Rmvl perm pm pulse gen at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,823.85
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.
$10,306.00
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.
$178.58 with United vs $23,066.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $178.58 | ↓ -94% |
| United | Medicaid|> 21 | $178.58 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $233.43 | ↓ -92% |
| Molina | Medicaid|All Plans | $292.57 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $309.65 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $424.12 | ↓ -85% |
| California Health & Wellness | Medicaid|All Plans | $644.64 | ↓ -77% |
| Health Net | Medicaid|All Plans | $644.64 | ↓ -77% |
| Partnership Health Plan | Medicaid|All Plans | $959.85 | ↓ -66% |
| WCMG | Commercial|All Plans | $1,133.66 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $3,607.10 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,225.46 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +79% |
| Kaiser | Commercial|All Plans | $5,565.24 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +128% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +132% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +155% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +157% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +157% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +157% |
| First Health | Commercial|All Plans | $7,729.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $7,729.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $8,244.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $8,553.98 | ↑ +203% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +205% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +219% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +239% |
| BCBS - Anthem | Medicare|All Other Plans | $9,718.56 | ↑ +244% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +257% |
| United | Commercial|Options PPO | $10,306.00 | ↑ +265% |
| United | Commercial|HMO | $10,306.00 | ↑ +265% |
| Humana | Medicare|All Plans | $10,306.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $10,306.00 | ↑ +265% |
| Molina | Medicare|All Plans | $10,306.00 | ↑ +265% |
| United | Commercial|All Other Plans | $10,306.00 | ↑ +265% |
| United | Medicare|All Plans | $10,306.00 | ↑ +265% |
| Humana | Commercial|All Plans | $10,306.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $10,306.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $10,306.00 | ↑ +265% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +267% |
| BCBS - Anthem | Medicare|Imperial | $10,615.18 | ↑ +276% |
| Kaiser | Medicare|All Plans | $10,875.47 | ↑ +285% |
| Blue Shield CA | Medicare|HMO | $10,875.47 | ↑ +285% |
| BrightHealth | Commercial|All Plans | $11,336.60 | ↑ +301% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +347% |
| Health Net | Commercial|EPPO | $12,714.00 | ↑ +350% |
| BlueShield | Medicare|Trauma | $12,882.50 | ↑ +356% |
| Prison Healthcare | Medicaid|All Plans | $16,313.20 | ↑ +478% |
| Health Net | Commercial|FFS | $23,066.00 | ↑ +717% |
Visitor-reported prices
Comments
Rmvl perm pm pulse gen at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,352.85 | $219.65 – $19,876.00 |
| Arroyo Grande Hospital | Santa Maria | $4,276.58 | $178.58 – $9,992.00 |
| French Hospital | San Luis Obispo | $3,916.87 | $178.58 – $9,992.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,017.55 | $178.58 – $10,515.46 |
| Queen of The Valley Medical Center | Napa | $15,247.47 | $6,200.00 – $46,622.00 |
| Providence St Joseph Hospital Eureka | Eureka | $9,209.58 | $8,018.00 – $46,622.00 |
| Redwood Memorial Hospital | Fortuna | $14,804.28 | $8,222.00 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,926.96 | $178.58 – $11,741.96 |