Prq card stent w/angio addl at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$9,939.35
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.
$36,275.00
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.
$1,919.63 with BCBS - Anthem vs $36,275.00 with United — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $1,919.63 | ↓ -81% |
| WCMG | Commercial|All Plans | $3,990.25 | ↓ -60% |
| Aetna | Commercial|PPO | $5,178.00 | ↓ -48% |
| Aetna | Commercial|HMO | $5,178.00 | ↓ -48% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↓ -48% |
| Blue Shield CA | Commercial|ACO Trio | $8,882.00 | ↓ -11% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +2% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,325.00 | ↑ +14% |
| Blue Shield CA | Commercial|Exchange | $12,281.00 | ↑ +24% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $12,696.25 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $14,872.75 | ↑ +50% |
| Blue Shield CA | Commercial|PPO Tandem | $15,836.00 | ↑ +59% |
| Blue Shield CA | Commercial|HMO | $16,792.00 | ↑ +69% |
| Blue Shield CA | Commercial|CalPers | $17,679.00 | ↑ +78% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +78% |
| Health Net | Medicaid|All Plans | $18,137.50 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $18,137.50 | ↑ +82% |
| Blue Shield CA | Commercial|PPO | $19,040.00 | ↑ +92% |
| Kaiser | Commercial|All Plans | $19,588.50 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $27,206.25 | ↑ +174% |
| First Health | Commercial|All Plans | $27,206.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $29,020.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $30,108.25 | ↑ +203% |
| United | Commercial|All Other Plans | $36,275.00 | ↑ +265% |
| United | Commercial|HMO | $36,275.00 | ↑ +265% |
| United | Commercial|Options PPO | $36,275.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $36,275.00 | ↑ +265% |
Visitor-reported prices
Comments
Prq card stent w/angio addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,305.71 | $6,352.83 – $18,352.62 |
| Bakersfield Memorial Hospital | Bakersfield | $9,509.71 | $1,333.64 – $25,652.88 |
| Queen of The Valley Medical Center | Napa | $19,179.57 | $7,745.00 – $24,453.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,592.88 | $9,008.00 – $24,039.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,836.07 | $7,025.76 – $28,103.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $22,529.25 | $4,812.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,896.96 | $9,718.00 – $11,117.00 |
| Mercy Medical Center Merced | Merced | $13,364.77 | $1,161.88 – $9,399.06 |