Rmvl tv pm lead dual at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,972.36
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.
$10,848.00
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.
$371.26 with United 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $371.26 | ↓ -88% |
| United | Medicaid|> 21 | $371.26 | ↓ -88% |
| Molina | Medicaid|All Plans | $608.24 | ↓ -80% |
| Hill Physicians | Commercial|All Plans | $622.22 | ↓ -79% |
| Hill Physicians | Medicaid|All Plans | $643.76 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $881.73 | ↓ -70% |
| WCMG | Commercial|All Plans | $1,193.28 | ↓ -60% |
| Health Net | Medicaid|All Plans | $1,340.20 | ↓ -55% |
| California Health & Wellness | Medicaid|All Plans | $1,340.20 | ↓ -55% |
| Partnership Health Plan | Medicaid|All Plans | $1,995.51 | ↓ -33% |
| Western Health Advantage | Commercial|All Plans | $3,796.80 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,447.68 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $4,509.80 | ↑ +52% |
| United | Medicare|All Plans | $4,782.40 | ↑ +61% |
| Blue Shield CA | Medicare|PPO | $4,782.40 | ↑ +61% |
| Blue Shield CA | Medicare|HMO | $4,782.40 | ↑ +61% |
| Aetna | Medicare|All Plans | $4,782.40 | ↑ +61% |
| Humana | Commercial|All Plans | $4,782.40 | ↑ +61% |
| Kaiser | Medicare|All Plans | $4,782.40 | ↑ +61% |
| Humana | Medicare|All Plans | $4,782.40 | ↑ +61% |
| Molina | Medicare|All Plans | $4,782.40 | ↑ +61% |
| BCBS - Anthem | Medicare|Imperial | $4,925.87 | ↑ +66% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +70% |
| BrightHealth | Commercial|All Plans | $5,260.64 | ↑ +77% |
| Kaiser | Commercial|All Plans | $5,857.92 | ↑ +97% |
| BlueShield | Medicare|Trauma | $5,978.00 | ↑ +101% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +117% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +120% |
| Prison Healthcare | Medicaid|All Plans | $7,173.60 | ↑ +141% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +143% |
| First Health | Commercial|All Plans | $8,136.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $8,136.00 | ↑ +174% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +188% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +189% |
| Sutter Health | Commercial|All Plans | $8,678.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $9,003.84 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +203% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +222% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +239% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +249% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +249% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +249% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +249% |
| United | Commercial|Options PPO | $10,848.00 | ↑ +265% |
| United | Commercial|HMO | $10,848.00 | ↑ +265% |
| United | Commercial|All Other Plans | $10,848.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $10,848.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +324% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +423% |
Visitor-reported prices
Comments
Rmvl tv pm lead dual at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,656.43 | $456.65 – $8,410.84 |
| Arroyo Grande Hospital | Santa Maria | $4,190.98 | $371.26 – $9,596.16 |
| French Hospital | San Luis Obispo | $3,799.66 | $371.26 – $9,499.14 |
| Bakersfield Memorial Hospital | Bakersfield | $5,584.28 | $371.26 – $12,020.64 |
| Queen of The Valley Medical Center | Napa | $6,435.18 | $5,305.96 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,886.71 | $4,806.35 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,343.37 | $371.26 – $9,552.48 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,202.00 | $3,423.00 – $11,377.00 |