Refill/maint pump/resvr syst at Mercy San Juan Medical Center

6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$185.78

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$678.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$32.21 with United vs $678.00 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 →

Payer
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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
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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
United Medicaid|> 21 $32.21 ↓ -83%
United Medicaid|< 21 $32.21 ↓ -83%
Hill Physicians Medicaid|All Plans $39.16 ↓ -79%
Molina Medicaid|All Plans $52.77 ↓ -72%
BCBS - Anthem Medicaid|All Plans $53.33 ↓ -71%
WCMG Commercial|All Plans $74.58 ↓ -60%
California Health & Wellness Medicaid|All Plans $81.52 ↓ -56%
Health Net Medicaid|All Plans $81.52 ↓ -56%
Partnership Health Plan Medicaid|All Plans $120.70 ↓ -35%
Hill Physicians Commercial|All Plans $123.28 ↓ -34%
Western Health Advantage Commercial|All Plans $237.30 ↑ +28%
BCBS - Anthem Medicare|All Other Plans $261.09 ↑ +41%
Humana Commercial|All Plans $276.87 ↑ +49%
Humana Medicare|All Plans $276.87 ↑ +49%
Aetna Medicare|All Plans $276.87 ↑ +49%
Molina Medicare|All Plans $276.87 ↑ +49%
United Medicare|All Plans $276.87 ↑ +49%
Kaiser Medicare|All Plans $276.87 ↑ +49%
Blue Shield CA Medicare|HMO $276.87 ↑ +49%
Blue Shield CA Medicare|PPO $276.87 ↑ +49%
Kaiser Medicaid|All Plans $277.98 ↑ +50%
BCBS - Anthem Medicare|Imperial $285.18 ↑ +54%
BrightHealth Commercial|All Plans $304.56 ↑ +64%
Blue Shield CA Commercial|ACO Trio $345.78 ↑ +86%
BlueShield Medicare|Trauma $346.09 ↑ +86%
Kaiser Commercial|All Plans $366.12 ↑ +97%
Prison Healthcare Medicaid|All Plans $415.31 ↑ +124%
Blue Shield CA Commercial|ACO Trio CalPers $440.70 ↑ +137%
Cigna Commercial|LocalPlus $447.48 ↑ +141%
Blue Shield CA Commercial|Exchange $461.04 ↑ +148%
Aetna Commercial|All Other Plans $473.62 ↑ +155%
Aetna Commercial|HMO $473.62 ↑ +155%
Aetna Commercial|PPO $473.62 ↑ +155%
First Health Commercial|All Plans $508.50 ↑ +174%
Healthsmart Commercial|All Plans $508.50 ↑ +174%
Sutter Health Commercial|All Plans $542.40 ↑ +192%
Blue Shield CA Commercial|PPO Tandem $542.40 ↑ +192%
MultiPlan Commercial|All Plans $562.74 ↑ +203%
Cigna Commercial|All Other Plans $596.64 ↑ +221%
Blue Shield CA Commercial|HMO $610.20 ↑ +228%
Blue Shield CA Commercial|PPO $610.20 ↑ +228%
Blue Shield CA Commercial|CalPers $623.76 ↑ +236%
United Commercial|HMO $678.00 ↑ +265%
United Commercial|All Other Plans $678.00 ↑ +265%
United Commercial|Non-Options PPO $678.00 ↑ +265%
United Commercial|Options PPO $678.00 ↑ +265%

Visitor-reported prices

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Refill/maint pump/resvr syst at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $476.11 $39.62 – $1,951.00
Petaluma Valley Hospital Petaluma $380.46 $286.64 – $292.49
Arroyo Grande Hospital Santa Maria $320.15 $32.21 – $999.00
French Hospital San Luis Obispo $293.22 $32.21 – $1,654.00
Queen of The Valley Medical Center Napa $431.97 $302.01 – $302.01
Providence St Joseph Hospital Eureka Eureka $410.04 $273.57 – $273.57
Healdsburg Hospital Healdsburg $210.63 $286.58 – $293.68
Redwood Memorial Hospital Fortuna $316.20 not published

All California hospitals for this procedure →