Resp virus 6-11 targets at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$200.30
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.
$731.00
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.
$80.41 with WCMG vs $731.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $80.41 | ↓ -60% |
| United | Medicaid|> 21 | $154.59 | ↓ -23% |
| Partnership Health Plan | Medicaid|All Plans | $154.59 | ↓ -23% |
| United | Medicaid|< 21 | $154.59 | ↓ -23% |
| Hill Physicians | Medicaid|All Plans | $170.05 | ↓ -15% |
| BCBS - Anthem | Medicare|All Other Plans | $205.63 | ↑ +3% |
| United | Medicare|All Plans | $218.06 | ↑ +9% |
| Kaiser | Medicare|All Plans | $218.06 | ↑ +9% |
| Humana | Medicare|All Plans | $218.06 | ↑ +9% |
| Humana | Commercial|All Plans | $218.06 | ↑ +9% |
| Aetna | Medicare|All Plans | $218.06 | ↑ +9% |
| Hill Physicians | Commercial|All Plans | $218.06 | ↑ +9% |
| Molina | Medicare|All Plans | $218.06 | ↑ +9% |
| Blue Shield CA | Medicare|PPO | $218.06 | ↑ +9% |
| Blue Shield CA | Medicare|HMO | $218.06 | ↑ +9% |
| BCBS - Anthem | Medicare|Imperial | $224.60 | ↑ +12% |
| Blue Shield CA | Commercial|ACO Trio | $226.61 | ↑ +13% |
| BrightHealth | Commercial|All Plans | $239.87 | ↑ +20% |
| Western Health Advantage | Commercial|All Plans | $255.85 | ↑ +28% |
| United | Commercial|Options PPO | $261.67 | ↑ +31% |
| United | Commercial|All Other Plans | $261.67 | ↑ +31% |
| United | Commercial|HMO | $261.67 | ↑ +31% |
| United | Commercial|Non-Options PPO | $261.67 | ↑ +31% |
| BlueShield | Medicare|Trauma | $272.57 | ↑ +36% |
| Molina | Medicaid|All Plans | $290.63 | ↑ +45% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $292.40 | ↑ +46% |
| BCBS - Anthem | Medicaid|All Plans | $293.72 | ↑ +47% |
| Kaiser | Medicaid|All Plans | $299.71 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $307.02 | ↑ +53% |
| Prison Healthcare | Medicaid|All Plans | $327.09 | ↑ +63% |
| Health Net | Medicaid|All Plans | $354.01 | ↑ +77% |
| California Health & Wellness | Medicaid|All Plans | $354.01 | ↑ +77% |
| Kaiser | Commercial|All Plans | $394.74 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $402.05 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $431.29 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $453.22 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $482.46 | ↑ +141% |
| Cigna | Commercial|LocalPlus | $482.91 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $548.25 | ↑ +174% |
| First Health | Commercial|All Plans | $548.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $584.80 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $584.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $606.73 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $643.92 | ↑ +221% |
| Aetna | Commercial|PPO | $731.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $731.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $731.00 | ↑ +265% |
| Aetna | Commercial|HMO | $731.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $731.00 | ↑ +265% |
Visitor-reported prices
Comments
Resp virus 6-11 targets at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $67.72 | $41.75 – $578.58 |
| Banner Lassen Medical Center | Susanville | $314.15 | $43.61 – $546.11 |
| Arroyo Grande Hospital | Santa Maria | $321.43 | $77.30 – $561.86 |
| Mark Twain Medical Center | San Andreas | $102.97 | $83.69 – $154.60 |
| French Hospital | San Luis Obispo | $294.40 | $41.75 – $660.51 |
| Mercy Hospitals – Bakersfield | Bakersfield | $57.36 | $77.30 – $626.63 |
| Bakersfield Memorial Hospital | Bakersfield | $56.74 | $77.30 – $626.63 |
| St. Joseph's Behavioral Health Center | Stockton | $88.28 | $15.46 – $123.68 |