Rpl non-tun cvc wo sbq prt/pmp at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,217.76
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.
$8,094.00
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.
$63.17 with Hill Physicians vs $8,609.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $63.17 | ↓ -97% |
| United | Medicaid|< 21 | $82.47 | ↓ -96% |
| United | Medicaid|> 21 | $82.47 | ↓ -96% |
| Hill Physicians | Medicaid|All Plans | $99.67 | ↓ -96% |
| Molina | Medicaid|All Plans | $135.08 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $136.55 | ↓ -94% |
| Health Net | Medicaid|All Plans | $207.50 | ↓ -91% |
| California Health & Wellness | Medicaid|All Plans | $207.50 | ↓ -91% |
| Partnership Health Plan | Medicaid|All Plans | $308.96 | ↓ -86% |
| WCMG | Commercial|All Plans | $890.34 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $1,925.02 | ↓ -13% |
| Molina | Medicare|All Plans | $2,041.38 | ↓ -8% |
| Humana | Medicare|All Plans | $2,041.38 | ↓ -8% |
| Humana | Commercial|All Plans | $2,041.38 | ↓ -8% |
| Aetna | Medicare|All Plans | $2,041.38 | ↓ -8% |
| Kaiser | Medicare|All Plans | $2,041.38 | ↓ -8% |
| United | Medicare|All Plans | $2,041.38 | ↓ -8% |
| Blue Shield CA | Medicare|PPO | $2,041.38 | ↓ -8% |
| Blue Shield CA | Medicare|HMO | $2,041.38 | ↓ -8% |
| BCBS - Anthem | Medicare|Imperial | $2,102.62 | ↓ -5% |
| BrightHealth | Commercial|All Plans | $2,245.52 | ↑ +1% |
| BlueShield | Medicare|Trauma | $2,551.73 | ↑ +15% |
| Western Health Advantage | Commercial|All Plans | $2,832.90 | ↑ +28% |
| Prison Healthcare | Medicaid|All Plans | $3,062.07 | ↑ +38% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +49% |
| Kaiser | Medicaid|All Plans | $3,318.54 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +90% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +93% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +93% |
| Kaiser | Commercial|All Plans | $4,370.76 | ↑ +97% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +114% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +133% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +133% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +133% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +141% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +154% |
| Healthsmart | Commercial|All Plans | $6,070.50 | ↑ +174% |
| First Health | Commercial|All Plans | $6,070.50 | ↑ +174% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +182% |
| Sutter Health | Commercial|All Plans | $6,475.20 | ↑ +192% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +197% |
| MultiPlan | Commercial|All Plans | $6,718.02 | ↑ +203% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +206% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +237% |
| United | Commercial|HMO | $8,094.00 | ↑ +265% |
| United | Commercial|All Other Plans | $8,094.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $8,094.00 | ↑ +265% |
| United | Commercial|Options PPO | $8,094.00 | ↑ +265% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +288% |
Visitor-reported prices
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Rpl non-tun cvc wo sbq prt/pmp at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,335.90 | $101.44 – $3,734.50 |
| Petaluma Valley Hospital | Petaluma | $3,012.57 | $1,921.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,834.41 | $82.47 – $3,604.44 |
| Mark Twain Medical Center | San Andreas | $1,808.19 | $82.47 – $2,660.70 |
| French Hospital | San Luis Obispo | $1,680.12 | $82.47 – $3,776.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,889.51 | $82.47 – $4,074.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,869.14 | $82.47 – $1,973.80 |
| Queen of The Valley Medical Center | Napa | $3,349.68 | $2,235.08 – $6,200.00 |