Reposition pm/icd lead at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,611.60
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.
$13,181.00
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.
$151.15 with United vs $35,580.00 with Blue Shield CA — 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 | $151.15 | ↓ -96% |
| United | Medicaid|> 21 | $151.15 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $166.26 | ↓ -95% |
| Molina | Medicaid|All Plans | $284.16 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $287.24 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $303.38 | ↓ -92% |
| California Health & Wellness | Medicaid|All Plans | $346.13 | ↓ -90% |
| Health Net | Medicaid|All Plans | $346.13 | ↓ -90% |
| Partnership Health Plan | Medicaid|All Plans | $649.95 | ↓ -82% |
| WCMG | Commercial|All Plans | $1,449.91 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↑ +8% |
| United | Medicare|All Plans | $4,136.13 | ↑ +15% |
| Humana | Medicare|All Plans | $4,136.13 | ↑ +15% |
| Aetna | Medicare|All Plans | $4,136.13 | ↑ +15% |
| Molina | Medicare|All Plans | $4,136.13 | ↑ +15% |
| Humana | Commercial|All Plans | $4,136.13 | ↑ +15% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +15% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +15% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↑ +15% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↑ +18% |
| BrightHealth | Commercial|All Plans | $4,549.74 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $4,613.35 | ↑ +28% |
| BlueShield | Medicare|Trauma | $5,170.16 | ↑ +43% |
| Kaiser | Medicaid|All Plans | $5,404.21 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +72% |
| Kaiser | Commercial|All Plans | $7,117.74 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +100% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +129% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +129% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +129% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +150% |
| Healthsmart | Commercial|All Plans | $9,885.75 | ↑ +174% |
| First Health | Commercial|All Plans | $9,885.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $10,544.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $10,940.23 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +249% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +254% |
| United | Commercial|All Other Plans | $13,181.00 | ↑ +265% |
| United | Commercial|HMO | $13,181.00 | ↑ +265% |
| United | Commercial|Options PPO | $13,181.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $13,181.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $16,598.00 | ↑ +360% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $21,162.00 | ↑ +486% |
| Blue Shield CA | Commercial|Exchange | $22,950.00 | ↑ +535% |
| Blue Shield CA | Commercial|PPO Tandem | $29,592.00 | ↑ +719% |
| Blue Shield CA | Commercial|HMO | $31,379.00 | ↑ +769% |
| Blue Shield CA | Commercial|CalPers | $33,036.00 | ↑ +815% |
| Blue Shield CA | Commercial|PPO | $35,580.00 | ↑ +885% |
Visitor-reported prices
Comments
Reposition pm/icd lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,354.25 | $228.67 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $3,820.33 | $151.15 – $8,747.48 |
| French Hospital | San Luis Obispo | $3,570.73 | $151.15 – $8,926.82 |
| Bakersfield Memorial Hospital | Bakersfield | $2,430.28 | $151.15 – $5,231.38 |
| Queen of The Valley Medical Center | Napa | $4,098.36 | $4,483.19 – $22,465.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,231.36 | $4,061.05 – $23,444.00 |
| Redwood Memorial Hospital | Fortuna | $5,193.84 | $8,222.00 – $36,398.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,651.70 | $151.15 – $4,719.12 |