Repos sq defib eltrd 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.
$344.75 with United vs $15,552.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $344.75 | — |
| United | Medicaid|> 21 | $344.75 | — |
| Hill Physicians | Medicaid|All Plans | $379.22 | — |
| Hill Physicians | Commercial|All Plans | $390.98 | — |
| Molina | Medicaid|All Plans | $648.13 | — |
| BCBS - Anthem | Medicaid|All Plans | $655.03 | — |
| Health Net | Medicaid|All Plans | $789.48 | — |
| California Health & Wellness | Medicaid|All Plans | $789.48 | — |
| Partnership Health Plan | Medicaid|All Plans | $1,482.43 | — |
| BCBS - Anthem | Medicare|All Other Plans | $4,509.80 | — |
| Molina | Medicare|All Plans | $4,782.40 | — |
| Humana | Medicare|All Plans | $4,782.40 | — |
| Humana | Commercial|All Plans | $4,782.40 | — |
| Aetna | Medicare|All Plans | $4,782.40 | — |
| Kaiser | Medicare|All Plans | $4,782.40 | — |
| Blue Shield CA | Medicare|PPO | $4,782.40 | — |
| United | Medicare|All Plans | $4,782.40 | — |
| Blue Shield CA | Medicare|HMO | $4,782.40 | — |
| BCBS - Anthem | Medicare|Imperial | $4,925.87 | — |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | — |
| BrightHealth | Commercial|All Plans | $5,260.64 | — |
| BlueShield | Medicare|Trauma | $5,978.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | — |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | — |
| Prison Healthcare | Medicaid|All Plans | $7,173.60 | — |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | — |
| Aetna | Commercial|HMO | $8,286.00 | — |
| Aetna | Commercial|PPO | $8,286.00 | — |
| Aetna | Commercial|All Other Plans | $8,286.00 | — |
| Health Net | Commercial|EPPO | $8,573.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | — |
| Blue Shield CA | Commercial|HMO | $9,566.00 | — |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | — |
| Blue Shield CA | Commercial|PPO | $10,363.00 | — |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | — |
| Health Net | Commercial|FFS | $15,552.00 | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|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 | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Repos sq defib eltrd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,274.49 | $521.57 – $8,410.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,974.72 | $4,085.40 – $8,891.76 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,053.80 | $1,747.00 – $10,353.00 |
| California Hospital Medical Center | Los Angeles | $4,776.28 | $310.27 – $7,779.92 |
| Providence Saint Joseph Medical Center | Burbank | $3,168.90 | $1,747.00 – $10,302.00 |
| St Jude Medical Center | Fullerton | $2,925.60 | $4,085.40 – $8,891.76 |
| Providence St Joseph Hospital Orange | Orange | $3,580.80 | $4,085.40 – $9,230.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $2,936.85 | $1,747.00 – $20,383.00 |