Unsched dialysis esrd pt hos at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$774.60
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.
$2,827.00
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.
$310.97 with WCMG vs $2,346.41 with MultiPlan — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $310.97 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $867.09 | ↑ +12% |
| Humana | Commercial|All Plans | $919.50 | ↑ +19% |
| Aetna | Medicare|All Plans | $919.50 | ↑ +19% |
| Kaiser | Medicare|All Plans | $919.50 | ↑ +19% |
| Molina | Medicare|All Plans | $919.50 | ↑ +19% |
| Humana | Medicare|All Plans | $919.50 | ↑ +19% |
| United | Medicare|All Plans | $919.50 | ↑ +19% |
| Blue Shield CA | Medicare|PPO | $919.50 | ↑ +19% |
| Blue Shield CA | Medicare|HMO | $919.50 | ↑ +19% |
| BCBS - Anthem | Medicare|Imperial | $947.09 | ↑ +22% |
| Western Health Advantage | Commercial|All Plans | $989.45 | ↑ +28% |
| BrightHealth | Commercial|All Plans | $1,011.45 | ↑ +31% |
| BlueShield | Medicare|Trauma | $1,149.38 | ↑ +48% |
| Kaiser | Medicaid|All Plans | $1,159.07 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $1,379.25 | ↑ +78% |
| United | Commercial|Non-Options PPO | $1,400.00 | ↑ +81% |
| Kaiser | Commercial|All Plans | $1,526.58 | ↑ +97% |
| United | Commercial|All Other Plans | $1,625.00 | ↑ +110% |
| United | Commercial|Options PPO | $1,625.00 | ↑ +110% |
| United | Commercial|HMO | $1,696.00 | ↑ +119% |
| First Health | Commercial|All Plans | $2,120.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $2,120.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,261.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,346.41 | ↑ +203% |
Visitor-reported prices
Comments
Unsched dialysis esrd pt hos at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,099.38 | $494.64 – $2,058.20 |
| Redwood City Medical Center | Redwood City | $1,741.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $1,741.60 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $1,248.00 | not published |
| Riverside Medical Center | RIVERSIDE | $1,248.00 | not published |
| Sacramento Medical Center | SACRAMENTO | $1,741.60 | not published |
| Oakland Medical Center | Oakland | $1,741.60 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $1,741.60 | not published |