Pre-tibial shell molded to p at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$768.57
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.
$2,805.00
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.
$308.55 with WCMG vs $2,720.85 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $308.55 | ↓ -60% |
| United | Medicaid|> 21 | $376.09 | ↓ -51% |
| United | Medicaid|< 21 | $376.09 | ↓ -51% |
| Hill Physicians | Medicaid|All Plans | $413.70 | ↓ -46% |
| Molina | Medicaid|All Plans | $492.92 | ↓ -36% |
| Kaiser | Medicaid|All Plans | $645.15 | ↓ -16% |
| Kaiser | Commercial|All Plans | $645.15 | ↓ -16% |
| Kaiser | Medicare|All Plans | $645.15 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $673.20 | ↓ -12% |
| Partnership Health Plan | Medicaid|All Plans | $701.25 | ↓ -9% |
| Health Net | Medicaid|All Plans | $785.40 | ↑ +2% |
| California Health & Wellness | Medicaid|All Plans | $785.40 | ↑ +2% |
| Health Net | Commercial|EPPO | $1,093.95 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $1,122.00 | ↑ +46% |
| United | Commercial|Non-Options PPO | $1,458.60 | ↑ +90% |
| Cigna | Commercial|All Other Plans | $1,486.65 | ↑ +93% |
| United | Commercial|HMO | $1,570.80 | ↑ +104% |
| United | Commercial|Options PPO | $1,570.80 | ↑ +104% |
| United | Commercial|All Other Plans | $1,570.80 | ↑ +104% |
| Western Health Advantage | Commercial|All Plans | $1,823.25 | ↑ +137% |
| Blue Shield CA | Commercial|ACO Trio | $1,823.25 | ↑ +137% |
| Health Net | Commercial|FFS | $1,991.55 | ↑ +159% |
| Healthsmart | Commercial|All Plans | $2,103.75 | ↑ +174% |
| First Health | Commercial|All Plans | $2,103.75 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $2,187.90 | ↑ +185% |
| Sutter Health | Commercial|All Plans | $2,244.00 | ↑ +192% |
| Blue Shield CA | Commercial|Exchange | $2,300.10 | ↑ +199% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2,300.10 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $2,328.15 | ↑ +203% |
| Aetna | Commercial|PPO | $2,384.25 | ↑ +210% |
| Aetna | Commercial|HMO | $2,384.25 | ↑ +210% |
| Aetna | Commercial|All Other Plans | $2,384.25 | ↑ +210% |
| Blue Shield CA | Commercial|HMO | $2,524.50 | ↑ +228% |
| Blue Shield CA | Commercial|PPO Tandem | $2,524.50 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $2,524.50 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $2,580.60 | ↑ +236% |
| BCBS - Anthem | Commercial|All Other Plans | $2,720.85 | ↑ +254% |
| BCBS - Anthem | Commercial|MCS | $2,720.85 | ↑ +254% |
Visitor-reported prices
Comments
Pre-tibial shell molded to p at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $751.17 | $411.60 – $1,337.70 |
| St. Mary Medical Center | Long Beach | $1,206.15 | $338.48 – $2,155.00 |
| Community Hospital San Bernardino | San Bernardino | $1,096.76 | $376.09 – $2,155.00 |
| Glendale Memorial Hospital Health Center | Glendale | $914.43 | $40.00 – $2,133.45 |
| St. Bernardine Medical Center | San Bernardino | $934.07 | $376.09 – $1,880.45 |
| Mercy General Hospital | Sacramento | $611.49 | $376.09 – $2,496.45 |
| Mercy Hospital of Folsom | Folsom | $1,091.15 | $308.55 – $2,692.80 |
| Woodland Memorial Hospital | Woodland | $768.57 | $308.55 – $2,805.00 |