Tib/per revasc stnt & ather at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,289.17
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.
$4,705.00
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.
$334.33 with United vs $12,814.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $334.33 | ↓ -74% |
| United | Medicaid|< 21 | $334.33 | ↓ -74% |
| Hill Physicians | Commercial|All Plans | $354.25 | ↓ -73% |
| Hill Physicians | Medicaid|All Plans | $367.76 | ↓ -71% |
| WCMG | Commercial|All Plans | $517.55 | ↓ -60% |
| Molina | Medicaid|All Plans | $628.54 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $635.55 | ↓ -51% |
| Health Net | Medicaid|All Plans | $765.62 | ↓ -41% |
| California Health & Wellness | Medicaid|All Plans | $765.62 | ↓ -41% |
| Partnership Health Plan | Medicaid|All Plans | $1,437.62 | ↑ +12% |
| Western Health Advantage | Commercial|All Plans | $1,646.75 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,929.05 | ↑ +50% |
| Kaiser | Commercial|All Plans | $2,540.70 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $3,528.75 | ↑ +174% |
| First Health | Commercial|All Plans | $3,528.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,764.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $3,905.15 | ↑ +203% |
| United | Commercial|All Other Plans | $4,705.00 | ↑ +265% |
| United | Commercial|HMO | $4,705.00 | ↑ +265% |
| United | Commercial|Options PPO | $4,705.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $4,705.00 | ↑ +265% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +302% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +302% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +302% |
| Blue Shield CA | Commercial|ACO Trio | $6,260.00 | ↑ +386% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +459% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7,977.00 | ↑ +519% |
| Blue Shield CA | Commercial|Exchange | $8,094.00 | ↑ +528% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +599% |
| Blue Shield CA | Commercial|PPO Tandem | $10,639.00 | ↑ +725% |
| Blue Shield CA | Commercial|HMO | $11,829.00 | ↑ +818% |
| Blue Shield CA | Commercial|CalPers | $12,452.00 | ↑ +866% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +879% |
| Blue Shield CA | Commercial|PPO | $12,814.00 | ↑ +894% |
Visitor-reported prices
Comments
Tib/per revasc stnt & ather at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $26,927.37 | $505.81 – $47,952.84 |
| Arroyo Grande Hospital | Santa Maria | $7,009.79 | $334.33 – $16,050.44 |
| French Hospital | San Luis Obispo | $6,420.18 | $334.33 – $15,569.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9,076.52 | $334.33 – $20,322.26 |
| Bakersfield Memorial Hospital | Bakersfield | $8,380.08 | $334.33 – $22,605.66 |
| St. Joseph's Medical Center Stockton | Stockton | $7,185.95 | $0.80 – $5,655.72 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,844.80 | $3,429.00 – $10,791.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $12,422.33 | $454.92 – $15,647.66 |