Replace aortic valve open iliac 33364 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
not published by hospital
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.
not published by hospital
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.
$1,279.82 with Hill Physicians vs $58,040.00 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 | $1,279.82 | — |
| United | Medicaid|> 21 | $1,302.31 | — |
| United | Medicaid|< 21 | $1,302.31 | — |
| Hill Physicians | Medicaid|All Plans | $1,432.54 | — |
| Molina | Medicaid|All Plans | $2,448.34 | — |
| BCBS - Anthem | Medicaid|All Plans | $2,474.39 | — |
| Health Net | Medicaid|All Plans | $2,982.29 | — |
| California Health & Wellness | Medicaid|All Plans | $2,982.29 | — |
| Partnership Health Plan | Medicaid|All Plans | $5,599.93 | — |
| Blue Shield CA | Commercial|ACO Trio | $12,333.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,724.00 | — |
| Aetna | Commercial|All Other Plans | $16,573.00 | — |
| Aetna | Commercial|HMO | $16,573.00 | — |
| Aetna | Commercial|PPO | $16,573.00 | — |
| Blue Shield CA | Commercial|Exchange | $17,053.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $21,988.00 | — |
| Blue Shield CA | Commercial|HMO | $23,316.00 | — |
| Blue Shield CA | Commercial|CalPers | $24,547.00 | — |
| Blue Shield CA | Commercial|PPO | $26,437.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $33,166.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $41,457.00 | — |
| BCBS - Anthem | Commercial|MCS | $58,040.00 | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Replace aortic valve open iliac 33364 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $48,468.01 | $1,302.31 – $110,978.14 |
| French Hospital | San Luis Obispo | $43,059.64 | $1,302.31 – $107,649.08 |
| Bakersfield Memorial Hospital | Bakersfield | $48,246.56 | $1,302.31 – $130,147.38 |
| St. Joseph's Medical Center Stockton | Stockton | $10,215.92 | $1,302.31 – $29,188.32 |
| Mercy Medical Center Merced | Merced | $69,210.85 | $1,302.31 – $133,046.10 |
| Northridge Hospital Medical Center | Northridge | $19,786.68 | $1,302.31 – $70,920.00 |
| Providence Saint Joseph Medical Center | Burbank | $15,949.50 | $1,807.00 – $14,712.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $23,856.00 | $1,821.00 – $12,583.00 |