Tx septic abortion surgical 59830 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
not published by hospital
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.
not published by hospital
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.
$453.93 with United vs $17,696.00 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 | $453.93 | — |
| United | Medicaid|> 21 | $453.93 | — |
| Hill Physicians | Commercial|All Plans | $460.25 | — |
| Hill Physicians | Medicaid|All Plans | $499.32 | — |
| Molina | Medicaid|All Plans | $594.94 | — |
| BCBS - Anthem | Medicaid|All Plans | $862.47 | — |
| California Health & Wellness | Medicaid|All Plans | $1,039.50 | — |
| Health Net | Medicaid|All Plans | $1,039.50 | — |
| Partnership Health Plan | Medicaid|All Plans | $1,951.90 | — |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | — |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | — |
| Aetna | Commercial|All Other Plans | $7,251.00 | — |
| Aetna | Commercial|PPO | $7,251.00 | — |
| Aetna | Commercial|HMO | $7,251.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | — |
| Blue Shield CA | Commercial|HMO | $8,370.00 | — |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | — |
| Blue Shield CA | Commercial|PPO | $9,068.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | — |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Tx septic abortion surgical 59830 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $295.83 | $13.12 – $926.15 |
| HANFORD COMMUNITY HOSPITAL | Selma | $295.83 | $40.00 – $926.15 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $233.55 | $35.00 – $952.12 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $1,027.62 | $316.46 – $689.03 |
| WILLITS HOSPITAL INC | Willits | $467.10 | $35.00 – $989.58 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $108.99 | $65.00 – $926.15 |
| SONORA COMMUNITY HOSPITAL | Sonora | $264.69 | $65.00 – $989.58 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $420.39 | $316.46 – $952.12 |