Psychotherapy patient individual therapy 60 minutes at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$244.14
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.
$891.00
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.
$82.06 with WCMG vs $746.00 with United — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $82.06 | ↓ -66% |
| United | Medicaid|< 21 | $112.48 | ↓ -54% |
| United | Medicaid|> 21 | $112.48 | ↓ -54% |
| Hill Physicians | Medicaid|All Plans | $136.75 | ↓ -44% |
| Hill Physicians | Commercial|All Plans | $139.69 | ↓ -43% |
| Molina | Medicaid|All Plans | $184.28 | ↓ -25% |
| BCBS - Anthem | Medicaid|All Plans | $186.24 | ↓ -24% |
| BCBS - Anthem | Medicare|All Other Plans | $199.11 | ↓ -18% |
| Kaiser | Medicare|All Plans | $211.14 | ↓ -14% |
| Humana | Medicare|All Plans | $211.14 | ↓ -14% |
| Humana | Commercial|All Plans | $211.14 | ↓ -14% |
| Aetna | Medicare|All Plans | $211.14 | ↓ -14% |
| Molina | Medicare|All Plans | $211.14 | ↓ -14% |
| United | Medicare|All Plans | $211.14 | ↓ -14% |
| Blue Shield CA | Medicare|PPO | $211.14 | ↓ -14% |
| Blue Shield CA | Medicare|HMO | $211.14 | ↓ -14% |
| BCBS - Anthem | Medicare|Imperial | $217.47 | ↓ -11% |
| BrightHealth | Commercial|All Plans | $232.25 | ↓ -5% |
| Western Health Advantage | Commercial|All Plans | $261.10 | ↑ +7% |
| BlueShield | Medicare|Trauma | $263.92 | ↑ +8% |
| California Health & Wellness | Medicaid|All Plans | $284.69 | ↑ +17% |
| Health Net | Medicaid|All Plans | $284.69 | ↑ +17% |
| Kaiser | Medicaid|All Plans | $305.86 | ↑ +25% |
| Prison Healthcare | Medicaid|All Plans | $316.71 | ↑ +30% |
| Kaiser | Commercial|All Plans | $402.84 | ↑ +65% |
| Partnership Health Plan | Medicaid|All Plans | $421.49 | ↑ +73% |
| Healthsmart | Commercial|All Plans | $559.50 | ↑ +129% |
| First Health | Commercial|All Plans | $559.50 | ↑ +129% |
| Sutter Health | Commercial|All Plans | $596.80 | ↑ +144% |
| MultiPlan | Commercial|All Plans | $619.18 | ↑ +154% |
| United | Commercial|All Other Plans | $746.00 | ↑ +206% |
| United | Commercial|Options PPO | $746.00 | ↑ +206% |
| United | Commercial|Non-Options PPO | $746.00 | ↑ +206% |
| United | Commercial|HMO | $746.00 | ↑ +206% |
Visitor-reported prices
Comments
Psychotherapy patient individual therapy 60 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $352.32 | $112.48 – $518.42 |
| St. Joseph's Behavioral Health Center | Stockton | $139.33 | $23.40 – $214.58 |
| Healdsburg Hospital | Healdsburg | $399.84 | $239.15 – $239.15 |
| Redwood Memorial Hospital | Fortuna | $338.13 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $704.31 | $246.98 – $252.02 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $280.80 | $194.05 – $422.33 |
| Mercy Medical Center Merced | Merced | $215.27 | $112.48 – $418.00 |
| Northridge Hospital Medical Center | Northridge | $549.08 | $112.48 – $1,968.00 |