Prim art mech thrmbc non-intracranial at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,040.03
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.
$11,095.00
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.
$409.40 with Hill Physicians vs $35,395.39 with Prison Healthcare — 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 | $409.40 | ↓ -87% |
| WCMG | Commercial|All Plans | $1,183.82 | ↓ -61% |
| United | Medicaid|< 21 | $2,325.79 | ↓ -23% |
| United | Medicaid|> 21 | $2,325.79 | ↓ -23% |
| Hill Physicians | Medicaid|All Plans | $2,811.56 | ↓ -8% |
| Western Health Advantage | Commercial|All Plans | $3,766.70 | ↑ +24% |
| Molina | Medicaid|All Plans | $3,810.38 | ↑ +25% |
| BCBS - Anthem | Medicaid|All Plans | $3,850.92 | ↑ +27% |
| Kaiser | Medicaid|All Plans | $4,412.42 | ↑ +45% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +67% |
| Kaiser | Commercial|All Plans | $5,811.48 | ↑ +91% |
| Health Net | Medicaid|All Plans | $5,853.15 | ↑ +93% |
| California Health & Wellness | Medicaid|All Plans | $5,853.15 | ↑ +93% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +112% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +115% |
| Healthsmart | Commercial|All Plans | $8,071.50 | ↑ +166% |
| First Health | Commercial|All Plans | $8,071.50 | ↑ +166% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +182% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +183% |
| Sutter Health | Commercial|All Plans | $8,609.60 | ↑ +183% |
| Partnership Health Plan | Medicaid|All Plans | $8,715.24 | ↑ +187% |
| MultiPlan | Commercial|All Plans | $8,932.46 | ↑ +194% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +215% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +231% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +233% |
| BCBS - Anthem | Medicare|All Other Plans | $10,148.57 | ↑ +234% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +241% |
| United | Commercial|All Other Plans | $10,762.00 | ↑ +254% |
| United | Commercial|HMO | $10,762.00 | ↑ +254% |
| Blue Shield CA | Medicare|PPO | $10,762.00 | ↑ +254% |
| United | Medicare|All Plans | $10,762.00 | ↑ +254% |
| Humana | Commercial|All Plans | $10,762.00 | ↑ +254% |
| Humana | Medicare|All Plans | $10,762.00 | ↑ +254% |
| Aetna | Medicare|All Plans | $10,762.00 | ↑ +254% |
| United | Commercial|Non-Options PPO | $10,762.00 | ↑ +254% |
| Molina | Medicare|All Plans | $10,762.00 | ↑ +254% |
| United | Commercial|Options PPO | $10,762.00 | ↑ +254% |
| BCBS - Anthem | Medicare|Imperial | $11,084.86 | ↑ +265% |
| BrightHealth | Commercial|All Plans | $11,838.20 | ↑ +289% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +316% |
| BlueShield | Medicare|Trauma | $13,452.50 | ↑ +343% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +412% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +482% |
| Aetna | Commercial|All Other Plans | $21,752.00 | ↑ +616% |
| Aetna | Commercial|HMO | $21,752.00 | ↑ +616% |
| Aetna | Commercial|PPO | $21,752.00 | ↑ +616% |
| Blue Shield CA | Medicare|HMO | $23,596.93 | ↑ +676% |
| Kaiser | Medicare|All Plans | $23,596.93 | ↑ +676% |
| Prison Healthcare | Medicaid|All Plans | $35,395.39 | ↑ +1064% |
Visitor-reported prices
Comments
Prim art mech thrmbc non-intracranial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $15,143.85 | $2,860.72 – $21,542.00 |
| Arroyo Grande Hospital | Santa Maria | $5,825.94 | $2,325.79 – $13,612.00 |
| French Hospital | San Luis Obispo | $5,592.28 | $2,325.79 – $13,612.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,963.98 | $2,325.79 – $10,195.00 |
| Bakersfield Memorial Hospital | Bakersfield | $11,691.89 | $2,325.79 – $10,195.00 |
| Queen of The Valley Medical Center | Napa | $21,315.96 | $7,745.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $12,187.98 | $8,925.00 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,031.18 | $0.80 – $4,689.00 |