Pr incision & drainage abscess simple/single at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$180.57
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.
$659.00
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.
$48.70 with United vs $12,615.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $48.70 | ↓ -73% |
| United | Medicaid|> 21 | $48.70 | ↓ -73% |
| WCMG | Commercial|All Plans | $71.94 | ↓ -60% |
| Molina | Medicaid|All Plans | $79.79 | ↓ -56% |
| Hill Physicians | Medicaid|All Plans | $84.45 | ↓ -53% |
| Hill Physicians | Commercial|All Plans | $113.83 | ↓ -37% |
| BCBS - Anthem | Medicaid|All Plans | $115.67 | ↓ -36% |
| Health Net | Medicaid|All Plans | $175.80 | ↓ -3% |
| California Health & Wellness | Medicaid|All Plans | $175.80 | ↓ -3% |
| Western Health Advantage | Commercial|All Plans | $228.90 | ↑ +27% |
| BCBS - Anthem | Medicare|All Other Plans | $246.23 | ↑ +36% |
| Humana | Medicare|All Plans | $261.11 | ↑ +45% |
| United | Medicare|All Plans | $261.11 | ↑ +45% |
| Kaiser | Medicare|All Plans | $261.11 | ↑ +45% |
| Blue Shield CA | Medicare|PPO | $261.11 | ↑ +45% |
| Blue Shield CA | Medicare|HMO | $261.11 | ↑ +45% |
| Molina | Medicare|All Plans | $261.11 | ↑ +45% |
| Aetna | Medicare|All Plans | $261.11 | ↑ +45% |
| Humana | Commercial|All Plans | $261.11 | ↑ +45% |
| Partnership Health Plan | Medicaid|All Plans | $261.77 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $268.14 | ↑ +48% |
| BCBS - Anthem | Medicare|Imperial | $268.94 | ↑ +49% |
| BrightHealth | Commercial|All Plans | $287.22 | ↑ +59% |
| BlueShield | Medicare|Trauma | $326.39 | ↑ +81% |
| Kaiser | Commercial|All Plans | $353.16 | ↑ +96% |
| Prison Healthcare | Medicaid|All Plans | $391.67 | ↑ +117% |
| First Health | Commercial|All Plans | $490.50 | ↑ +172% |
| Healthsmart | Commercial|All Plans | $490.50 | ↑ +172% |
| Sutter Health | Commercial|All Plans | $523.20 | ↑ +190% |
| MultiPlan | Commercial|All Plans | $542.82 | ↑ +201% |
| United | Commercial|All Other Plans | $654.00 | ↑ +262% |
| United | Commercial|HMO | $654.00 | ↑ +262% |
| United | Commercial|Options PPO | $654.00 | ↑ +262% |
| United | Commercial|Non-Options PPO | $654.00 | ↑ +262% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +466% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +622% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +632% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +862% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +970% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +1026% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +1059% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1672% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +2768% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +2768% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +2768% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +3115% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +3892% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +4890% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +6886% |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $183.43 | $59.90 – $453.26 |
| Petaluma Valley Hospital | Petaluma | $851.19 | $270.38 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $323.57 | $48.70 – $740.88 |
| Mark Twain Medical Center | San Andreas | $179.16 | $48.70 – $251.86 |
| French Hospital | San Luis Obispo | $305.37 | $48.70 – $763.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $247.83 | $48.70 – $534.40 |
| Bakersfield Memorial Hospital | Bakersfield | $245.16 | $48.70 – $464.52 |
| Queen of The Valley Medical Center | Napa | $1,554.48 | $284.87 – $6,200.00 |