Venous mech thrombectomy at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,729.79
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.
$17,262.00
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.
$375.95 with Hill Physicians vs $22,353.96 with Prison Healthcare — 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 | $375.95 | ↓ -92% |
| WCMG | Commercial|All Plans | $968.44 | ↓ -80% |
| United | Medicaid|> 21 | $2,943.99 | ↓ -38% |
| United | Medicaid|< 21 | $2,943.99 | ↓ -38% |
| Western Health Advantage | Commercial|All Plans | $3,081.40 | ↓ -35% |
| Hill Physicians | Medicaid|All Plans | $3,558.85 | ↓ -25% |
| Kaiser | Medicaid|All Plans | $3,609.64 | ↓ -24% |
| Kaiser | Commercial|All Plans | $4,754.16 | ↑ +1% |
| Molina | Medicaid|All Plans | $4,823.18 | ↑ +2% |
| BCBS - Anthem | Medicaid|All Plans | $4,874.49 | ↑ +3% |
| Blue Shield CA | Commercial|ACO Trio | $5,063.00 | ↑ +7% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,451.00 | ↑ +36% |
| Blue Shield CA | Commercial|Exchange | $6,545.00 | ↑ +38% |
| First Health | Commercial|All Plans | $6,603.00 | ↑ +40% |
| Healthsmart | Commercial|All Plans | $6,603.00 | ↑ +40% |
| Sutter Health | Commercial|All Plans | $7,043.20 | ↑ +49% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +52% |
| MultiPlan | Commercial|All Plans | $7,307.32 | ↑ +54% |
| Health Net | Medicaid|All Plans | $7,408.88 | ↑ +57% |
| California Health & Wellness | Medicaid|All Plans | $7,408.88 | ↑ +57% |
| BCBS - Anthem | Medicare|All Other Plans | $8,302.18 | ↑ +76% |
| Health Net | Commercial|EPPO | $8,573.00 | ↑ +81% |
| Blue Shield CA | Commercial|PPO Tandem | $8,604.00 | ↑ +82% |
| United | Commercial|Non-Options PPO | $8,804.00 | ↑ +86% |
| Humana | Commercial|All Plans | $8,804.00 | ↑ +86% |
| Humana | Medicare|All Plans | $8,804.00 | ↑ +86% |
| Molina | Medicare|All Plans | $8,804.00 | ↑ +86% |
| United | Commercial|Options PPO | $8,804.00 | ↑ +86% |
| Partnership Health Plan | Medicaid|All Plans | $8,804.00 | ↑ +86% |
| United | Commercial|HMO | $8,804.00 | ↑ +86% |
| Blue Shield CA | Medicare|PPO | $8,804.00 | ↑ +86% |
| Aetna | Medicare|All Plans | $8,804.00 | ↑ +86% |
| United | Medicare|All Plans | $8,804.00 | ↑ +86% |
| United | Commercial|All Other Plans | $8,804.00 | ↑ +86% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +91% |
| BCBS - Anthem | Medicare|Imperial | $9,068.12 | ↑ +92% |
| Blue Shield CA | Commercial|HMO | $9,566.00 | ↑ +102% |
| BrightHealth | Commercial|All Plans | $9,684.40 | ↑ +105% |
| Blue Shield CA | Commercial|CalPers | $10,070.00 | ↑ +113% |
| Blue Shield CA | Commercial|PPO | $10,363.00 | ↑ +119% |
| BlueShield | Medicare|Trauma | $11,005.00 | ↑ +133% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +167% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +215% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +215% |
| Health Net | Commercial|FFS | $15,552.00 | ↑ +229% |
| Aetna | Commercial|HMO | $21,752.00 | ↑ +360% |
| Aetna | Commercial|PPO | $21,752.00 | ↑ +360% |
| Aetna | Commercial|All Other Plans | $21,752.00 | ↑ +360% |
| Prison Healthcare | Medicaid|All Plans | $22,353.96 | ↑ +373% |
Visitor-reported prices
Comments
Venous mech thrombectomy at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,408.96 | $2,101.41 – $15,566.00 |
| Arroyo Grande Hospital | Santa Maria | $6,600.62 | $2,943.99 – $14,673.54 |
| French Hospital | San Luis Obispo | $6,163.03 | $2,943.99 – $14,673.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18,729.20 | $2,943.99 – $13,498.00 |
| Bakersfield Memorial Hospital | Bakersfield | $6,489.67 | $2,943.99 – $13,498.00 |
| Providence St Joseph Hospital Eureka | Eureka | $12,187.98 | $8,018.00 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $5,712.42 | $2,565.52 – $16,090.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $14,433.51 | $3,423.00 – $16,391.15 |