Rmvl icd gen w/rplc icd gen mlt lead sys at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,997.49
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.
$18,239.00
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.
$325.02 with United vs $63,198.18 with Prison Healthcare — 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 | $325.02 | ↓ -93% |
| United | Medicaid|< 21 | $325.02 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $357.52 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $393.45 | ↓ -92% |
| Molina | Medicaid|All Plans | $611.04 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $617.75 | ↓ -88% |
| Health Net | Medicaid|All Plans | $744.30 | ↓ -85% |
| California Health & Wellness | Medicaid|All Plans | $744.30 | ↓ -85% |
| Partnership Health Plan | Medicaid|All Plans | $1,397.59 | ↓ -72% |
| WCMG | Commercial|All Plans | $2,006.29 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↓ -11% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +13% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +15% |
| Western Health Advantage | Commercial|All Plans | $6,383.65 | ↑ +28% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +44% |
| Kaiser | Medicaid|All Plans | $7,477.99 | ↑ +50% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +51% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +66% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +66% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +66% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +67% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +76% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +80% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +81% |
| Kaiser | Commercial|All Plans | $9,849.06 | ↑ +97% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +152% |
| Healthsmart | Commercial|All Plans | $13,679.25 | ↑ +174% |
| First Health | Commercial|All Plans | $13,679.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $14,591.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $15,138.37 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $17,199.38 | ↑ +244% |
| United | Commercial|All Other Plans | $18,239.00 | ↑ +265% |
| Molina | Medicare|All Plans | $18,239.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $18,239.00 | ↑ +265% |
| Humana | Commercial|All Plans | $18,239.00 | ↑ +265% |
| Humana | Medicare|All Plans | $18,239.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $18,239.00 | ↑ +265% |
| United | Commercial|Options PPO | $18,239.00 | ↑ +265% |
| United | Commercial|HMO | $18,239.00 | ↑ +265% |
| United | Medicare|All Plans | $18,239.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $18,239.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $18,786.17 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $20,062.90 | ↑ +301% |
| BlueShield | Medicare|Trauma | $22,798.75 | ↑ +356% |
| Health Net | Commercial|EPPO | $27,970.00 | ↑ +460% |
| Blue Shield CA | Medicare|HMO | $42,132.12 | ↑ +743% |
| Kaiser | Medicare|All Plans | $42,132.12 | ↑ +743% |
| Health Net | Commercial|FFS | $50,742.00 | ↑ +915% |
| Prison Healthcare | Medicaid|All Plans | $63,198.18 | ↑ +1165% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $29,632.89 | $491.72 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $39,735.10 | $325.02 – $90,982.22 |
| French Hospital | San Luis Obispo | $37,120.44 | $325.02 – $92,801.10 |
| Bakersfield Memorial Hospital | Bakersfield | $29,764.07 | $325.02 – $64,069.79 |
| Queen of The Valley Medical Center | Napa | $58,773.42 | $6,200.00 – $126,547.00 |
| Providence St Joseph Hospital Eureka | Eureka | $37,077.00 | $7,809.00 – $126,547.00 |
| Redwood Memorial Hospital | Fortuna | $59,601.66 | $8,005.00 – $126,547.00 |
| St. Joseph's Medical Center Stockton | Stockton | $19,630.97 | $325.02 – $56,088.48 |