Trnscath tx thromblytc cath rmv sbsq day at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$930.51
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.
$3,396.00
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.
$115.16 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $115.16 | ↓ -88% |
| United | Medicaid|> 21 | $119.51 | ↓ -87% |
| United | Medicaid|< 21 | $119.51 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $131.46 | ↓ -86% |
| Molina | Medicaid|All Plans | $224.68 | ↓ -76% |
| WCMG | Commercial|All Plans | $229.90 | ↓ -75% |
| Health Net | Medicaid|All Plans | $273.68 | ↓ -71% |
| California Health & Wellness | Medicaid|All Plans | $273.68 | ↓ -71% |
| Partnership Health Plan | Medicaid|All Plans | $513.89 | ↓ -45% |
| Western Health Advantage | Commercial|All Plans | $731.50 | ↓ -21% |
| Kaiser | Medicaid|All Plans | $856.90 | ↓ -8% |
| Kaiser | Commercial|All Plans | $1,128.60 | ↑ +21% |
| First Health | Commercial|All Plans | $1,567.50 | ↑ +68% |
| Healthsmart | Commercial|All Plans | $1,567.50 | ↑ +68% |
| Sutter Health | Commercial|All Plans | $1,672.00 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $1,734.70 | ↑ +86% |
| BCBS - Anthem | Medicare|All Other Plans | $1,970.87 | ↑ +112% |
| Blue Shield CA | Medicare|PPO | $2,090.00 | ↑ +125% |
| Humana | Medicare|All Plans | $2,090.00 | ↑ +125% |
| Humana | Commercial|All Plans | $2,090.00 | ↑ +125% |
| Aetna | Medicare|All Plans | $2,090.00 | ↑ +125% |
| Molina | Medicare|All Plans | $2,090.00 | ↑ +125% |
| United | Commercial|All Other Plans | $2,090.00 | ↑ +125% |
| United | Medicare|All Plans | $2,090.00 | ↑ +125% |
| United | Commercial|HMO | $2,090.00 | ↑ +125% |
| United | Commercial|Options PPO | $2,090.00 | ↑ +125% |
| United | Commercial|Non-Options PPO | $2,090.00 | ↑ +125% |
| BCBS - Anthem | Medicaid|All Plans | $2,090.00 | ↑ +125% |
| BCBS - Anthem | Medicare|Imperial | $2,152.70 | ↑ +131% |
| BrightHealth | Commercial|All Plans | $2,299.00 | ↑ +147% |
| BlueShield | Medicare|Trauma | $2,612.50 | ↑ +181% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +345% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +345% |
| Health Net | Commercial|EPPO | $4,746.00 | ↑ +410% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +444% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +567% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +593% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +603% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +675% |
| Aetna | Commercial|All Other Plans | $8,286.00 | ↑ +790% |
| Aetna | Commercial|HMO | $8,286.00 | ↑ +790% |
| Aetna | Commercial|PPO | $8,286.00 | ↑ +790% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +825% |
| Health Net | Commercial|FFS | $8,609.00 | ↑ +825% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +868% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +928% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +982% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +1014% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +1256% |
Visitor-reported prices
Comments
Trnscath tx thromblytc cath rmv sbsq day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,682.57 | $180.81 – $11,900.46 |
| Arroyo Grande Hospital | Santa Maria | $5,836.21 | $119.51 – $12,962.46 |
| French Hospital | San Luis Obispo | $5,345.32 | $119.51 – $12,962.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,615.71 | $119.51 – $3,999.21 |
| Bakersfield Memorial Hospital | Bakersfield | $1,598.29 | $119.51 – $3,999.21 |
| 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 | $2,900.90 | $0.80 – $1,949.00 |