Wbc automated at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$60.01
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.
?
What you pay up front if you don't use insurance.
$219.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.26 with Partnership Health Plan vs $181.77 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $2.26 | ↓ -96% |
| BCBS - Anthem | Medicare|All Other Plans | $2.40 | ↓ -96% |
| Humana | Commercial|All Plans | $2.54 | ↓ -96% |
| Hill Physicians | Commercial|All Plans | $2.54 | ↓ -96% |
| Aetna | Medicare|All Plans | $2.54 | ↓ -96% |
| Blue Shield CA | Medicare|PPO | $2.54 | ↓ -96% |
| Kaiser | Medicare|All Plans | $2.54 | ↓ -96% |
| Blue Shield CA | Medicare|HMO | $2.54 | ↓ -96% |
| Humana | Medicare|All Plans | $2.54 | ↓ -96% |
| Molina | Medicare|All Plans | $2.54 | ↓ -96% |
| United | Medicare|All Plans | $2.54 | ↓ -96% |
| BCBS - Anthem | Medicare|Imperial | $2.62 | ↓ -96% |
| BrightHealth | Commercial|All Plans | $2.79 | ↓ -95% |
| United | Commercial|All Other Plans | $3.05 | ↓ -95% |
| United | Commercial|HMO | $3.05 | ↓ -95% |
| United | Commercial|Options PPO | $3.05 | ↓ -95% |
| United | Commercial|Non-Options PPO | $3.05 | ↓ -95% |
| BlueShield | Medicare|Trauma | $3.17 | ↓ -95% |
| United | Medicaid|> 21 | $3.24 | ↓ -95% |
| United | Medicaid|< 21 | $3.24 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $3.56 | ↓ -94% |
| Prison Healthcare | Medicaid|All Plans | $3.81 | ↓ -94% |
| Molina | Medicaid|All Plans | $4.25 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $5.49 | ↓ -91% |
| Cigna | Commercial|LocalPlus | $5.62 | ↓ -91% |
| Health Net | Medicaid|All Plans | $7.42 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $7.42 | ↓ -88% |
| Cigna | Commercial|All Other Plans | $7.50 | ↓ -88% |
| Aetna | Commercial|HMO | $9.55 | ↓ -84% |
| Aetna | Commercial|All Other Plans | $9.55 | ↓ -84% |
| Aetna | Commercial|PPO | $9.55 | ↓ -84% |
| WCMG | Commercial|All Plans | $24.09 | ↓ -60% |
| BCBS - Anthem | Commercial|Connection EPO | $45.07 | ↓ -25% |
| BCBS - Anthem | Commercial|All Other Plans | $56.32 | ↓ -6% |
| Blue Shield CA | Commercial|ACO Trio | $67.89 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $76.65 | ↑ +28% |
| BCBS - Anthem | Commercial|MCS | $78.85 | ↑ +31% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $87.60 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $89.79 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $91.98 | ↑ +53% |
| Kaiser | Commercial|All Plans | $118.26 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $120.45 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $129.21 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $135.78 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $144.54 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $164.25 | ↑ +174% |
| First Health | Commercial|All Plans | $164.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $175.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $181.77 | ↑ +203% |
Visitor-reported prices
Comments
Wbc automated at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $58.26 | $2.54 – $103.74 |
| Banner Lassen Medical Center | Susanville | $4.77 | $0.51 – $7.76 |
| Petaluma Valley Hospital | Petaluma | $13.77 | $2.49 – $20.88 |
| Arroyo Grande Hospital | Santa Maria | $113.85 | $2.54 – $7.84 |
| Mark Twain Medical Center | San Andreas | $24.65 | $2.54 – $36.26 |
| French Hospital | San Luis Obispo | $104.28 | $2.16 – $7.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $123.18 | $2.54 – $27.20 |
| Bakersfield Memorial Hospital | Bakersfield | $121.85 | $2.54 – $27.65 |