Acetone qualitative at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$29.32
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.
$107.00
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.
$3.76 with Partnership Health Plan vs $107.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $3.76 | ↓ -87% |
| BCBS - Anthem | Medicare|All Other Plans | $4.26 | ↓ -85% |
| Humana | Commercial|All Plans | $4.52 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $4.52 | ↓ -85% |
| Aetna | Medicare|All Plans | $4.52 | ↓ -85% |
| Blue Shield CA | Medicare|PPO | $4.52 | ↓ -85% |
| Blue Shield CA | Medicare|HMO | $4.52 | ↓ -85% |
| Kaiser | Medicare|All Plans | $4.52 | ↓ -85% |
| Humana | Medicare|All Plans | $4.52 | ↓ -85% |
| Molina | Medicare|All Plans | $4.52 | ↓ -85% |
| United | Medicare|All Plans | $4.52 | ↓ -85% |
| BCBS - Anthem | Medicare|Imperial | $4.66 | ↓ -84% |
| BrightHealth | Commercial|All Plans | $4.97 | ↓ -83% |
| United | Medicaid|< 21 | $5.39 | ↓ -82% |
| United | Medicaid|> 21 | $5.39 | ↓ -82% |
| United | Commercial|Non-Options PPO | $5.42 | ↓ -82% |
| United | Commercial|HMO | $5.42 | ↓ -82% |
| United | Commercial|Options PPO | $5.42 | ↓ -82% |
| United | Commercial|All Other Plans | $5.42 | ↓ -82% |
| BlueShield | Medicare|Trauma | $5.65 | ↓ -81% |
| Hill Physicians | Medicaid|All Plans | $5.93 | ↓ -80% |
| Prison Healthcare | Medicaid|All Plans | $6.78 | ↓ -77% |
| Molina | Medicaid|All Plans | $7.07 | ↓ -76% |
| Cigna | Commercial|LocalPlus | $10.02 | ↓ -66% |
| BCBS - Anthem | Medicaid|All Plans | $10.11 | ↓ -66% |
| WCMG | Commercial|All Plans | $11.77 | ↓ -60% |
| Health Net | Medicaid|All Plans | $12.34 | ↓ -58% |
| California Health & Wellness | Medicaid|All Plans | $12.34 | ↓ -58% |
| Cigna | Commercial|All Other Plans | $13.36 | ↓ -54% |
| Aetna | Commercial|HMO | $17.03 | ↓ -42% |
| Aetna | Commercial|All Other Plans | $17.03 | ↓ -42% |
| Aetna | Commercial|PPO | $17.03 | ↓ -42% |
| Blue Shield CA | Commercial|ACO Trio | $33.17 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $37.45 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $42.80 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $43.87 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $44.94 | ↑ +53% |
| Kaiser | Commercial|All Plans | $57.78 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $58.85 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $63.13 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $66.34 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $70.62 | ↑ +141% |
| BCBS - Anthem | Commercial|Connection EPO | $79.70 | ↑ +172% |
| Healthsmart | Commercial|All Plans | $80.25 | ↑ +174% |
| First Health | Commercial|All Plans | $80.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $85.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $88.81 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $99.59 | ↑ +240% |
| BCBS - Anthem | Commercial|MCS | $107.00 | ↑ +265% |
Visitor-reported prices
Comments
Acetone qualitative at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $143.82 | $4.43 – $36.93 |
| Mark Twain Medical Center | San Andreas | $135.87 | $4.52 – $183.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $129.85 | $4.52 – $86.40 |
| Bakersfield Memorial Hospital | Bakersfield | $128.45 | $4.52 – $85.32 |
| St. Joseph's Behavioral Health Center | Stockton | $106.78 | $4.52 – $149.60 |
| St. Joseph's Medical Center Stockton | Stockton | $79.97 | $3.84 – $223.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $84.66 | $4.43 – $39.71 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $52.13 | $2.36 – $4.52 |