Rmvl pm gen w/rplc pm gen mlt lead sys at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,224.81
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.
$15,419.00
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.
$301.56 with United vs $37,592.11 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 | $301.56 | ↓ -93% |
| United | Medicaid|< 21 | $301.56 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $331.72 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $364.53 | ↓ -91% |
| Molina | Medicaid|All Plans | $566.93 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $572.81 | ↓ -86% |
| Health Net | Medicaid|All Plans | $690.57 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $690.57 | ↓ -84% |
| Partnership Health Plan | Medicaid|All Plans | $1,296.71 | ↓ -69% |
| WCMG | Commercial|All Plans | $1,696.09 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +5% |
| Western Health Advantage | Commercial|All Plans | $5,396.65 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +34% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +36% |
| Kaiser | Medicaid|All Plans | $6,321.79 | ↑ +50% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +71% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +78% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +96% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +96% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +96% |
| Kaiser | Commercial|All Plans | $8,326.26 | ↑ +97% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +98% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +109% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +113% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +115% |
| Healthsmart | Commercial|All Plans | $11,564.25 | ↑ +174% |
| First Health | Commercial|All Plans | $11,564.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $12,335.20 | ↑ +192% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $12,797.77 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $14,540.12 | ↑ +244% |
| Humana | Commercial|All Plans | $15,419.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $15,419.00 | ↑ +265% |
| United | Commercial|Options PPO | $15,419.00 | ↑ +265% |
| United | Commercial|HMO | $15,419.00 | ↑ +265% |
| United | Medicare|All Plans | $15,419.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $15,419.00 | ↑ +265% |
| United | Commercial|All Other Plans | $15,419.00 | ↑ +265% |
| Molina | Medicare|All Plans | $15,419.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $15,419.00 | ↑ +265% |
| Humana | Medicare|All Plans | $15,419.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $15,881.57 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $16,960.90 | ↑ +301% |
| Health Net | Commercial|EPPO | $18,858.00 | ↑ +346% |
| BlueShield | Medicare|Trauma | $19,273.75 | ↑ +356% |
| Kaiser | Medicare|All Plans | $25,061.41 | ↑ +493% |
| Blue Shield CA | Medicare|HMO | $25,061.41 | ↑ +493% |
| Health Net | Commercial|FFS | $34,212.00 | ↑ +710% |
| Prison Healthcare | Medicaid|All Plans | $37,592.11 | ↑ +790% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen mlt lead sys at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $13,385.72 | $456.23 – $46,866.74 |
| Arroyo Grande Hospital | Santa Maria | $11,848.33 | $301.48 – $27,129.34 |
| French Hospital | San Luis Obispo | $11,048.92 | $301.48 – $27,622.28 |
| Bakersfield Memorial Hospital | Bakersfield | $11,195.34 | $301.56 – $24,231.82 |
| Queen of The Valley Medical Center | Napa | $28,650.27 | $6,200.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $21,022.20 | $7,809.00 – $89,248.00 |
| Redwood Memorial Hospital | Fortuna | $33,793.62 | $8,005.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,393.68 | $301.48 – $32,553.36 |