Sarscov & inf vir a&b ag ia at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$55.63
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.
$203.00
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.
$22.33 with WCMG vs $203.00 with Aetna — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $22.33 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $62.93 | ↑ +13% |
| United | Medicaid|> 21 | $63.59 | ↑ +14% |
| Partnership Health Plan | Medicaid|All Plans | $63.59 | ↑ +14% |
| United | Medicaid|< 21 | $63.59 | ↑ +14% |
| BCBS - Anthem | Medicare|All Other Plans | $66.28 | ↑ +19% |
| Hill Physicians | Medicaid|All Plans | $69.95 | ↑ +26% |
| United | Medicare|All Plans | $70.29 | ↑ +26% |
| Blue Shield CA | Medicare|HMO | $70.29 | ↑ +26% |
| Kaiser | Medicare|All Plans | $70.29 | ↑ +26% |
| Humana | Medicare|All Plans | $70.29 | ↑ +26% |
| Humana | Commercial|All Plans | $70.29 | ↑ +26% |
| Aetna | Medicare|All Plans | $70.29 | ↑ +26% |
| Hill Physicians | Commercial|All Plans | $70.29 | ↑ +26% |
| Molina | Medicare|All Plans | $70.29 | ↑ +26% |
| Blue Shield CA | Medicare|PPO | $70.29 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $71.05 | ↑ +28% |
| BCBS - Anthem | Medicare|Imperial | $72.40 | ↑ +30% |
| BrightHealth | Commercial|All Plans | $77.32 | ↑ +39% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $81.20 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $83.23 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $85.26 | ↑ +53% |
| BlueShield | Medicare|Trauma | $87.86 | ↑ +58% |
| United | Commercial|Options PPO | $88.34 | ↑ +59% |
| United | Commercial|All Other Plans | $88.34 | ↑ +59% |
| United | Commercial|HMO | $88.34 | ↑ +59% |
| United | Commercial|Non-Options PPO | $88.34 | ↑ +59% |
| Prison Healthcare | Medicaid|All Plans | $105.44 | ↑ +90% |
| Kaiser | Commercial|All Plans | $109.62 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $111.65 | ↑ +101% |
| Molina | Medicaid|All Plans | $119.55 | ↑ +115% |
| Blue Shield CA | Commercial|HMO | $119.77 | ↑ +115% |
| BCBS - Anthem | Medicaid|All Plans | $120.82 | ↑ +117% |
| Blue Shield CA | Commercial|CalPers | $125.86 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $133.98 | ↑ +141% |
| California Health & Wellness | Medicaid|All Plans | $145.62 | ↑ +162% |
| Health Net | Medicaid|All Plans | $145.62 | ↑ +162% |
| Healthsmart | Commercial|All Plans | $152.25 | ↑ +174% |
| First Health | Commercial|All Plans | $152.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $162.40 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $162.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $168.49 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $203.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $203.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $203.00 | ↑ +265% |
| Aetna | Commercial|HMO | $203.00 | ↑ +265% |
| Aetna | Commercial|PPO | $203.00 | ↑ +265% |
Visitor-reported prices
Comments
Sarscov & inf vir a&b ag ia at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $138.85 | $70.29 – $247.26 |
| Arroyo Grande Hospital | Santa Maria | $142.10 | $63.59 – $217.56 |
| Mark Twain Medical Center | San Andreas | $187.82 | $63.59 – $276.36 |
| French Hospital | San Luis Obispo | $130.15 | $59.94 – $217.56 |
| Mercy Hospitals – Bakersfield | Bakersfield | $65.30 | $63.59 – $153.25 |
| Bakersfield Memorial Hospital | Bakersfield | $64.60 | $63.59 – $139.04 |
| St. Joseph's Behavioral Health Center | Stockton | $161.03 | $28.20 – $225.60 |
| Healdsburg Hospital | Healdsburg | $57.12 | $70.29 – $252.07 |