Skyla, 13.5 mg at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,300.13
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.
$4,745.00
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.
$521.95 with WCMG vs $3,938.35 with MultiPlan — 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 | $521.95 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $857.48 | ↓ -34% |
| United | Medicaid|> 21 | $1,011.38 | ↓ -22% |
| United | Medicaid|< 21 | $1,011.38 | ↓ -22% |
| Partnership Health Plan | Medicaid|All Plans | $1,011.38 | ↓ -22% |
| BCBS - Anthem | Commercial|Connection EPO | $1,108.81 | ↓ -15% |
| Hill Physicians | Medicaid|All Plans | $1,112.52 | ↓ -14% |
| Blue Shield CA | Commercial|ACO Trio | $1,213.66 | ↓ -7% |
| Blue Shield CA | Commercial|PPO Tandem | $1,213.66 | ↓ -7% |
| Blue Shield CA | Commercial|CalPers | $1,213.66 | ↓ -7% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,213.66 | ↓ -7% |
| Blue Shield CA | Commercial|PPO | $1,213.66 | ↓ -7% |
| Blue Shield CA | Commercial|Exchange | $1,213.66 | ↓ -7% |
| Blue Shield CA | Commercial|HMO | $1,213.66 | ↓ -7% |
| BCBS - Anthem | Commercial|All Other Plans | $1,386.01 | ↑ +7% |
| United | Commercial|Non-Options PPO | $1,647.49 | ↑ +27% |
| Health Net | Commercial|EPPO | $1,676.00 | ↑ +29% |
| BCBS - Anthem | Medicaid|All Plans | $1,742.97 | ↑ +34% |
| Molina | Medicaid|All Plans | $1,901.39 | ↑ +46% |
| United | Commercial|All Other Plans | $1,907.17 | ↑ +47% |
| United | Commercial|HMO | $1,907.17 | ↑ +47% |
| United | Commercial|Options PPO | $1,907.17 | ↑ +47% |
| BCBS - Anthem | Commercial|MCS | $1,938.38 | ↑ +49% |
| Kaiser | Medicaid|All Plans | $1,945.45 | ↑ +50% |
| Health Net | Medicaid|All Plans | $2,316.06 | ↑ +78% |
| California Health & Wellness | Medicaid|All Plans | $2,316.06 | ↑ +78% |
| Cigna | Commercial|LocalPlus | $2,399.52 | ↑ +85% |
| Kaiser | Commercial|All Plans | $2,562.30 | ↑ +97% |
| Aetna | Commercial|PPO | $2,604.51 | ↑ +100% |
| Aetna | Commercial|All Other Plans | $2,604.51 | ↑ +100% |
| Aetna | Commercial|HMO | $2,604.51 | ↑ +100% |
| Cigna | Commercial|All Other Plans | $3,200.05 | ↑ +146% |
| Health Net | Commercial|FFS | $3,204.06 | ↑ +146% |
| Healthsmart | Commercial|All Plans | $3,558.75 | ↑ +174% |
| First Health | Commercial|All Plans | $3,558.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,796.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $3,938.35 | ↑ +203% |
Visitor-reported prices
Comments
Skyla, 13.5 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3,300.54 | $1,011.38 – $4,856.65 |
| Northridge Hospital Medical Center | Northridge | $840.63 | $602.60 – $4,642.23 |
| Mercy General Hospital | Sacramento | $1,034.41 | $832.22 – $3,796.00 |
| Mercy Hospital of Folsom | Folsom | $1,845.81 | $521.95 – $3,890.90 |
| Woodland Memorial Hospital | Woodland | $1,300.13 | $521.95 – $4,745.00 |
| Methodist Hospital of Sacramento | Sacramento | $1,366.56 | $857.48 – $2,591.26 |
| Providence Saint John's Health Center | Santa Monica | $436.84 | $1,031.61 – $2,609.37 |
| Petaluma Valley Hospital | Petaluma | not published | $865.39 – $2,609.37 |