Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$214.27
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.
$782.00
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.
$35.26 with Hill Physicians vs $5,805.00 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 | $35.26 | ↓ -84% |
| United | Medicaid|> 21 | $48.32 | ↓ -77% |
| United | Medicaid|< 21 | $48.32 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $58.74 | ↓ -73% |
| WCMG | Commercial|All Plans | $69.74 | ↓ -67% |
| Molina | Medicaid|All Plans | $79.17 | ↓ -63% |
| BCBS - Anthem | Medicaid|All Plans | $80.01 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $122.29 | ↓ -43% |
| Health Net | Medicaid|All Plans | $122.29 | ↓ -43% |
| Partnership Health Plan | Medicaid|All Plans | $181.07 | ↓ -15% |
| Western Health Advantage | Commercial|All Plans | $221.90 | ↑ +4% |
| BCBS - Anthem | Medicare|All Other Plans | $246.23 | ↑ +15% |
| Kaiser | Medicaid|All Plans | $259.94 | ↑ +21% |
| Kaiser | Medicare|All Plans | $261.11 | ↑ +22% |
| Humana | Medicare|All Plans | $261.11 | ↑ +22% |
| Aetna | Medicare|All Plans | $261.11 | ↑ +22% |
| Molina | Medicare|All Plans | $261.11 | ↑ +22% |
| Blue Shield CA | Medicare|PPO | $261.11 | ↑ +22% |
| United | Medicare|All Plans | $261.11 | ↑ +22% |
| Blue Shield CA | Medicare|HMO | $261.11 | ↑ +22% |
| Humana | Commercial|All Plans | $261.11 | ↑ +22% |
| BCBS - Anthem | Medicare|Imperial | $268.94 | ↑ +26% |
| BrightHealth | Commercial|All Plans | $287.22 | ↑ +34% |
| BlueShield | Medicare|Trauma | $326.39 | ↑ +52% |
| Kaiser | Commercial|All Plans | $342.36 | ↑ +60% |
| Prison Healthcare | Medicaid|All Plans | $391.67 | ↑ +83% |
| BCBS - Anthem | Commercial|Connection EPO | $424.78 | ↑ +98% |
| Healthsmart | Commercial|All Plans | $475.50 | ↑ +122% |
| First Health | Commercial|All Plans | $475.50 | ↑ +122% |
| Cigna | Commercial|LocalPlus | $506.22 | ↑ +136% |
| Sutter Health | Commercial|All Plans | $507.20 | ↑ +137% |
| MultiPlan | Commercial|All Plans | $526.22 | ↑ +146% |
| BCBS - Anthem | Commercial|All Other Plans | $532.56 | ↑ +149% |
| United | Commercial|HMO | $634.00 | ↑ +196% |
| United | Commercial|All Other Plans | $634.00 | ↑ +196% |
| United | Commercial|Non-Options PPO | $634.00 | ↑ +196% |
| United | Commercial|Options PPO | $634.00 | ↑ +196% |
| BCBS - Anthem | Commercial|MCS | $634.00 | ↑ +196% |
| Cigna | Commercial|All Other Plans | $674.96 | ↑ +215% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +377% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +508% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +517% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +711% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +802% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +849% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +877% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1393% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +2317% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +2317% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +2317% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +2609% |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $239.15 | $32.27 – $453.26 |
| Banner Lassen Medical Center | Susanville | $180.08 | $39.74 – $250.26 |
| Petaluma Valley Hospital | Petaluma | $1,052.64 | $270.38 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $215.72 | $48.32 – $447.86 |
| Mark Twain Medical Center | San Andreas | $368.97 | $48.32 – $377.30 |
| French Hospital | San Luis Obispo | $197.57 | $48.32 – $447.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $187.36 | $48.32 – $401.80 |
| Bakersfield Memorial Hospital | Bakersfield | $185.34 | $48.32 – $401.80 |