Relocation skin pocket aicd at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,518.61
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.
$9,192.00
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.
$400.77 with Hill Physicians vs $17,696.00 with BCBS - Anthem — 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 | $400.77 | ↓ -84% |
| United | Medicaid|< 21 | $423.80 | ↓ -83% |
| United | Medicaid|> 21 | $423.80 | ↓ -83% |
| Molina | Medicaid|All Plans | $694.32 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $734.87 | ↓ -71% |
| BCBS - Anthem | Medicaid|All Plans | $1,006.53 | ↓ -60% |
| WCMG | Commercial|All Plans | $1,011.12 | ↓ -60% |
| California Health & Wellness | Medicaid|All Plans | $1,529.86 | ↓ -39% |
| Health Net | Medicaid|All Plans | $1,529.86 | ↓ -39% |
| BCBS - Anthem | Medicare|All Other Plans | $2,266.77 | ↓ -10% |
| Partnership Health Plan | Medicaid|All Plans | $2,277.94 | ↓ -10% |
| Molina | Medicare|All Plans | $2,403.79 | ↓ -5% |
| Humana | Medicare|All Plans | $2,403.79 | ↓ -5% |
| Humana | Commercial|All Plans | $2,403.79 | ↓ -5% |
| Aetna | Medicare|All Plans | $2,403.79 | ↓ -5% |
| Kaiser | Medicare|All Plans | $2,403.79 | ↓ -5% |
| United | Medicare|All Plans | $2,403.79 | ↓ -5% |
| Blue Shield CA | Medicare|PPO | $2,403.79 | ↓ -5% |
| Blue Shield CA | Medicare|HMO | $2,403.79 | ↓ -5% |
| BCBS - Anthem | Medicare|Imperial | $2,475.90 | ↓ -2% |
| BrightHealth | Commercial|All Plans | $2,644.17 | ↑ +5% |
| BlueShield | Medicare|Trauma | $3,004.74 | ↑ +19% |
| Western Health Advantage | Commercial|All Plans | $3,217.20 | ↑ +28% |
| Prison Healthcare | Medicaid|All Plans | $3,605.68 | ↑ +43% |
| Kaiser | Medicaid|All Plans | $3,768.72 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +76% |
| Kaiser | Commercial|All Plans | $4,963.68 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +124% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +127% |
| Health Net | Commercial|EPPO | $5,780.00 | ↑ +129% |
| First Health | Commercial|All Plans | $6,894.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $6,894.00 | ↑ +174% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +188% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +188% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +188% |
| Sutter Health | Commercial|All Plans | $7,353.60 | ↑ +192% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $7,629.36 | ↑ +203% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +232% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +250% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +260% |
| United | Commercial|HMO | $9,192.00 | ↑ +265% |
| United | Commercial|All Other Plans | $9,192.00 | ↑ +265% |
| United | Commercial|Options PPO | $9,192.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $9,192.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +301% |
| Health Net | Commercial|FFS | $10,485.00 | ↑ +316% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +402% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +603% |
Visitor-reported prices
Comments
Relocation skin pocket aicd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,630.68 | $521.27 – $4,331.90 |
| Arroyo Grande Hospital | Santa Maria | $2,448.16 | $423.80 – $5,605.60 |
| French Hospital | San Luis Obispo | $2,215.20 | $423.80 – $5,537.98 |
| Bakersfield Memorial Hospital | Bakersfield | $1,744.72 | $423.80 – $3,755.66 |
| Queen of The Valley Medical Center | Napa | $2,730.03 | $2,929.57 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,679.03 | $2,653.72 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,661.10 | $423.80 – $4,746.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,545.92 | $2,870.98 – $5,318.00 |