Trnscath plc stent crv crtd w/prtct at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$12,018.74
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.
$43,864.00
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.
$579.04 with WCMG vs $24,018.00 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 | $579.04 | ↓ -95% |
| United | Medicaid|> 21 | $702.78 | ↓ -94% |
| United | Medicaid|< 21 | $702.78 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $849.56 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $927.19 | ↓ -92% |
| Molina | Medicaid|All Plans | $1,151.37 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $1,163.62 | ↓ -90% |
| Health Net | Medicaid|All Plans | $1,768.64 | ↓ -85% |
| California Health & Wellness | Medicaid|All Plans | $1,768.64 | ↓ -85% |
| Western Health Advantage | Commercial|All Plans | $1,842.40 | ↓ -85% |
| Kaiser | Medicaid|All Plans | $2,158.24 | ↓ -82% |
| Partnership Health Plan | Medicaid|All Plans | $2,633.45 | ↓ -78% |
| Kaiser | Commercial|All Plans | $2,842.56 | ↓ -76% |
| Healthsmart | Commercial|All Plans | $3,948.00 | ↓ -67% |
| First Health | Commercial|All Plans | $3,948.00 | ↓ -67% |
| Sutter Health | Commercial|All Plans | $4,211.20 | ↓ -65% |
| MultiPlan | Commercial|All Plans | $4,369.12 | ↓ -64% |
| United | Commercial|All Other Plans | $5,264.00 | ↓ -56% |
| United | Commercial|HMO | $5,264.00 | ↓ -56% |
| United | Commercial|Options PPO | $5,264.00 | ↓ -56% |
| United | Commercial|Non-Options PPO | $5,264.00 | ↓ -56% |
| Aetna | Commercial|HMO | $8,286.00 | ↓ -31% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↓ -31% |
| Aetna | Commercial|PPO | $8,286.00 | ↓ -31% |
| Blue Shield CA | Commercial|ACO Trio | $10,207.00 | ↓ -15% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,013.00 | ↑ +8% |
| BCBS - Anthem | Commercial|Connection EPO | $13,725.00 | ↑ +14% |
| Blue Shield CA | Commercial|Exchange | $14,112.00 | ↑ +17% |
| BCBS - Anthem | Commercial|All Other Plans | $17,156.00 | ↑ +43% |
| Blue Shield CA | Commercial|PPO Tandem | $18,197.00 | ↑ +51% |
| Blue Shield CA | Commercial|HMO | $19,296.00 | ↑ +61% |
| Blue Shield CA | Commercial|CalPers | $20,315.00 | ↑ +69% |
| Blue Shield CA | Commercial|PPO | $21,879.00 | ↑ +82% |
| BCBS - Anthem | Commercial|MCS | $24,018.00 | ↑ +100% |
Visitor-reported prices
Comments
Trnscath plc stent crv crtd w/prtct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,657.65 | $864.42 – $10,075.26 |
| Redwood City Medical Center | Redwood City | $1,976.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $1,976.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $9,926.80 | not published |
| Riverside Medical Center | RIVERSIDE | $9,926.80 | not published |
| Sacramento Medical Center | SACRAMENTO | $1,976.80 | not published |
| Oakland Medical Center | Oakland | $1,976.80 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $1,976.80 | not published |