Removal devitalized tissue non-selective debridement without anesthesia per session at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$95.36
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.
$348.00
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.
$38.28 with WCMG vs $6,853.00 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 | $38.28 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $121.80 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $142.68 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio | $184.44 | ↑ +93% |
| Cigna | Commercial|LocalPlus | $229.68 | ↑ +141% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $233.16 | ↑ +145% |
| BCBS - Anthem | Medicare|All Other Plans | $246.23 | ↑ +158% |
| Kaiser | Commercial|All Plans | $254.04 | ↑ +166% |
| Healthsmart | Commercial|All Plans | $261.00 | ↑ +174% |
| First Health | Commercial|All Plans | $261.00 | ↑ +174% |
| Humana | Medicare|All Plans | $261.11 | ↑ +174% |
| Blue Shield CA | Medicare|HMO | $261.11 | ↑ +174% |
| Aetna | Medicare|All Plans | $261.11 | ↑ +174% |
| Molina | Medicare|All Plans | $261.11 | ↑ +174% |
| United | Medicare|All Plans | $261.11 | ↑ +174% |
| Blue Shield CA | Medicare|PPO | $261.11 | ↑ +174% |
| Kaiser | Medicare|All Plans | $261.11 | ↑ +174% |
| Humana | Commercial|All Plans | $261.11 | ↑ +174% |
| BCBS - Anthem | Medicare|Imperial | $268.94 | ↑ +182% |
| Blue Shield CA | Commercial|Exchange | $271.44 | ↑ +185% |
| Aetna | Commercial|HMO | $274.92 | ↑ +188% |
| Aetna | Commercial|PPO | $274.92 | ↑ +188% |
| Aetna | Commercial|All Other Plans | $274.92 | ↑ +188% |
| Sutter Health | Commercial|All Plans | $278.40 | ↑ +192% |
| BrightHealth | Commercial|All Plans | $287.22 | ↑ +201% |
| Blue Shield CA | Commercial|PPO Tandem | $288.84 | ↑ +203% |
| MultiPlan | Commercial|All Plans | $288.84 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $306.24 | ↑ +221% |
| Blue Shield CA | Commercial|PPO | $313.20 | ↑ +228% |
| Blue Shield CA | Commercial|HMO | $313.20 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $320.16 | ↑ +236% |
| BlueShield | Medicare|Trauma | $326.39 | ↑ +242% |
| California Health & Wellness | Medicaid|All Plans | $332.00 | ↑ +248% |
| Health Net | Medicaid|All Plans | $332.00 | ↑ +248% |
| Prison Healthcare | Medicaid|All Plans | $391.67 | ↑ +311% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +3256% |
| United | Commercial|HMO | $5,775.00 | ↑ +5956% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +5987% |
| United | Commercial|Non-Options PPO | $5,908.00 | ↑ +6095% |
| United | Commercial|Options PPO | $6,853.00 | ↑ +7086% |
| United | Commercial|All Other Plans | $6,853.00 | ↑ +7086% |
Visitor-reported prices
Comments
Removal devitalized tissue non-selective debridement without anesthesia per session at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $175.64 | $90.18 – $453.26 |
| Banner Lassen Medical Center | Susanville | $168.92 | $39.74 – $234.74 |
| Petaluma Valley Hospital | Petaluma | $365.67 | $270.38 – $275.89 |
| Arroyo Grande Hospital | Santa Maria | $237.54 | $229.50 – $449.82 |
| Mark Twain Medical Center | San Andreas | $153.18 | $51.23 – $194.04 |
| French Hospital | San Luis Obispo | $217.56 | $136.35 – $494.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $170.29 | $123.93 – $376.38 |
| Bakersfield Memorial Hospital | Bakersfield | $187.17 | $252.47 – $438.00 |