Removal tunnled intprtnl cath at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,060.04
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.
$11,168.00
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.
$212.90 with Hill Physicians vs $12,770.00 with Health Net — 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 | $212.90 | ↓ -93% |
| United | Medicaid|< 21 | $361.00 | ↓ -88% |
| United | Medicaid|> 21 | $361.00 | ↓ -88% |
| Molina | Medicaid|All Plans | $591.43 | ↓ -81% |
| Hill Physicians | Medicaid|All Plans | $625.98 | ↓ -80% |
| BCBS - Anthem | Medicaid|All Plans | $857.38 | ↓ -72% |
| WCMG | Commercial|All Plans | $1,181.18 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $1,303.17 | ↓ -57% |
| Health Net | Medicaid|All Plans | $1,303.17 | ↓ -57% |
| Partnership Health Plan | Medicaid|All Plans | $1,940.37 | ↓ -37% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +8% |
| Western Health Advantage | Commercial|All Plans | $3,758.30 | ↑ +23% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +27% |
| United | Medicare|All Plans | $4,136.13 | ↑ +35% |
| Humana | Medicare|All Plans | $4,136.13 | ↑ +35% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +35% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +35% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +35% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +35% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +35% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +35% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +38% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +39% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +40% |
| Kaiser | Medicaid|All Plans | $4,402.58 | ↑ +44% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +49% |
| BlueShield | Medicare|Trauma | $5,170.16 | ↑ +69% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +69% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +69% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +69% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +84% |
| Kaiser | Commercial|All Plans | $5,798.52 | ↑ +89% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +103% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +104% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +115% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +121% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +136% |
| First Health | Commercial|All Plans | $8,053.50 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $8,053.50 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $8,590.40 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $8,912.54 | ↑ +191% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +194% |
| United | Commercial|HMO | $10,738.00 | ↑ +251% |
| United | Commercial|Options PPO | $10,738.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $10,738.00 | ↑ +251% |
| United | Commercial|All Other Plans | $10,738.00 | ↑ +251% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +312% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +317% |
Visitor-reported prices
Comments
Removal tunnled intprtnl cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,994.22 | $444.03 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $3,776.25 | $361.00 – $8,646.54 |
| Mark Twain Medical Center | San Andreas | $681.32 | $264.66 – $1,002.54 |
| French Hospital | San Luis Obispo | $3,458.62 | $361.00 – $8,646.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,408.75 | $361.00 – $7,350.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,372.00 | $361.00 – $7,258.52 |
| Providence St Joseph Hospital Eureka | Eureka | $4,796.04 | $4,061.05 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $5,906.46 | $361.00 – $8,437.80 |