Tx atrial fib pulm vein isol at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$18,098.53
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.
$66,053.00
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.
$895.98 with Hill Physicians vs $66,053.00 with United — 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 | $895.98 | ↓ -95% |
| United | Medicaid|< 21 | $1,010.36 | ↓ -94% |
| United | Medicaid|> 21 | $1,010.36 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $1,228.36 | ↓ -93% |
| Molina | Medicaid|All Plans | $1,655.28 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $2,548.64 | ↓ -86% |
| California Health & Wellness | Medicaid|All Plans | $2,557.22 | ↓ -86% |
| Health Net | Medicaid|All Plans | $2,557.22 | ↓ -86% |
| Partnership Health Plan | Medicaid|All Plans | $3,786.02 | ↓ -79% |
| WCMG | Commercial|All Plans | $7,265.83 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $12,333.00 | ↓ -32% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15,724.00 | ↓ -13% |
| Aetna | Commercial|HMO | $16,573.00 | ↓ -8% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↓ -8% |
| Aetna | Commercial|PPO | $16,573.00 | ↓ -8% |
| Blue Shield CA | Commercial|Exchange | $17,053.00 | ↓ -6% |
| Kaiser | Medicare|All Plans | $19,467.00 | ↑ +8% |
| Kaiser | Commercial|All Plans | $19,467.00 | ↑ +8% |
| Kaiser | Medicaid|All Plans | $19,467.00 | ↑ +8% |
| Blue Shield CA | Commercial|PPO Tandem | $21,988.00 | ↑ +21% |
| Health Net | Commercial|EPPO | $22,966.00 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $23,118.55 | ↑ +28% |
| Blue Shield CA | Commercial|HMO | $23,316.00 | ↑ +29% |
| Blue Shield CA | Commercial|CalPers | $24,547.00 | ↑ +36% |
| Blue Shield CA | Commercial|PPO | $26,437.00 | ↑ +46% |
| BCBS - Anthem | Medicare|All Other Plans | $30,400.34 | ↑ +68% |
| United | Medicare|All Plans | $32,237.90 | ↑ +78% |
| Humana | Medicare|All Plans | $32,237.90 | ↑ +78% |
| Aetna | Medicare|All Plans | $32,237.90 | ↑ +78% |
| Molina | Medicare|All Plans | $32,237.90 | ↑ +78% |
| Humana | Commercial|All Plans | $32,237.90 | ↑ +78% |
| Blue Shield CA | Medicare|HMO | $32,237.90 | ↑ +78% |
| Blue Shield CA | Medicare|PPO | $32,237.90 | ↑ +78% |
| BCBS - Anthem | Commercial|Connection EPO | $33,166.00 | ↑ +83% |
| BCBS - Anthem | Medicare|Imperial | $33,205.04 | ↑ +83% |
| BrightHealth | Commercial|All Plans | $35,461.69 | ↑ +96% |
| BlueShield | Medicare|Trauma | $40,297.38 | ↑ +123% |
| BCBS - Anthem | Commercial|All Other Plans | $41,457.00 | ↑ +129% |
| Health Net | Commercial|FFS | $41,665.00 | ↑ +130% |
| Cigna | Commercial|LocalPlus | $42,934.45 | ↑ +137% |
| Prison Healthcare | Medicaid|All Plans | $48,356.85 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $49,539.75 | ↑ +174% |
| First Health | Commercial|All Plans | $49,539.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $52,842.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $54,823.99 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $56,805.58 | ↑ +214% |
| BCBS - Anthem | Commercial|MCS | $58,040.00 | ↑ +221% |
| United | Commercial|Options PPO | $66,053.00 | ↑ +265% |
| United | Commercial|All Other Plans | $66,053.00 | ↑ +265% |
| United | Commercial|HMO | $66,053.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $66,053.00 | ↑ +265% |
Visitor-reported prices
Comments
Tx atrial fib pulm vein isol at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $39,104.80 | not published |
| St. John's Camarillo Hospital | Camarillo | $23,030.48 | $1,242.74 – $58,938.04 |
| Antioch Medical Center | ANTIOCH | $39,104.80 | not published |
| Redwood City Medical Center | Redwood City | $39,104.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $39,104.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $17,732.00 | not published |
| Riverside Medical Center | RIVERSIDE | $17,732.00 | not published |
| Fremont Medical Center | FREMONT | $39,104.80 | not published |