Rf abltj nrv nrvtg si jt at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,466.73
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.
$5,353.00
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.
$200.88 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $200.88 | ↓ -86% |
| United | Medicaid|< 21 | $456.44 | ↓ -69% |
| United | Medicaid|> 21 | $456.44 | ↓ -69% |
| Hill Physicians | Medicaid|All Plans | $502.08 | ↓ -66% |
| WCMG | Commercial|All Plans | $588.83 | ↓ -60% |
| Molina | Medicaid|All Plans | $858.11 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $867.90 | ↓ -41% |
| Health Net | Medicaid|All Plans | $1,045.25 | ↓ -29% |
| California Health & Wellness | Medicaid|All Plans | $1,045.25 | ↓ -29% |
| Western Health Advantage | Commercial|All Plans | $1,873.55 | ↑ +28% |
| Partnership Health Plan | Medicaid|All Plans | $1,962.69 | ↑ +34% |
| Kaiser | Medicaid|All Plans | $2,194.73 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $2,419.87 | ↑ +65% |
| Kaiser | Medicare|All Plans | $2,566.14 | ↑ +75% |
| Humana | Medicare|All Plans | $2,566.14 | ↑ +75% |
| Humana | Commercial|All Plans | $2,566.14 | ↑ +75% |
| Aetna | Medicare|All Plans | $2,566.14 | ↑ +75% |
| Molina | Medicare|All Plans | $2,566.14 | ↑ +75% |
| United | Medicare|All Plans | $2,566.14 | ↑ +75% |
| Blue Shield CA | Medicare|PPO | $2,566.14 | ↑ +75% |
| Blue Shield CA | Medicare|HMO | $2,566.14 | ↑ +75% |
| BCBS - Anthem | Medicare|Imperial | $2,643.12 | ↑ +80% |
| BrightHealth | Commercial|All Plans | $2,822.75 | ↑ +92% |
| Kaiser | Commercial|All Plans | $2,890.62 | ↑ +97% |
| BlueShield | Medicare|Trauma | $3,207.67 | ↑ +119% |
| Prison Healthcare | Medicaid|All Plans | $3,849.21 | ↑ +162% |
| Healthsmart | Commercial|All Plans | $4,014.75 | ↑ +174% |
| First Health | Commercial|All Plans | $4,014.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,282.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,442.99 | ↑ +203% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +245% |
| United | Commercial|Options PPO | $5,353.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $5,353.00 | ↑ +265% |
| United | Commercial|HMO | $5,353.00 | ↑ +265% |
| United | Commercial|All Other Plans | $5,353.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +340% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +346% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +392% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +484% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +487% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +514% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +552% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +587% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +606% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +606% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +606% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +607% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +760% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +960% |
Visitor-reported prices
Comments
Rf abltj nrv nrvtg si jt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3,300.03 | $153.41 – $581.14 |
| Northridge Hospital Medical Center | Northridge | $1,889.39 | $456.44 – $6,772.00 |
| California Hospital Medical Center | Los Angeles | $2,705.33 | $410.80 – $4,406.62 |
| Mercy General Hospital | Sacramento | $1,166.96 | $200.88 – $4,282.40 |
| Mercy Hospital of Folsom | Folsom | $2,082.32 | $200.88 – $4,389.46 |
| Woodland Memorial Hospital | Woodland | $1,466.73 | $456.44 – $5,353.00 |
| Methodist Hospital of Sacramento | Sacramento | $1,541.67 | $200.88 – $4,442.99 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $2,825.90 | $1,747.00 – $15,243.00 |