Tibial length sock fx or equ at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$53.43
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.
$195.00
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.
$21.45 with WCMG vs $189.15 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 | $21.45 | ↓ -60% |
| United | Medicaid|> 21 | $26.51 | ↓ -50% |
| United | Medicaid|< 21 | $26.51 | ↓ -50% |
| Hill Physicians | Medicaid|All Plans | $29.16 | ↓ -45% |
| Molina | Medicaid|All Plans | $34.74 | ↓ -35% |
| Kaiser | Medicaid|All Plans | $44.85 | ↓ -16% |
| Kaiser | Commercial|All Plans | $44.85 | ↓ -16% |
| Kaiser | Medicare|All Plans | $44.85 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $46.80 | ↓ -12% |
| Partnership Health Plan | Medicaid|All Plans | $48.75 | ↓ -9% |
| Health Net | Medicaid|All Plans | $54.60 | ↑ +2% |
| California Health & Wellness | Medicaid|All Plans | $54.60 | ↑ +2% |
| Health Net | Commercial|EPPO | $76.05 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $78.00 | ↑ +46% |
| United | Commercial|Non-Options PPO | $101.40 | ↑ +90% |
| Cigna | Commercial|All Other Plans | $103.35 | ↑ +93% |
| United | Commercial|HMO | $109.20 | ↑ +104% |
| United | Commercial|Options PPO | $109.20 | ↑ +104% |
| United | Commercial|All Other Plans | $109.20 | ↑ +104% |
| Western Health Advantage | Commercial|All Plans | $126.75 | ↑ +137% |
| Blue Shield CA | Commercial|ACO Trio | $126.75 | ↑ +137% |
| Health Net | Commercial|FFS | $138.45 | ↑ +159% |
| Healthsmart | Commercial|All Plans | $146.25 | ↑ +174% |
| First Health | Commercial|All Plans | $146.25 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $152.10 | ↑ +185% |
| Sutter Health | Commercial|All Plans | $156.00 | ↑ +192% |
| Blue Shield CA | Commercial|Exchange | $159.90 | ↑ +199% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $159.90 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $161.85 | ↑ +203% |
| Aetna | Commercial|PPO | $165.75 | ↑ +210% |
| Aetna | Commercial|HMO | $165.75 | ↑ +210% |
| Aetna | Commercial|All Other Plans | $165.75 | ↑ +210% |
| Blue Shield CA | Commercial|HMO | $175.50 | ↑ +228% |
| Blue Shield CA | Commercial|PPO Tandem | $175.50 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $175.50 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $179.40 | ↑ +236% |
| BCBS - Anthem | Commercial|All Other Plans | $189.15 | ↑ +254% |
| BCBS - Anthem | Commercial|MCS | $189.15 | ↑ +254% |
Visitor-reported prices
Comments
Tibial length sock fx or equ at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $88.92 | $40.11 – $158.34 |
| Mercy Hospitals – Bakersfield | Bakersfield | $64.93 | $26.51 – $157.50 |
| Bakersfield Memorial Hospital | Bakersfield | $64.23 | $26.51 – $169.75 |
| St. Joseph's Medical Center Stockton | Stockton | $46.46 | $26.51 – $158.00 |
| Mercy Medical Center Merced | Merced | $54.08 | $24.15 – $100.80 |
| St. Mary Medical Center | Long Beach | $109.65 | $23.86 – $255.00 |
| Community Hospital San Bernardino | San Bernardino | $99.71 | $26.51 – $255.00 |
| Glendale Memorial Hospital Health Center | Glendale | $83.13 | $26.51 – $252.45 |