Trnscath plc vas stent w/s&i ea addl vein at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,331.47
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.
$8,509.00
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.
$127.33 with United vs $12,814.00 with Blue Shield CA — 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $127.33 | ↓ -95% |
| United | Medicaid|> 21 | $127.33 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $140.06 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $141.99 | ↓ -94% |
| Molina | Medicaid|All Plans | $239.38 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $241.93 | ↓ -90% |
| Health Net | Medicaid|All Plans | $291.59 | ↓ -87% |
| California Health & Wellness | Medicaid|All Plans | $291.59 | ↓ -87% |
| Partnership Health Plan | Medicaid|All Plans | $547.52 | ↓ -77% |
| WCMG | Commercial|All Plans | $909.26 | ↓ -61% |
| Western Health Advantage | Commercial|All Plans | $2,893.10 | ↑ +24% |
| Kaiser | Medicaid|All Plans | $3,389.06 | ↑ +45% |
| Kaiser | Commercial|All Plans | $4,463.64 | ↑ +91% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +122% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +122% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +122% |
| Healthsmart | Commercial|All Plans | $6,199.50 | ↑ +166% |
| First Health | Commercial|All Plans | $6,199.50 | ↑ +166% |
| Blue Shield CA | Commercial|ACO Trio | $6,260.00 | ↑ +169% |
| Sutter Health | Commercial|All Plans | $6,612.80 | ↑ +184% |
| MultiPlan | Commercial|All Plans | $6,860.78 | ↑ +194% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +209% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7,977.00 | ↑ +242% |
| Blue Shield CA | Commercial|Exchange | $8,094.00 | ↑ +247% |
| United | Commercial|Non-Options PPO | $8,266.00 | ↑ +255% |
| United | Commercial|Options PPO | $8,266.00 | ↑ +255% |
| United | Commercial|HMO | $8,266.00 | ↑ +255% |
| United | Commercial|All Other Plans | $8,266.00 | ↑ +255% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +286% |
| Blue Shield CA | Commercial|PPO Tandem | $10,639.00 | ↑ +356% |
| Blue Shield CA | Commercial|HMO | $11,829.00 | ↑ +407% |
| Blue Shield CA | Commercial|CalPers | $12,452.00 | ↑ +434% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +441% |
| Blue Shield CA | Commercial|PPO | $12,814.00 | ↑ +450% |
Visitor-reported prices
Comments
Trnscath plc vas stent w/s&i ea addl vein at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,215.43 | $192.64 – $19,972.68 |
| Redwood City Medical Center | Redwood City | $18,642.40 | not published |
| Santa Clara Medical Center | SANTA CLARA | $18,642.40 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $8,392.80 | not published |
| Riverside Medical Center | RIVERSIDE | $8,392.80 | not published |
| Sacramento Medical Center | SACRAMENTO | $18,642.40 | not published |
| Oakland Medical Center | Oakland | $18,642.40 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $18,642.40 | not published |