Trnscath tx thromblytc artery non-intracrn ini day at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,631.67
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.
$5,955.00
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.
$328.37 with United vs $15,552.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $328.37 | ↓ -80% |
| United | Medicaid|< 21 | $328.37 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $361.21 | ↓ -78% |
| Hill Physicians | Commercial|All Plans | $364.36 | ↓ -78% |
| WCMG | Commercial|All Plans | $373.56 | ↓ -77% |
| Molina | Medicaid|All Plans | $617.34 | ↓ -62% |
| Health Net | Medicaid|All Plans | $751.97 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $751.97 | ↓ -54% |
| Western Health Advantage | Commercial|All Plans | $1,188.60 | ↓ -27% |
| Kaiser | Medicaid|All Plans | $1,392.36 | ↓ -15% |
| Partnership Health Plan | Medicaid|All Plans | $1,411.99 | ↓ -13% |
| Kaiser | Commercial|All Plans | $1,833.84 | ↑ +12% |
| BCBS - Anthem | Medicaid|All Plans | $2,118.82 | ↑ +30% |
| Healthsmart | Commercial|All Plans | $2,547.00 | ↑ +56% |
| First Health | Commercial|All Plans | $2,547.00 | ↑ +56% |
| Sutter Health | Commercial|All Plans | $2,716.80 | ↑ +67% |
| MultiPlan | Commercial|All Plans | $2,818.68 | ↑ +73% |
| BCBS - Anthem | Medicare|All Other Plans | $3,202.43 | ↑ +96% |
| Blue Shield CA | Medicare|PPO | $3,396.00 | ↑ +108% |
| Humana | Medicare|All Plans | $3,396.00 | ↑ +108% |
| Humana | Commercial|All Plans | $3,396.00 | ↑ +108% |
| Aetna | Medicare|All Plans | $3,396.00 | ↑ +108% |
| Molina | Medicare|All Plans | $3,396.00 | ↑ +108% |
| United | Commercial|All Other Plans | $3,396.00 | ↑ +108% |
| United | Medicare|All Plans | $3,396.00 | ↑ +108% |
| United | Commercial|HMO | $3,396.00 | ↑ +108% |
| United | Commercial|Options PPO | $3,396.00 | ↑ +108% |
| United | Commercial|Non-Options PPO | $3,396.00 | ↑ +108% |
| BCBS - Anthem | Medicare|Imperial | $3,497.88 | ↑ +114% |
| BrightHealth | Commercial|All Plans | $3,735.60 | ↑ +129% |
| BlueShield | Medicare|Trauma | $4,245.00 | ↑ +160% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +210% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +217% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +217% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +217% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +295% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +301% |
| Blue Shield CA | Medicare|HMO | $7,103.63 | ↑ +335% |
| Kaiser | Medicare|All Plans | $7,103.63 | ↑ +335% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +342% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +425% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +427% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +452% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +486% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +517% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +535% |
| Prison Healthcare | Medicaid|All Plans | $10,655.44 | ↑ +553% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +673% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +853% |
Visitor-reported prices
Comments
Trnscath tx thromblytc artery non-intracrn ini day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,945.02 | $496.80 – $12,900.80 |
| Arroyo Grande Hospital | Santa Maria | $5,836.21 | $328.37 – $12,962.46 |
| French Hospital | San Luis Obispo | $5,345.32 | $328.37 – $12,962.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,751.77 | $328.37 – $4,995.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,700.54 | $328.37 – $4,995.00 |
| Queen of The Valley Medical Center | Napa | $10,120.44 | $6,200.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,786.46 | $7,156.86 – $27,307.00 |
| Redwood Memorial Hospital | Fortuna | $5,513.61 | $8,222.00 – $27,307.00 |