Trnscath tx thromblytc vein ini day at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,431.38
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.
$5,224.00
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.
$288.90 with United vs $12,770.00 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 | $288.90 | ↓ -80% |
| United | Medicaid|< 21 | $288.90 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $317.79 | ↓ -78% |
| Hill Physicians | Commercial|All Plans | $320.38 | ↓ -78% |
| WCMG | Commercial|All Plans | $373.56 | ↓ -74% |
| Molina | Medicaid|All Plans | $543.13 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $661.58 | ↓ -54% |
| Health Net | Medicaid|All Plans | $661.58 | ↓ -54% |
| Western Health Advantage | Commercial|All Plans | $1,188.60 | ↓ -17% |
| Partnership Health Plan | Medicaid|All Plans | $1,242.27 | ↓ -13% |
| Kaiser | Medicaid|All Plans | $1,392.36 | ↓ -3% |
| Kaiser | Commercial|All Plans | $1,833.84 | ↑ +28% |
| BCBS - Anthem | Medicaid|All Plans | $2,118.82 | ↑ +48% |
| Healthsmart | Commercial|All Plans | $2,547.00 | ↑ +78% |
| First Health | Commercial|All Plans | $2,547.00 | ↑ +78% |
| Sutter Health | Commercial|All Plans | $2,716.80 | ↑ +90% |
| MultiPlan | Commercial|All Plans | $2,818.68 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $3,202.43 | ↑ +124% |
| United | Medicare|All Plans | $3,396.00 | ↑ +137% |
| Humana | Medicare|All Plans | $3,396.00 | ↑ +137% |
| Aetna | Medicare|All Plans | $3,396.00 | ↑ +137% |
| Molina | Medicare|All Plans | $3,396.00 | ↑ +137% |
| United | Commercial|All Other Plans | $3,396.00 | ↑ +137% |
| Humana | Commercial|All Plans | $3,396.00 | ↑ +137% |
| United | Commercial|HMO | $3,396.00 | ↑ +137% |
| United | Commercial|Options PPO | $3,396.00 | ↑ +137% |
| United | Commercial|Non-Options PPO | $3,396.00 | ↑ +137% |
| Blue Shield CA | Medicare|PPO | $3,396.00 | ↑ +137% |
| BCBS - Anthem | Medicare|Imperial | $3,497.88 | ↑ +144% |
| BrightHealth | Commercial|All Plans | $3,735.60 | ↑ +161% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↑ +189% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↑ +189% |
| BlueShield | Medicare|Trauma | $4,245.00 | ↑ +197% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +254% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +262% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +262% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +262% |
| Prison Healthcare | Medicaid|All Plans | $6,204.19 | ↑ +333% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +351% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +357% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +404% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +501% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +530% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +568% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +604% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +624% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +781% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +792% |
Visitor-reported prices
Comments
Trnscath tx thromblytc vein ini day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,945.02 | $437.08 – $8,806.20 |
| Petaluma Valley Hospital | Petaluma | $6,064.92 | $2,937.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $5,836.21 | $288.90 – $12,962.46 |
| Mark Twain Medical Center | San Andreas | $5,234.76 | $288.90 – $7,702.80 |
| French Hospital | San Luis Obispo | $5,345.32 | $288.90 – $12,962.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,181.55 | $288.90 – $9,016.80 |
| Bakersfield Memorial Hospital | Bakersfield | $4,136.46 | $288.90 – $8,904.09 |
| Queen of The Valley Medical Center | Napa | $5,251.47 | $4,483.19 – $17,909.00 |