Trnscath plc stent crv crtd without prtct at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,322.05
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.
$4,825.00
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.
$530.75 with WCMG vs $22,550.00 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 | $530.75 | ↓ -60% |
| United | Medicaid|> 21 | $588.23 | ↓ -56% |
| United | Medicaid|< 21 | $588.23 | ↓ -56% |
| Hill Physicians | Medicaid|All Plans | $647.05 | ↓ -51% |
| Molina | Medicaid|All Plans | $1,105.87 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $1,117.64 | ↓ -15% |
| California Health & Wellness | Medicaid|All Plans | $1,347.05 | ↑ +2% |
| Health Net | Medicaid|All Plans | $1,347.05 | ↑ +2% |
| Western Health Advantage | Commercial|All Plans | $1,688.75 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,978.25 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $2,529.39 | ↑ +91% |
| Kaiser | Commercial|All Plans | $2,605.50 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $3,618.75 | ↑ +174% |
| First Health | Commercial|All Plans | $3,618.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,860.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,004.75 | ↑ +203% |
| United | Commercial|HMO | $4,825.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $4,825.00 | ↑ +265% |
| United | Commercial|Options PPO | $4,825.00 | ↑ +265% |
| United | Commercial|All Other Plans | $4,825.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +527% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +527% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +527% |
| Blue Shield CA | Commercial|ACO Trio | $10,207.00 | ↑ +672% |
| BCBS - Anthem | Commercial|Connection EPO | $12,886.00 | ↑ +875% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,013.00 | ↑ +884% |
| Blue Shield CA | Commercial|Exchange | $14,112.00 | ↑ +967% |
| BCBS - Anthem | Commercial|All Other Plans | $16,107.00 | ↑ +1118% |
| Blue Shield CA | Commercial|PPO Tandem | $18,197.00 | ↑ +1276% |
| Blue Shield CA | Commercial|HMO | $19,296.00 | ↑ +1360% |
| Blue Shield CA | Commercial|CalPers | $20,315.00 | ↑ +1437% |
| Blue Shield CA | Commercial|PPO | $21,879.00 | ↑ +1555% |
| BCBS - Anthem | Commercial|MCS | $22,550.00 | ↑ +1606% |
Visitor-reported prices
Comments
Trnscath plc stent crv crtd without prtct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,657.65 | $889.93 – $10,075.26 |
| Redwood City Medical Center | Redwood City | $6,165.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $6,165.60 | not published |
| Sacramento Medical Center | SACRAMENTO | $6,165.60 | not published |
| Oakland Medical Center | Oakland | $6,165.60 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $6,165.60 | not published |
| Bakersfield Memorial Hospital | Bakersfield | $11,899.98 | $588.23 – $32,100.75 |
| St. Joseph's Medical Center Stockton | Stockton | $9,589.11 | $588.23 – $27,397.44 |