Trauma partial team response w/critical care services level 4 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$6,193.77
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.
$22,605.00
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.
$1,639.67 with BCBS - Anthem vs $22,605.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $1,639.67 | ↓ -74% |
| Kaiser | Medicare|All Plans | $1,738.78 | ↓ -72% |
| Aetna | Medicare|All Plans | $1,738.78 | ↓ -72% |
| Humana | Commercial|All Plans | $1,738.78 | ↓ -72% |
| Molina | Medicare|All Plans | $1,738.78 | ↓ -72% |
| United | Medicare|All Plans | $1,738.78 | ↓ -72% |
| Blue Shield CA | Medicare|PPO | $1,738.78 | ↓ -72% |
| Blue Shield CA | Medicare|HMO | $1,738.78 | ↓ -72% |
| Humana | Medicare|All Plans | $1,738.78 | ↓ -72% |
| BCBS - Anthem | Medicare|Imperial | $1,790.94 | ↓ -71% |
| BrightHealth | Commercial|All Plans | $1,912.66 | ↓ -69% |
| BlueShield | Medicare|Trauma | $2,173.47 | ↓ -65% |
| WCMG | Commercial|All Plans | $2,486.55 | ↓ -60% |
| Prison Healthcare | Medicaid|All Plans | $2,608.17 | ↓ -58% |
| Western Health Advantage | Commercial|All Plans | $7,911.75 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $9,268.05 | ↑ +50% |
| BCBS - Anthem | Medicaid|All Plans | $10,699.00 | ↑ +73% |
| Partnership Health Plan | Medicaid|All Plans | $10,699.00 | ↑ +73% |
| Molina | Medicaid|All Plans | $11,220.00 | ↑ +81% |
| Blue Shield CA | Commercial|ACO Trio | $11,980.65 | ↑ +93% |
| California Health & Wellness | Medicaid|All Plans | $12,831.00 | ↑ +107% |
| Health Net | Medicaid|All Plans | $12,831.00 | ↑ +107% |
| Health Net | Commercial|EPPO | $12,884.85 | ↑ +108% |
| United | Commercial|Options PPO | $14,467.20 | ↑ +134% |
| United | Commercial|All Other Plans | $14,467.20 | ↑ +134% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,145.35 | ↑ +145% |
| Cigna | Commercial|LocalPlus | $15,145.35 | ↑ +145% |
| BCBS - Anthem | Commercial|Connection EPO | $15,371.40 | ↑ +148% |
| Blue Shield CA | Commercial|Exchange | $15,823.50 | ↑ +155% |
| Kaiser | Commercial|All Plans | $16,727.70 | ↑ +170% |
| First Health | Commercial|All Plans | $16,953.75 | ↑ +174% |
| Aetna | Commercial|PPO | $18,084.00 | ↑ +192% |
| Aetna | Commercial|HMO | $18,084.00 | ↑ +192% |
| Aetna | Commercial|All Other Plans | $18,084.00 | ↑ +192% |
| Blue Shield CA | Commercial|PPO Tandem | $18,762.15 | ↑ +203% |
| MultiPlan | Commercial|All Plans | $18,762.15 | ↑ +203% |
| Sutter Health | Commercial|All Plans | $19,214.25 | ↑ +210% |
| BCBS - Anthem | Commercial|All Other Plans | $19,214.25 | ↑ +210% |
| Cigna | Commercial|All Other Plans | $20,118.45 | ↑ +225% |
| Healthsmart | Commercial|All Plans | $20,344.50 | ↑ +228% |
| Blue Shield CA | Commercial|HMO | $20,344.50 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $20,344.50 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $20,796.60 | ↑ +236% |
| United | Commercial|HMO | $22,378.95 | ↑ +261% |
| BCBS - Anthem | Commercial|MCS | $22,605.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $22,605.00 | ↑ +265% |
| Health Net | Commercial|FFS | $22,605.00 | ↑ +265% |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $12,658.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $12,658.80 | not published |
| Sacramento Medical Center | SACRAMENTO | $12,658.80 | not published |
| Oakland Medical Center | Oakland | $12,658.80 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $12,658.80 | not published |
| Arroyo Grande Hospital | Santa Maria | $5,941.07 | $1,681.22 – $13,603.38 |
| French Hospital | San Luis Obispo | $5,441.36 | $1,681.22 – $12,833.10 |
| Queen of The Valley Medical Center | Napa | $40,295.10 | $1,892.55 – $1,892.55 |