Ther/proph/diag inj ia at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$219.20
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.
?
What you pay up front if you don't use insurance.
$800.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.25 with United vs $4,671.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | Medicaid|> 21 | $18.25 | ↓ -92% |
| United | Medicaid|< 21 | $18.25 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $20.45 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $22.19 | ↓ -90% |
| Molina | Medicaid|All Plans | $29.89 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $30.21 | ↓ -86% |
| Health Net | Medicaid|All Plans | $46.19 | ↓ -79% |
| California Health & Wellness | Medicaid|All Plans | $46.19 | ↓ -79% |
| Partnership Health Plan | Medicaid|All Plans | $68.37 | ↓ -69% |
| Aetna | Commercial|HMO | $77.61 | ↓ -65% |
| Aetna | Commercial|All Other Plans | $77.61 | ↓ -65% |
| Aetna | Commercial|PPO | $77.61 | ↓ -65% |
| WCMG | Commercial|All Plans | $83.60 | ↓ -62% |
| BCBS - Anthem | Medicare|All Other Plans | $261.09 | ↑ +19% |
| Western Health Advantage | Commercial|All Plans | $266.00 | ↑ +21% |
| Humana | Commercial|All Plans | $276.87 | ↑ +26% |
| Molina | Medicare|All Plans | $276.87 | ↑ +26% |
| United | Medicare|All Plans | $276.87 | ↑ +26% |
| Aetna | Medicare|All Plans | $276.87 | ↑ +26% |
| Humana | Medicare|All Plans | $276.87 | ↑ +26% |
| Blue Shield CA | Medicare|PPO | $276.87 | ↑ +26% |
| Blue Shield CA | Medicare|HMO | $276.87 | ↑ +26% |
| Kaiser | Medicare|All Plans | $276.87 | ↑ +26% |
| BCBS - Anthem | Medicare|Imperial | $285.18 | ↑ +30% |
| BrightHealth | Commercial|All Plans | $304.56 | ↑ +39% |
| Kaiser | Medicaid|All Plans | $311.60 | ↑ +42% |
| BlueShield | Medicare|Trauma | $346.09 | ↑ +58% |
| Blue Shield CA | Commercial|ACO Trio | $387.60 | ↑ +77% |
| Kaiser | Commercial|All Plans | $410.40 | ↑ +87% |
| Prison Healthcare | Medicaid|All Plans | $415.31 | ↑ +89% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $494.00 | ↑ +125% |
| Cigna | Commercial|LocalPlus | $501.60 | ↑ +129% |
| Blue Shield CA | Commercial|Exchange | $516.80 | ↑ +136% |
| First Health | Commercial|All Plans | $570.00 | ↑ +160% |
| Healthsmart | Commercial|All Plans | $570.00 | ↑ +160% |
| Blue Shield CA | Commercial|PPO Tandem | $608.00 | ↑ +177% |
| Sutter Health | Commercial|All Plans | $608.00 | ↑ +177% |
| MultiPlan | Commercial|All Plans | $630.80 | ↑ +188% |
| Cigna | Commercial|All Other Plans | $668.80 | ↑ +205% |
| Blue Shield CA | Commercial|PPO | $684.00 | ↑ +212% |
| Blue Shield CA | Commercial|HMO | $684.00 | ↑ +212% |
| Blue Shield CA | Commercial|CalPers | $699.20 | ↑ +219% |
| BCBS - Anthem | Commercial|MCS | $760.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $760.00 | ↑ +247% |
| BCBS - Anthem | Commercial|Connection EPO | $760.00 | ↑ +247% |
| United | Commercial|HMO | $760.00 | ↑ +247% |
| United | Commercial|Options PPO | $800.00 | ↑ +265% |
| United | Commercial|All Other Plans | $800.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $4,671.00 | ↑ +2031% |
Visitor-reported prices
Comments
Ther/proph/diag inj ia at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $239.59 | $22.45 – $1,951.00 |
| Petaluma Valley Hospital | Petaluma | $419.22 | $286.64 – $292.49 |
| French Hospital | San Luis Obispo | $429.64 | $18.25 – $1,654.00 |
| Bakersfield Memorial Hospital | Bakersfield | $136.90 | $18.25 – $12,607.00 |
| Queen of The Valley Medical Center | Napa | $400.86 | $302.01 – $302.01 |
| Providence St Joseph Hospital Eureka | Eureka | $393.72 | $273.57 – $273.57 |
| Healdsburg Hospital | Healdsburg | $210.63 | $286.58 – $286.58 |
| Redwood Memorial Hospital | Fortuna | $263.67 | not published |