Trnscath tx thromblytc art/ven sbsq day at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$987.77
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.
$3,605.00
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.
$201.41 with United vs $12,615.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $201.41 | ↓ -80% |
| United | Medicaid|< 21 | $201.41 | ↓ -80% |
| Hill Physicians | Commercial|All Plans | $218.03 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $221.55 | ↓ -78% |
| WCMG | Commercial|All Plans | $373.56 | ↓ -62% |
| Molina | Medicaid|All Plans | $378.65 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $461.23 | ↓ -53% |
| Health Net | Medicaid|All Plans | $461.23 | ↓ -53% |
| Partnership Health Plan | Medicaid|All Plans | $866.06 | ↓ -12% |
| Western Health Advantage | Commercial|All Plans | $1,188.60 | ↑ +20% |
| Kaiser | Medicaid|All Plans | $1,392.36 | ↑ +41% |
| Kaiser | Commercial|All Plans | $1,833.84 | ↑ +86% |
| BCBS - Anthem | Medicaid|All Plans | $2,118.82 | ↑ +115% |
| First Health | Commercial|All Plans | $2,547.00 | ↑ +158% |
| Healthsmart | Commercial|All Plans | $2,547.00 | ↑ +158% |
| Sutter Health | Commercial|All Plans | $2,716.80 | ↑ +175% |
| MultiPlan | Commercial|All Plans | $2,818.68 | ↑ +185% |
| BCBS - Anthem | Medicare|All Other Plans | $3,202.43 | ↑ +224% |
| Blue Shield CA | Medicare|PPO | $3,396.00 | ↑ +244% |
| Humana | Medicare|All Plans | $3,396.00 | ↑ +244% |
| Humana | Commercial|All Plans | $3,396.00 | ↑ +244% |
| Aetna | Medicare|All Plans | $3,396.00 | ↑ +244% |
| Molina | Medicare|All Plans | $3,396.00 | ↑ +244% |
| United | Commercial|All Other Plans | $3,396.00 | ↑ +244% |
| United | Medicare|All Plans | $3,396.00 | ↑ +244% |
| United | Commercial|HMO | $3,396.00 | ↑ +244% |
| United | Commercial|Options PPO | $3,396.00 | ↑ +244% |
| United | Commercial|Non-Options PPO | $3,396.00 | ↑ +244% |
| BCBS - Anthem | Medicare|Imperial | $3,497.88 | ↑ +254% |
| BrightHealth | Commercial|All Plans | $3,735.60 | ↑ +278% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +319% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +319% |
| BlueShield | Medicare|Trauma | $4,245.00 | ↑ +330% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +380% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +413% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +528% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +553% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +563% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +630% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +739% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +739% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +739% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +771% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +772% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +812% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +868% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +919% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +949% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +1177% |
Visitor-reported prices
Comments
Trnscath tx thromblytc art/ven sbsq day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,682.57 | $304.71 – $11,900.46 |
| Arroyo Grande Hospital | Santa Maria | $5,836.21 | $201.41 – $12,962.46 |
| French Hospital | San Luis Obispo | $5,345.32 | $201.41 – $12,962.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,946.12 | $201.41 – $6,352.80 |
| Bakersfield Memorial Hospital | Bakersfield | $2,914.35 | $201.41 – $6,273.39 |
| Queen of The Valley Medical Center | Napa | $6,075.12 | $4,316.00 – $8,552.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,473.61 | $4,061.05 – $8,925.00 |
| St. Joseph's Medical Center Stockton | Stockton | $5,249.37 | $0.80 – $3,554.00 |