Red blood cells leukocytes reduced irradiated each unit at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$172.90
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.
$631.00
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.
$69.41 with WCMG vs $16,950.00 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 | $69.41 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $220.85 | ↑ +28% |
| United | Medicaid|< 21 | $240.27 | ↑ +39% |
| United | Medicaid|> 21 | $240.27 | ↑ +39% |
| Partnership Health Plan | Medicaid|All Plans | $240.27 | ↑ +39% |
| Kaiser | Medicaid|All Plans | $258.71 | ↑ +50% |
| Hill Physicians | Medicaid|All Plans | $264.30 | ↑ +53% |
| BCBS - Anthem | Medicare|All Other Plans | $316.99 | ↑ +83% |
| Humana | Commercial|All Plans | $336.15 | ↑ +94% |
| Humana | Medicare|All Plans | $336.15 | ↑ +94% |
| Aetna | Medicare|All Plans | $336.15 | ↑ +94% |
| Molina | Medicare|All Plans | $336.15 | ↑ +94% |
| United | Medicare|All Plans | $336.15 | ↑ +94% |
| Kaiser | Medicare|All Plans | $336.15 | ↑ +94% |
| Blue Shield CA | Medicare|HMO | $336.15 | ↑ +94% |
| Blue Shield CA | Medicare|PPO | $336.15 | ↑ +94% |
| Kaiser | Commercial|All Plans | $340.74 | ↑ +97% |
| BCBS - Anthem | Medicare|Imperial | $346.23 | ↑ +100% |
| BrightHealth | Commercial|All Plans | $369.76 | ↑ +114% |
| BlueShield | Medicare|Trauma | $420.19 | ↑ +143% |
| BCBS - Anthem | Commercial|Connection EPO | $422.77 | ↑ +145% |
| Molina | Medicaid|All Plans | $451.71 | ↑ +161% |
| BCBS - Anthem | Medicaid|All Plans | $456.51 | ↑ +164% |
| First Health | Commercial|All Plans | $473.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $473.25 | ↑ +174% |
| Prison Healthcare | Medicaid|All Plans | $504.23 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $504.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $523.73 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $530.04 | ↑ +207% |
| Health Net | Medicaid|All Plans | $550.22 | ↑ +218% |
| California Health & Wellness | Medicaid|All Plans | $550.22 | ↑ +218% |
| United | Commercial|HMO | $631.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $631.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $631.00 | ↑ +265% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +9703% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +9703% |
Visitor-reported prices
Comments
Red blood cells leukocytes reduced irradiated each unit at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $411.29 | $253.53 – $732.42 |
| Banner Lassen Medical Center | Susanville | $173.25 | $51.16 – $396.45 |
| Petaluma Valley Hospital | Petaluma | $229.50 | not published |
| Arroyo Grande Hospital | Santa Maria | $634.73 | $240.27 – $969.22 |
| Mark Twain Medical Center | San Andreas | $217.12 | $84.34 – $319.48 |
| French Hospital | San Luis Obispo | $581.34 | $240.27 – $969.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $926.02 | $240.27 – $1,996.80 |
| Bakersfield Memorial Hospital | Bakersfield | $916.04 | $240.27 – $1,971.84 |