Whfo w/joint(s) custom fab at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$205.50
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.
$750.00
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.
$82.50 with WCMG vs $727.50 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $82.50 | ↓ -60% |
| Kaiser | Medicaid|All Plans | $172.50 | ↓ -16% |
| Kaiser | Commercial|All Plans | $172.50 | ↓ -16% |
| Kaiser | Medicare|All Plans | $172.50 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $180.00 | ↓ -12% |
| Partnership Health Plan | Medicaid|All Plans | $187.50 | ↓ -9% |
| Molina | Medicaid|All Plans | $195.00 | ↓ -5% |
| Health Net | Medicaid|All Plans | $210.00 | ↑ +2% |
| California Health & Wellness | Medicaid|All Plans | $210.00 | ↑ +2% |
| United | Medicaid|< 21 | $292.28 | ↑ +42% |
| United | Medicaid|> 21 | $292.28 | ↑ +42% |
| Health Net | Commercial|EPPO | $292.50 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $300.00 | ↑ +46% |
| Hill Physicians | Medicaid|All Plans | $321.51 | ↑ +56% |
| United | Commercial|Non-Options PPO | $390.00 | ↑ +90% |
| Cigna | Commercial|All Other Plans | $397.50 | ↑ +93% |
| United | Commercial|HMO | $420.00 | ↑ +104% |
| United | Commercial|Options PPO | $420.00 | ↑ +104% |
| United | Commercial|All Other Plans | $420.00 | ↑ +104% |
| Blue Shield CA | Commercial|ACO Trio | $487.50 | ↑ +137% |
| Western Health Advantage | Commercial|All Plans | $487.50 | ↑ +137% |
| Health Net | Commercial|FFS | $532.50 | ↑ +159% |
| First Health | Commercial|All Plans | $562.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $562.50 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $585.00 | ↑ +185% |
| Sutter Health | Commercial|All Plans | $600.00 | ↑ +192% |
| Blue Shield CA | Commercial|Exchange | $615.00 | ↑ +199% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $615.00 | ↑ +199% |
| MultiPlan | Commercial|All Plans | $622.50 | ↑ +203% |
| Aetna | Commercial|HMO | $637.50 | ↑ +210% |
| Aetna | Commercial|All Other Plans | $637.50 | ↑ +210% |
| Aetna | Commercial|PPO | $637.50 | ↑ +210% |
| Blue Shield CA | Commercial|HMO | $675.00 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $675.00 | ↑ +228% |
| Blue Shield CA | Commercial|PPO Tandem | $675.00 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $690.00 | ↑ +236% |
| BCBS - Anthem | Commercial|MCS | $727.50 | ↑ +254% |
| BCBS - Anthem | Commercial|All Other Plans | $727.50 | ↑ +254% |
Visitor-reported prices
Comments
Whfo w/joint(s) custom fab at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $433.57 | $292.28 – $992.74 |
| French Hospital | San Luis Obispo | $397.10 | $192.47 – $992.74 |
| Dominican Hospital | Santa Cruz | $504.45 | $292.28 – $1,121.00 |
| Mercy General Hospital | Sacramento | $163.50 | $172.50 – $667.50 |
| Mercy Hospital of Folsom | Folsom | $291.75 | $82.50 – $720.00 |
| Woodland Memorial Hospital | Woodland | $205.50 | $82.50 – $750.00 |
| Methodist Hospital of Sacramento | Sacramento | $216.00 | $172.50 – $675.00 |
| Providence Holy Cross Medical Center | Mission Hills | $175.00 | $495.89 – $917.40 |