Transcath biopsy at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5,024.62
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.
$18,338.00
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.
$158.07 with United vs $17,633.00 with United — 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 | $158.07 | ↓ -97% |
| United | Medicaid|< 21 | $158.07 | ↓ -97% |
| Hill Physicians | Commercial|All Plans | $208.73 | ↓ -96% |
| Molina | Medicaid|All Plans | $258.97 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $274.10 | ↓ -95% |
| BCBS - Anthem | Medicaid|All Plans | $375.42 | ↓ -93% |
| Health Net | Medicaid|All Plans | $570.62 | ↓ -89% |
| California Health & Wellness | Medicaid|All Plans | $570.62 | ↓ -89% |
| Partnership Health Plan | Medicaid|All Plans | $849.63 | ↓ -83% |
| WCMG | Commercial|All Plans | $1,939.63 | ↓ -61% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↓ -34% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↓ -16% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↓ -15% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +12% |
| Western Health Advantage | Commercial|All Plans | $6,171.55 | ↑ +23% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +24% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +31% |
| BCBS - Anthem | Medicare|All Other Plans | $6,698.72 | ↑ +33% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +35% |
| Blue Shield CA | Medicare|HMO | $7,103.63 | ↑ +41% |
| Aetna | Medicare|All Plans | $7,103.63 | ↑ +41% |
| Blue Shield CA | Medicare|PPO | $7,103.63 | ↑ +41% |
| Molina | Medicare|All Plans | $7,103.63 | ↑ +41% |
| Humana | Commercial|All Plans | $7,103.63 | ↑ +41% |
| United | Medicare|All Plans | $7,103.63 | ↑ +41% |
| Humana | Medicare|All Plans | $7,103.63 | ↑ +41% |
| Kaiser | Medicare|All Plans | $7,103.63 | ↑ +41% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +43% |
| Kaiser | Medicaid|All Plans | $7,229.53 | ↑ +44% |
| BCBS - Anthem | Medicare|Imperial | $7,316.74 | ↑ +46% |
| BrightHealth | Commercial|All Plans | $7,813.99 | ↑ +56% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +71% |
| BlueShield | Medicare|Trauma | $8,879.54 | ↑ +77% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +79% |
| Kaiser | Commercial|All Plans | $9,521.82 | ↑ +90% |
| Aetna | Commercial|All Other Plans | $10,361.00 | ↑ +106% |
| Aetna | Commercial|HMO | $10,361.00 | ↑ +106% |
| Aetna | Commercial|PPO | $10,361.00 | ↑ +106% |
| Prison Healthcare | Medicaid|All Plans | $10,655.44 | ↑ +112% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +151% |
| First Health | Commercial|All Plans | $13,224.75 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $13,224.75 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $14,106.40 | ↑ +181% |
| MultiPlan | Commercial|All Plans | $14,635.39 | ↑ +191% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +210% |
| United | Commercial|Non-Options PPO | $17,633.00 | ↑ +251% |
| United | Commercial|Options PPO | $17,633.00 | ↑ +251% |
| United | Commercial|HMO | $17,633.00 | ↑ +251% |
| United | Commercial|All Other Plans | $17,633.00 | ↑ +251% |
Visitor-reported prices
Comments
Transcath biopsy at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,638.52 | $194.43 – $12,048.00 |
| Arroyo Grande Hospital | Santa Maria | $4,754.23 | $158.07 – $10,467.38 |
| French Hospital | San Luis Obispo | $4,354.34 | $158.07 – $10,038.14 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,838.00 | $158.07 – $6,896.80 |
| Bakersfield Memorial Hospital | Bakersfield | $3,163.91 | $158.07 – $6,868.48 |
| St. Joseph's Medical Center Stockton | Stockton | $2,775.95 | $0.80 – $4,470.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,852.36 | $2,238.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,576.96 | $5,171.00 – $13,240.19 |