Revasc lithotrip-stent-ather at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$16,343.83
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.
$59,649.00
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.
$1,745.00 with BCBS - Anthem vs $59,649.00 with United — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $1,745.00 | ↓ -89% |
| Molina | Medicaid|All Plans | $2,504.00 | ↓ -85% |
| WCMG | Commercial|All Plans | $6,561.39 | ↓ -60% |
| Aetna | Commercial|All Other Plans | $11,393.00 | ↓ -30% |
| Aetna | Commercial|PPO | $11,393.00 | ↓ -30% |
| Aetna | Commercial|HMO | $11,393.00 | ↓ -30% |
| BCBS - Anthem | Commercial|Connection EPO | $13,725.00 | ↓ -16% |
| BCBS - Anthem | Commercial|All Other Plans | $17,156.00 | ↑ +5% |
| Western Health Advantage | Commercial|All Plans | $20,877.15 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $22,251.90 | ↑ +36% |
| Humana | Medicare|All Plans | $23,596.93 | ↑ +44% |
| Aetna | Medicare|All Plans | $23,596.93 | ↑ +44% |
| Kaiser | Medicare|All Plans | $23,596.93 | ↑ +44% |
| Humana | Commercial|All Plans | $23,596.93 | ↑ +44% |
| Molina | Medicare|All Plans | $23,596.93 | ↑ +44% |
| United | Medicare|All Plans | $23,596.93 | ↑ +44% |
| Blue Shield CA | Medicare|PPO | $23,596.93 | ↑ +44% |
| Blue Shield CA | Medicare|HMO | $23,596.93 | ↑ +44% |
| BCBS - Anthem | Commercial|MCS | $24,018.00 | ↑ +47% |
| BCBS - Anthem | Medicare|Imperial | $24,304.84 | ↑ +49% |
| Kaiser | Medicaid|All Plans | $24,456.09 | ↑ +50% |
| BrightHealth | Commercial|All Plans | $25,956.62 | ↑ +59% |
| BlueShield | Medicare|Trauma | $29,496.16 | ↑ +80% |
| California Health & Wellness | Medicaid|All Plans | $29,824.50 | ↑ +82% |
| Health Net | Medicaid|All Plans | $29,824.50 | ↑ +82% |
| Kaiser | Commercial|All Plans | $32,210.46 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $35,395.39 | ↑ +117% |
| Healthsmart | Commercial|All Plans | $44,736.75 | ↑ +174% |
| First Health | Commercial|All Plans | $44,736.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $47,719.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $49,508.67 | ↑ +203% |
| United | Commercial|Options PPO | $59,649.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $59,649.00 | ↑ +265% |
| United | Commercial|All Other Plans | $59,649.00 | ↑ +265% |
| United | Commercial|HMO | $59,649.00 | ↑ +265% |
Visitor-reported prices
Comments
Revasc lithotrip-stent-ather at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $28,296.12 | $17,442.81 – $50,390.34 |
| Arroyo Grande Hospital | Santa Maria | $28,166.26 | $22,815.81 – $64,492.82 |
| French Hospital | San Luis Obispo | $25,797.13 | $17,768.43 – $64,492.82 |
| Bakersfield Memorial Hospital | Bakersfield | $19,111.16 | $22,815.81 – $41,138.46 |
| Queen of The Valley Medical Center | Napa | $26,408.31 | $9,256.00 – $32,162.00 |
| Providence St Joseph Hospital Eureka | Eureka | $18,127.95 | $11,046.00 – $31,625.00 |
| St. Joseph's Medical Center Stockton | Stockton | $21,280.02 | $15,009.96 – $60,039.84 |
| Mercy Medical Center Merced | Merced | $28,950.73 | $22,815.81 – $55,652.85 |