Rmvl pq vad left hrt vein sep session at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,322.80
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.
$12,127.00
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.
$166.05 with United vs $25,760.00 with Blue Shield CA — 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 | $166.05 | ↓ -95% |
| United | Medicaid|> 21 | $166.05 | ↓ -95% |
| Hill Physicians | Commercial|All Plans | $176.41 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $182.66 | ↓ -95% |
| Molina | Medicaid|All Plans | $312.17 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $315.50 | ↓ -91% |
| Health Net | Medicaid|All Plans | $380.25 | ↓ -89% |
| California Health & Wellness | Medicaid|All Plans | $380.25 | ↓ -89% |
| Partnership Health Plan | Medicaid|All Plans | $714.02 | ↓ -79% |
| WCMG | Commercial|All Plans | $1,333.97 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $4,244.45 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,972.07 | ↑ +50% |
| Kaiser | Commercial|All Plans | $6,548.58 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $9,095.25 | ↑ +174% |
| First Health | Commercial|All Plans | $9,095.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $9,701.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $10,065.41 | ↑ +203% |
| Blue Shield CA | Commercial|ACO Trio | $12,017.00 | ↑ +262% |
| United | Commercial|Non-Options PPO | $12,127.00 | ↑ +265% |
| United | Commercial|Options PPO | $12,127.00 | ↑ +265% |
| United | Commercial|HMO | $12,127.00 | ↑ +265% |
| United | Commercial|All Other Plans | $12,127.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $13,725.00 | ↑ +313% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,321.00 | ↑ +361% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +399% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +399% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +399% |
| Blue Shield CA | Commercial|Exchange | $16,616.00 | ↑ +400% |
| BCBS - Anthem | Commercial|All Other Plans | $17,156.00 | ↑ +416% |
| Blue Shield CA | Commercial|PPO Tandem | $21,425.00 | ↑ +545% |
| Blue Shield CA | Commercial|HMO | $22,719.00 | ↑ +584% |
| Blue Shield CA | Commercial|CalPers | $23,919.00 | ↑ +620% |
| BCBS - Anthem | Commercial|MCS | $24,018.00 | ↑ +623% |
| Blue Shield CA | Commercial|PPO | $25,760.00 | ↑ +675% |
Visitor-reported prices
Comments
Rmvl pq vad left hrt vein sep session at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,474.75 | $251.22 – $2,626.26 |
| Arroyo Grande Hospital | Santa Maria | $520.88 | $166.05 – $1,192.66 |
| French Hospital | San Luis Obispo | $477.07 | $166.05 – $1,132.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,993.76 | $166.05 – $4,782.86 |
| Bakersfield Memorial Hospital | Bakersfield | $1,972.26 | $166.05 – $5,320.26 |
| Queen of The Valley Medical Center | Napa | $379.95 | $9,256.00 – $16,265.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,115.08 | $10,413.00 – $16,974.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,887.78 | $166.05 – $5,393.64 |