Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$139.47
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.
$509.00
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.
$43.71 with Hill Physicians vs $12,615.00 with BCBS - Anthem — 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 | $43.71 | ↓ -69% |
| WCMG | Commercial|All Plans | $55.99 | ↓ -60% |
| United | Medicaid|< 21 | $80.31 | ↓ -42% |
| United | Medicaid|> 21 | $80.31 | ↓ -42% |
| Molina | Medicaid|All Plans | $131.58 | ↓ -6% |
| Hill Physicians | Medicaid|All Plans | $139.27 | ↓ -0% |
| Western Health Advantage | Commercial|All Plans | $178.15 | ↑ +28% |
| BCBS - Anthem | Medicaid|All Plans | $190.74 | ↑ +37% |
| Kaiser | Medicaid|All Plans | $208.69 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $246.23 | ↑ +77% |
| Kaiser | Medicare|All Plans | $261.11 | ↑ +87% |
| Humana | Medicare|All Plans | $261.11 | ↑ +87% |
| Humana | Commercial|All Plans | $261.11 | ↑ +87% |
| Aetna | Medicare|All Plans | $261.11 | ↑ +87% |
| Molina | Medicare|All Plans | $261.11 | ↑ +87% |
| United | Medicare|All Plans | $261.11 | ↑ +87% |
| Blue Shield CA | Medicare|PPO | $261.11 | ↑ +87% |
| Blue Shield CA | Medicare|HMO | $261.11 | ↑ +87% |
| BCBS - Anthem | Medicare|Imperial | $268.94 | ↑ +93% |
| Kaiser | Commercial|All Plans | $274.86 | ↑ +97% |
| BrightHealth | Commercial|All Plans | $287.22 | ↑ +106% |
| Health Net | Medicaid|All Plans | $289.94 | ↑ +108% |
| California Health & Wellness | Medicaid|All Plans | $289.94 | ↑ +108% |
| BlueShield | Medicare|Trauma | $326.39 | ↑ +134% |
| First Health | Commercial|All Plans | $381.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $381.75 | ↑ +174% |
| Prison Healthcare | Medicaid|All Plans | $391.67 | ↑ +181% |
| Sutter Health | Commercial|All Plans | $407.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $422.47 | ↑ +203% |
| Partnership Health Plan | Medicaid|All Plans | $431.69 | ↑ +210% |
| United | Commercial|All Other Plans | $509.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $509.00 | ↑ +265% |
| United | Commercial|HMO | $509.00 | ↑ +265% |
| United | Commercial|Options PPO | $509.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +633% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +834% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +848% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +1145% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +1285% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +1358% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +1401% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +2194% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +3613% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +3613% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +3613% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +4062% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +5069% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +6361% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +8945% |
Visitor-reported prices
Comments
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $311.67 | $98.78 – $600.80 |
| Petaluma Valley Hospital | Petaluma | $1,727.88 | $270.38 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $93.24 | $30.01 – $113.68 |
| Bakersfield Memorial Hospital | Bakersfield | $239.66 | $80.31 – $515.87 |
| Queen of The Valley Medical Center | Napa | $1,145.97 | $284.87 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,312.74 | $258.05 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $531.42 | $270.32 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,316.31 | $1,333.00 – $20,799.00 |