Pm device progr eval multi at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$130.98
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.
?
What you pay up front if you don't use insurance.
$478.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$46.21 with BCBS - Anthem vs $16,950.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $46.21 | ↓ -65% |
| Hill Physicians | Commercial|All Plans | $46.92 | ↓ -64% |
| Humana | Commercial|All Plans | $49.00 | ↓ -63% |
| Aetna | Medicare|All Plans | $49.00 | ↓ -63% |
| Kaiser | Medicare|All Plans | $49.00 | ↓ -63% |
| Humana | Medicare|All Plans | $49.00 | ↓ -63% |
| Blue Shield CA | Medicare|PPO | $49.00 | ↓ -63% |
| United | Medicare|All Plans | $49.00 | ↓ -63% |
| Blue Shield CA | Medicare|HMO | $49.00 | ↓ -63% |
| Molina | Medicare|All Plans | $49.00 | ↓ -63% |
| BCBS - Anthem | Medicare|Imperial | $50.47 | ↓ -61% |
| WCMG | Commercial|All Plans | $52.58 | ↓ -60% |
| BrightHealth | Commercial|All Plans | $53.90 | ↓ -59% |
| BlueShield | Medicare|Trauma | $61.25 | ↓ -53% |
| United | Medicaid|< 21 | $67.69 | ↓ -48% |
| United | Medicaid|> 21 | $67.69 | ↓ -48% |
| Prison Healthcare | Medicaid|All Plans | $73.50 | ↓ -44% |
| Hill Physicians | Medicaid|All Plans | $74.46 | ↓ -43% |
| Molina | Medicaid|All Plans | $127.26 | ↓ -3% |
| BCBS - Anthem | Medicaid|All Plans | $128.61 | ↓ -2% |
| Health Net | Medicaid|All Plans | $155.01 | ↑ +18% |
| California Health & Wellness | Medicaid|All Plans | $155.01 | ↑ +18% |
| Western Health Advantage | Commercial|All Plans | $167.30 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $195.98 | ↑ +50% |
| Kaiser | Commercial|All Plans | $258.12 | ↑ +97% |
| Partnership Health Plan | Medicaid|All Plans | $291.07 | ↑ +122% |
| Healthsmart | Commercial|All Plans | $358.50 | ↑ +174% |
| First Health | Commercial|All Plans | $358.50 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $381.89 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $382.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $396.74 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $477.20 | ↑ +264% |
| United | Commercial|HMO | $478.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $478.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $478.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +2343% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +4332% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +12841% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +12841% |
Visitor-reported prices
Comments
Pm device progr eval multi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Santa Rosa Memorial Hospital | Santa Rosa | $298.35 | $51.93 – $190.26 |
| Northridge Hospital Medical Center | Northridge | $190.84 | $47.38 – $4,018.00 |
| St. Mary Medical Center | Long Beach | $195.65 | $47.38 – $455.00 |
| Community Hospital San Bernardino | San Bernardino | $41.45 | $47.38 – $8,268.00 |
| Glendale Memorial Hospital Health Center | Glendale | $37.17 | $28.50 – $94.77 |
| St. Bernardine Medical Center | San Bernardino | $35.30 | $30.74 – $6,210.00 |
| Mercy General Hospital | Sacramento | $104.21 | $46.21 – $382.40 |
| Mercy Hospital of Folsom | Folsom | $185.95 | $46.21 – $391.96 |