Transcath occlusion non-cns at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,400.69
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.
$5,112.00
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.
$562.32 with WCMG vs $28,092.00 with Health Net — 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 | $562.32 | ↓ -60% |
| United | Medicaid|< 21 | $778.40 | ↓ -44% |
| United | Medicaid|> 21 | $778.40 | ↓ -44% |
| Hill Physicians | Commercial|All Plans | $870.48 | ↓ -38% |
| Molina | Medicaid|All Plans | $1,275.26 | ↓ -9% |
| Hill Physicians | Medicaid|All Plans | $1,349.73 | ↓ -4% |
| Western Health Advantage | Commercial|All Plans | $1,789.20 | ↑ +28% |
| BCBS - Anthem | Medicaid|All Plans | $1,848.70 | ↑ +32% |
| Kaiser | Medicaid|All Plans | $2,095.92 | ↑ +50% |
| Kaiser | Commercial|All Plans | $2,760.48 | ↑ +97% |
| Health Net | Medicaid|All Plans | $2,809.90 | ↑ +101% |
| California Health & Wellness | Medicaid|All Plans | $2,809.90 | ↑ +101% |
| Healthsmart | Commercial|All Plans | $3,834.00 | ↑ +174% |
| First Health | Commercial|All Plans | $3,834.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,089.60 | ↑ +192% |
| Partnership Health Plan | Medicaid|All Plans | $4,183.89 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $4,242.96 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $4,820.62 | ↑ +244% |
| Blue Shield CA | Medicare|PPO | $5,112.00 | ↑ +265% |
| Humana | Medicare|All Plans | $5,112.00 | ↑ +265% |
| Humana | Commercial|All Plans | $5,112.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $5,112.00 | ↑ +265% |
| Molina | Medicare|All Plans | $5,112.00 | ↑ +265% |
| United | Commercial|All Other Plans | $5,112.00 | ↑ +265% |
| United | Medicare|All Plans | $5,112.00 | ↑ +265% |
| United | Commercial|HMO | $5,112.00 | ↑ +265% |
| United | Commercial|Options PPO | $5,112.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $5,112.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $5,265.36 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $5,623.20 | ↑ +301% |
| BlueShield | Medicare|Trauma | $6,390.00 | ↑ +356% |
| Blue Shield CA | Commercial|ACO Trio | $12,333.00 | ↑ +780% |
| BCBS - Anthem | Commercial|Connection EPO | $12,886.00 | ↑ +820% |
| Aetna | Commercial|PPO | $14,501.00 | ↑ +935% |
| Aetna | Commercial|HMO | $14,501.00 | ↑ +935% |
| Aetna | Commercial|All Other Plans | $14,501.00 | ↑ +935% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +964% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +964% |
| Health Net | Commercial|EPPO | $15,484.00 | ↑ +1005% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,724.00 | ↑ +1023% |
| BCBS - Anthem | Commercial|All Other Plans | $16,107.00 | ↑ +1050% |
| Blue Shield CA | Commercial|Exchange | $17,053.00 | ↑ +1117% |
| Blue Shield CA | Commercial|PPO Tandem | $21,988.00 | ↑ +1470% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +1496% |
| BCBS - Anthem | Commercial|MCS | $22,550.00 | ↑ +1510% |
| Blue Shield CA | Commercial|HMO | $23,316.00 | ↑ +1565% |
| Blue Shield CA | Commercial|CalPers | $24,547.00 | ↑ +1652% |
| Blue Shield CA | Commercial|PPO | $26,437.00 | ↑ +1787% |
| Health Net | Commercial|FFS | $28,092.00 | ↑ +1906% |
Visitor-reported prices
Comments
Transcath occlusion non-cns at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,865.61 | $957.43 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $10,952.52 | $778.40 – $25,078.20 |
| French Hospital | San Luis Obispo | $10,031.28 | $778.40 – $25,078.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $15,981.94 | $778.40 – $34,462.40 |
| Bakersfield Memorial Hospital | Bakersfield | $16,545.10 | $778.40 – $35,614.78 |
| St. Joseph's Medical Center Stockton | Stockton | $11,063.22 | $778.40 – $27,336.96 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,329.60 | $12,620.59 – $27,468.35 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $12,224.72 | $1,323.28 – $15,398.74 |