓ -58% |
| Hill Physicians | Medicaid|All Plans | $1,147.50 | ↓ -54% |
| Molina | Medicaid|All Plans | $1,961.18 | ↓ -22% |
| BCBS - Anthem | Medicaid|All Plans | $1,982.04 | ↓ -21% |
| California Health & Wellness | Medicaid|All Plans | $2,388.88 | ↓ -5% |
| Health Net | Medicaid|All Plans | $2,388.88 | ↓ -5% |
| Western Health Advantage | Commercial|All Plans | $3,199.70 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +32% |
| Kaiser | Medicaid|All Plans | $3,748.22 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +68% |
| BCBS - Anthem | Medicare|All Other Plans | $4,273.95 | ↑ +71% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +71% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +71% |
| Partnership Health Plan | Medicaid|All Plans | $4,485.67 | ↑ +79% |
| United | Medicare|All Plans | $4,532.29 | ↑ +81% |
| Molina | Medicare|All Plans | $4,532.29 | ↑ +81% |
| Blue Shield CA | Medicare|HMO | $4,532.29 | ↑ +81% |
| Humana | Medicare|All Plans | $4,532.29 | ↑ +81% |
| Kaiser | Medicare|All Plans | $4,532.29 | ↑ +81% |
| Aetna | Medicare|All Plans | $4,532.29 | ↑ +81% |
| Humana | Commercial|All Plans | $4,532.29 | ↑ +81% |
| Blue Shield CA | Medicare|PPO | $4,532.29 | ↑ +81% |
| BCBS - Anthem | Medicare|Imperial | $4,668.26 | ↑ +86% |
| Kaiser | Commercial|All Plans | $4,936.68 | ↑ +97% |
| BrightHealth | Commercial|All Plans | $4,985.52 | ↑ +99% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +113% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +125% |
| BlueShield | Medicare|Trauma | $5,665.36 | ↑ +126% |
| Health Net | Commercial|EPPO | $5,780.00 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +150% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +163% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +171% |
| Prison Healthcare | Medicaid|All Plans | $6,798.44 | ↑ +171% |
| Healthsmart | Commercial|All Plans | $6,856.50 | ↑ +174% |
| First Health | Commercial|All Plans | $6,856.50 | ↑ +174% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +189% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +189% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +189% |
| Sutter Health | Commercial|All Plans | $7,313.60 | ↑ +192% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $7,587.86 | ↑ +203% |
| United | Commercial|All Other Plans | $9,142.00 | ↑ +265% |
| United | Commercial|HMO | $9,142.00 | ↑ +265% |
| United | Commercial|Options PPO | $9,142.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $9,142.00 | ↑ +265% |
| Health Net | Commercial|FFS | $10,485.00 | ↑ +319% |
Visitor-reported prices
Comments
Plmt nephroureteral catheter at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,127.37 | $1,311.39 – $8,044.86 |
| Arroyo Grande Hospital | Santa Maria | $4,689.17 | $1,043.18 – $5,621.28 |
| French Hospital | San Luis Obispo | $4,294.76 | $1,043.18 – $5,621.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,425.82 | $1,043.18 – $4,924.80 |
| Bakersfield Memorial Hospital | Bakersfield | $3,768.36 | $1,043.18 – $8,111.72 |
| Queen of The Valley Medical Center | Napa | $3,892.32 | $5,004.98 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,421.70 | $4,533.71 – $10,413.00 |
| St. Joseph's Medical Center Stockton | Stockton | $7,838.63 | $1,043.18 – $10,750.32 |