Sec art mech thrmbc non-intracranial add-on at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,122.06
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.
$15,044.00
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.
$228.65 with Hill Physicians vs $12,615.00 with BCBS - Anthem — 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 | $228.65 | ↓ -94% |
| WCMG | Commercial|All Plans | $873.51 | ↓ -79% |
| United | Medicaid|> 21 | $2,045.53 | ↓ -50% |
| United | Medicaid|< 21 | $2,045.53 | ↓ -50% |
| Hill Physicians | Medicaid|All Plans | $2,472.77 | ↓ -40% |
| Western Health Advantage | Commercial|All Plans | $2,779.35 | ↓ -33% |
| Kaiser | Medicaid|All Plans | $3,255.81 | ↓ -21% |
| Molina | Medicaid|All Plans | $3,351.23 | ↓ -19% |
| BCBS - Anthem | Medicaid|All Plans | $3,386.88 | ↓ -18% |
| Kaiser | Commercial|All Plans | $4,288.14 | ↑ +4% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +23% |
| Health Net | Medicaid|All Plans | $5,147.85 | ↑ +25% |
| California Health & Wellness | Medicaid|All Plans | $5,147.85 | ↑ +25% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +26% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +26% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +26% |
| First Health | Commercial|All Plans | $5,955.75 | ↑ +44% |
| Healthsmart | Commercial|All Plans | $5,955.75 | ↑ +44% |
| Sutter Health | Commercial|All Plans | $6,352.80 | ↑ +54% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +56% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $6,591.03 | ↑ +60% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +75% |
| Partnership Health Plan | Medicaid|All Plans | $7,665.05 | ↑ +86% |
| United | Commercial|HMO | $7,941.00 | ↑ +93% |
| United | Commercial|Options PPO | $7,941.00 | ↑ +93% |
| United | Commercial|Non-Options PPO | $7,941.00 | ↑ +93% |
| United | Commercial|All Other Plans | $7,941.00 | ↑ +93% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +109% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +119% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +132% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +144% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +151% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +206% |
Visitor-reported prices
Comments
Sec art mech thrmbc non-intracranial add-on at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,336.20 | $2,516.00 – $7,722.00 |
| Arroyo Grande Hospital | Santa Maria | $5,825.94 | $2,045.53 – $13,339.76 |
| French Hospital | San Luis Obispo | $5,442.92 | $2,045.53 – $13,339.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,188.44 | $2,045.53 – $11,456.97 |
| Bakersfield Memorial Hospital | Bakersfield | $4,724.40 | $2,045.53 – $12,744.27 |
| Queen of The Valley Medical Center | Napa | $1,515.72 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,055.41 | $2,699.00 – $21,319.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,745.56 | $0.80 – $4,250.00 |