Revasc lithotrip tibi/perone at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$10,609.01
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.
$38,719.00
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 $38,719.00 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 | ↓ -84% |
| Molina | Medicaid|All Plans | $2,504.00 | ↓ -76% |
| WCMG | Commercial|All Plans | $4,259.09 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $6,260.00 | ↓ -41% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7,977.00 | ↓ -25% |
| Blue Shield CA | Commercial|Exchange | $8,094.00 | ↓ -24% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↓ -2% |
| Aetna | Commercial|HMO | $10,361.00 | ↓ -2% |
| Aetna | Commercial|PPO | $10,361.00 | ↓ -2% |
| Blue Shield CA | Commercial|PPO Tandem | $10,639.00 | ↑ +0% |
| Blue Shield CA | Commercial|HMO | $11,829.00 | ↑ +11% |
| Blue Shield CA | Commercial|CalPers | $12,452.00 | ↑ +17% |
| Blue Shield CA | Commercial|PPO | $12,814.00 | ↑ +21% |
| BCBS - Anthem | Commercial|Connection EPO | $12,886.00 | ↑ +21% |
| Western Health Advantage | Commercial|All Plans | $13,551.65 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $14,053.19 | ↑ +32% |
| Molina | Medicare|All Plans | $14,902.64 | ↑ +40% |
| Humana | Medicare|All Plans | $14,902.64 | ↑ +40% |
| Aetna | Medicare|All Plans | $14,902.64 | ↑ +40% |
| Humana | Commercial|All Plans | $14,902.64 | ↑ +40% |
| United | Medicare|All Plans | $14,902.64 | ↑ +40% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +40% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +40% |
| Blue Shield CA | Medicare|PPO | $14,902.64 | ↑ +40% |
| BCBS - Anthem | Medicare|Imperial | $15,349.72 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $15,874.79 | ↑ +50% |
| BCBS - Anthem | Commercial|All Other Plans | $16,107.00 | ↑ +52% |
| BrightHealth | Commercial|All Plans | $16,392.90 | ↑ +55% |
| BlueShield | Medicare|Trauma | $18,628.30 | ↑ +76% |
| Health Net | Medicaid|All Plans | $19,359.50 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $19,359.50 | ↑ +82% |
| Kaiser | Commercial|All Plans | $20,908.26 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +111% |
| BCBS - Anthem | Commercial|MCS | $22,550.00 | ↑ +113% |
| Healthsmart | Commercial|All Plans | $29,039.25 | ↑ +174% |
| First Health | Commercial|All Plans | $29,039.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $30,975.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $32,136.77 | ↑ +203% |
| United | Commercial|Options PPO | $38,719.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $38,719.00 | ↑ +265% |
| United | Commercial|All Other Plans | $38,719.00 | ↑ +265% |
| United | Commercial|HMO | $38,719.00 | ↑ +265% |
Visitor-reported prices
Comments
Revasc lithotrip tibi/perone at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $8,787.60 | $5,417.01 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $16,134.75 | $14,409.33 – $36,944.04 |
| French Hospital | San Luis Obispo | $14,777.62 | $10,178.46 – $36,944.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $16,795.55 | $12,223.17 – $36,216.80 |
| Bakersfield Memorial Hospital | Bakersfield | $11,610.78 | $14,409.33 – $24,993.23 |
| Queen of The Valley Medical Center | Napa | $15,017.46 | $9,256.00 – $32,162.00 |
| Providence St Joseph Hospital Eureka | Eureka | $15,116.91 | $11,036.00 – $31,625.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,284.10 | $8,224.86 – $32,899.44 |