Thrombectomy/inf pq dialysis circuit w/pta at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$7,334.16
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.
$26,767.00
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.
$424.43 with Hill Physicians vs $35,580.00 with Blue Shield CA — 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 | $424.43 | ↓ -94% |
| United | Medicaid|> 21 | $2,072.22 | ↓ -72% |
| United | Medicaid|< 21 | $2,072.22 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $2,279.44 | ↓ -69% |
| WCMG | Commercial|All Plans | $2,569.71 | ↓ -65% |
| Molina | Medicaid|All Plans | $3,895.77 | ↓ -47% |
| BCBS - Anthem | Medicaid|All Plans | $3,937.22 | ↓ -46% |
| California Health & Wellness | Medicaid|All Plans | $4,745.38 | ↓ -35% |
| Health Net | Medicaid|All Plans | $4,745.38 | ↓ -35% |
| Western Health Advantage | Commercial|All Plans | $8,176.35 | ↑ +11% |
| Partnership Health Plan | Medicaid|All Plans | $8,910.55 | ↑ +21% |
| Kaiser | Medicaid|All Plans | $9,578.01 | ↑ +31% |
| Kaiser | Commercial|All Plans | $12,614.94 | ↑ +72% |
| BCBS - Anthem | Commercial|Connection EPO | $12,886.00 | ↑ +76% |
| BCBS - Anthem | Medicare|All Other Plans | $14,053.19 | ↑ +92% |
| Humana | Commercial|All Plans | $14,902.64 | ↑ +103% |
| Humana | Medicare|All Plans | $14,902.64 | ↑ +103% |
| Aetna | Medicare|All Plans | $14,902.64 | ↑ +103% |
| Molina | Medicare|All Plans | $14,902.64 | ↑ +103% |
| Blue Shield CA | Medicare|PPO | $14,902.64 | ↑ +103% |
| United | Medicare|All Plans | $14,902.64 | ↑ +103% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +103% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +103% |
| BCBS - Anthem | Medicare|Imperial | $15,349.72 | ↑ +109% |
| Health Net | Commercial|EPPO | $15,484.00 | ↑ +111% |
| BCBS - Anthem | Commercial|All Other Plans | $16,107.00 | ↑ +120% |
| BrightHealth | Commercial|All Plans | $16,392.90 | ↑ +124% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +126% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +126% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +126% |
| Blue Shield CA | Commercial|ACO Trio | $16,598.00 | ↑ +126% |
| Healthsmart | Commercial|All Plans | $17,520.75 | ↑ +139% |
| First Health | Commercial|All Plans | $17,520.75 | ↑ +139% |
| BlueShield | Medicare|Trauma | $18,628.30 | ↑ +154% |
| Sutter Health | Commercial|All Plans | $18,688.80 | ↑ +155% |
| MultiPlan | Commercial|All Plans | $19,389.63 | ↑ +164% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $21,162.00 | ↑ +189% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +205% |
| BCBS - Anthem | Commercial|MCS | $22,550.00 | ↑ +207% |
| Blue Shield CA | Commercial|Exchange | $22,950.00 | ↑ +213% |
| United | Commercial|All Other Plans | $23,361.00 | ↑ +219% |
| United | Commercial|Non-Options PPO | $23,361.00 | ↑ +219% |
| United | Commercial|Options PPO | $23,361.00 | ↑ +219% |
| United | Commercial|HMO | $23,361.00 | ↑ +219% |
| Health Net | Commercial|FFS | $28,092.00 | ↑ +283% |
| Blue Shield CA | Commercial|PPO Tandem | $29,592.00 | ↑ +303% |
| Blue Shield CA | Commercial|HMO | $31,379.00 | ↑ +328% |
| Blue Shield CA | Commercial|CalPers | $33,036.00 | ↑ +350% |
| Blue Shield CA | Commercial|PPO | $35,580.00 | ↑ +385% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/pta at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,267.60 | $3,135.06 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $15,353.65 | $2,072.22 – $33,749.24 |
| French Hospital | San Luis Obispo | $13,640.43 | $2,072.22 – $32,694.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11,247.24 | $2,072.22 – $19,361.60 |
| Bakersfield Memorial Hospital | Bakersfield | $11,032.76 | $2,072.22 – $19,119.58 |
| Queen of The Valley Medical Center | Napa | $18,771.57 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,046.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,929.43 | $0.80 – $19,330.08 |