System cardiomems hosp electronics at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$32,567.64
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.
$118,860.00
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.
$2,584.45 with WCMG vs $95,287.95 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 | $2,584.45 | ↓ -92% |
| Western Health Advantage | Commercial|All Plans | $8,223.25 | ↓ -75% |
| Kaiser | Medicaid|All Plans | $9,632.95 | ↓ -70% |
| Health Net | Medicaid|All Plans | $11,747.50 | ↓ -64% |
| California Health & Wellness | Medicaid|All Plans | $11,747.50 | ↓ -64% |
| Kaiser | Commercial|All Plans | $12,687.30 | ↓ -61% |
| Healthsmart | Commercial|All Plans | $17,621.25 | ↓ -46% |
| First Health | Commercial|All Plans | $17,621.25 | ↓ -46% |
| Sutter Health | Commercial|All Plans | $18,796.00 | ↓ -42% |
| MultiPlan | Commercial|All Plans | $19,500.85 | ↓ -40% |
| Kaiser | Medicare|All Plans | $22,594.05 | ↓ -31% |
| United | Commercial|Options PPO | $23,495.00 | ↓ -28% |
| United | Commercial|HMO | $23,495.00 | ↓ -28% |
| United | Commercial|Non-Options PPO | $23,495.00 | ↓ -28% |
| United | Commercial|All Other Plans | $23,495.00 | ↓ -28% |
| BCBS - Anthem | Medicaid|All Plans | $23,576.40 | ↓ -28% |
| Partnership Health Plan | Medicaid|All Plans | $24,558.75 | ↓ -25% |
| Molina | Medicaid|All Plans | $25,541.10 | ↓ -22% |
| Health Net | Commercial|EPPO | $38,311.65 | ↑ +18% |
| Cigna | Commercial|LocalPlus | $39,294.00 | ↑ +21% |
| Cigna | Commercial|All Other Plans | $52,064.55 | ↑ +60% |
| Blue Shield CA | Commercial|ACO Trio | $63,852.75 | ↑ +96% |
| Health Net | Commercial|FFS | $69,746.85 | ↑ +114% |
| BCBS - Anthem | Commercial|Connection EPO | $76,623.30 | ↑ +135% |
| Blue Shield CA | Commercial|Exchange | $80,552.70 | ↑ +147% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $80,552.70 | ↑ +147% |
| Aetna | Commercial|PPO | $83,499.75 | ↑ +156% |
| Aetna | Commercial|HMO | $83,499.75 | ↑ +156% |
| Aetna | Commercial|All Other Plans | $83,499.75 | ↑ +156% |
| Blue Shield CA | Commercial|PPO Tandem | $88,411.50 | ↑ +171% |
| Blue Shield CA | Commercial|HMO | $88,411.50 | ↑ +171% |
| Blue Shield CA | Commercial|PPO | $88,411.50 | ↑ +171% |
| Blue Shield CA | Commercial|CalPers | $90,376.20 | ↑ +178% |
| BCBS - Anthem | Commercial|MCS | $95,287.95 | ↑ +193% |
| BCBS - Anthem | Commercial|All Other Plans | $95,287.95 | ↑ +193% |
Visitor-reported prices
Comments
System cardiomems hosp electronics at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $20,580.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $20,580.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $19,110.00 | not published |
| Riverside Medical Center | RIVERSIDE | $19,110.00 | not published |
| Sacramento Medical Center | SACRAMENTO | $20,580.00 | not published |
| Oakland Medical Center | Oakland | $20,580.00 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $20,580.00 | not published |
| Petaluma Valley Hospital | Petaluma | $72,374.00 | not published |