Splint rstrc wrst/cmc right med at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$34.53
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.
$126.00
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.
$7.15 with WCMG vs $63.05 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $7.15 | ↓ -79% |
| Kaiser | Medicaid|All Plans | $14.95 | ↓ -57% |
| Kaiser | Commercial|All Plans | $14.95 | ↓ -57% |
| Kaiser | Medicare|All Plans | $14.95 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $15.60 | ↓ -55% |
| Partnership Health Plan | Medicaid|All Plans | $16.25 | ↓ -53% |
| Molina | Medicaid|All Plans | $16.90 | ↓ -51% |
| Health Net | Medicaid|All Plans | $18.20 | ↓ -47% |
| California Health & Wellness | Medicaid|All Plans | $18.20 | ↓ -47% |
| United | Medicaid|< 21 | $22.26 | ↓ -36% |
| United | Medicaid|> 21 | $22.26 | ↓ -36% |
| Hill Physicians | Medicaid|All Plans | $24.49 | ↓ -29% |
| Health Net | Commercial|EPPO | $25.35 | ↓ -27% |
| Cigna | Commercial|LocalPlus | $26.00 | ↓ -25% |
| United | Commercial|Non-Options PPO | $33.80 | ↓ -2% |
| Cigna | Commercial|All Other Plans | $34.45 | ↓ -0% |
| United | Commercial|Options PPO | $36.40 | ↑ +5% |
| United | Commercial|HMO | $36.40 | ↑ +5% |
| United | Commercial|All Other Plans | $36.40 | ↑ +5% |
| Blue Shield CA | Commercial|ACO Trio | $42.25 | ↑ +22% |
| Western Health Advantage | Commercial|All Plans | $42.25 | ↑ +22% |
| Health Net | Commercial|FFS | $46.15 | ↑ +34% |
| First Health | Commercial|All Plans | $48.75 | ↑ +41% |
| Healthsmart | Commercial|All Plans | $48.75 | ↑ +41% |
| BCBS - Anthem | Commercial|Connection EPO | $50.70 | ↑ +47% |
| Sutter Health | Commercial|All Plans | $52.00 | ↑ +51% |
| Blue Shield CA | Commercial|Exchange | $53.30 | ↑ +54% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $53.30 | ↑ +54% |
| MultiPlan | Commercial|All Plans | $53.95 | ↑ +56% |
| Aetna | Commercial|HMO | $55.25 | ↑ +60% |
| Aetna | Commercial|All Other Plans | $55.25 | ↑ +60% |
| Aetna | Commercial|PPO | $55.25 | ↑ +60% |
| Blue Shield CA | Commercial|HMO | $58.50 | ↑ +69% |
| Blue Shield CA | Commercial|PPO | $58.50 | ↑ +69% |
| Blue Shield CA | Commercial|PPO Tandem | $58.50 | ↑ +69% |
| Blue Shield CA | Commercial|CalPers | $59.80 | ↑ +73% |
| BCBS - Anthem | Commercial|MCS | $63.05 | ↑ +83% |
| BCBS - Anthem | Commercial|All Other Plans | $63.05 | ↑ +83% |
Visitor-reported prices
Comments
Splint rstrc wrst/cmc right med at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $99.04 | not published |
| Arroyo Grande Hospital | Santa Maria | $67.63 | $22.26 – $88.20 |
| French Hospital | San Luis Obispo | $61.94 | $17.10 – $88.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $37.10 | $22.26 – $90.00 |
| Bakersfield Memorial Hospital | Bakersfield | $36.70 | $22.26 – $97.00 |
| Queen of The Valley Medical Center | Napa | $73.24 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $84.19 | not published |
| Healdsburg Hospital | Healdsburg | $63.38 | not published |