Albumin body fluid quantitative each specimen at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$54.80
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.
$200.00
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.
$0.32 with WCMG vs $22.99 with Cigna — 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 | $0.32 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $0.88 | ↓ -98% |
| Western Health Advantage | Commercial|All Plans | $1.00 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1.14 | ↓ -98% |
| Kaiser | Medicaid|All Plans | $1.17 | ↓ -98% |
| Blue Shield CA | Commercial|Exchange | $1.19 | ↓ -98% |
| Kaiser | Commercial|All Plans | $1.53 | ↓ -97% |
| Blue Shield CA | Commercial|PPO Tandem | $1.56 | ↓ -97% |
| Blue Shield CA | Commercial|HMO | $1.67 | ↓ -97% |
| Blue Shield CA | Commercial|CalPers | $1.76 | ↓ -97% |
| Blue Shield CA | Commercial|PPO | $1.87 | ↓ -97% |
| First Health | Commercial|All Plans | $2.13 | ↓ -96% |
| Healthsmart | Commercial|All Plans | $2.13 | ↓ -96% |
| Sutter Health | Commercial|All Plans | $2.27 | ↓ -96% |
| BCBS - Anthem | Commercial|Connection EPO | $2.27 | ↓ -96% |
| MultiPlan | Commercial|All Plans | $2.35 | ↓ -96% |
| BCBS - Anthem | Medicare|All Other Plans | $2.67 | ↓ -95% |
| BCBS - Anthem | Commercial|All Other Plans | $2.83 | ↓ -95% |
| BCBS - Anthem | Medicaid|All Plans | $2.83 | ↓ -95% |
| BCBS - Anthem | Commercial|MCS | $2.83 | ↓ -95% |
| Blue Shield CA | Medicare|HMO | $2.83 | ↓ -95% |
| Blue Shield CA | Medicare|PPO | $2.83 | ↓ -95% |
| Partnership Health Plan | Medicaid|All Plans | $2.83 | ↓ -95% |
| Hill Physicians | Commercial|All Plans | $2.83 | ↓ -95% |
| Humana | Medicare|All Plans | $2.83 | ↓ -95% |
| Aetna | Commercial|All Other Plans | $2.83 | ↓ -95% |
| Aetna | Commercial|PPO | $2.83 | ↓ -95% |
| Aetna | Medicare|All Plans | $2.83 | ↓ -95% |
| Aetna | Commercial|HMO | $2.83 | ↓ -95% |
| Molina | Medicaid|All Plans | $2.83 | ↓ -95% |
| Molina | Medicare|All Plans | $2.83 | ↓ -95% |
| United | Commercial|All Other Plans | $2.83 | ↓ -95% |
| United | Medicare|All Plans | $2.83 | ↓ -95% |
| United | Commercial|HMO | $2.83 | ↓ -95% |
| United | Commercial|Options PPO | $2.83 | ↓ -95% |
| United | Commercial|Non-Options PPO | $2.83 | ↓ -95% |
| United | Medicaid|< 21 | $2.83 | ↓ -95% |
| United | Medicaid|> 21 | $2.83 | ↓ -95% |
| Health Net | Medicaid|All Plans | $2.83 | ↓ -95% |
| Kaiser | Medicare|All Plans | $2.83 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $2.83 | ↓ -95% |
| Humana | Commercial|All Plans | $2.83 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $2.83 | ↓ -95% |
| BCBS - Anthem | Medicare|Imperial | $2.92 | ↓ -95% |
| BrightHealth | Commercial|All Plans | $3.12 | ↓ -94% |
| BlueShield | Medicare|Trauma | $3.54 | ↓ -94% |
| Prison Healthcare | Medicaid|All Plans | $4.25 | ↓ -92% |
| Cigna | Commercial|LocalPlus | $17.24 | ↓ -69% |
| Cigna | Commercial|All Other Plans | $22.99 | ↓ -58% |
Visitor-reported prices
Comments
Albumin body fluid quantitative each specimen at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $85.41 | $1.91 – $20.65 |
| Banner Lassen Medical Center | Susanville | $7.51 | $1.56 – $11.64 |
| Petaluma Valley Hospital | Petaluma | $46.41 | $7.62 – $42.21 |
| Arroyo Grande Hospital | Santa Maria | $158.36 | $3.50 – $20.06 |
| Mark Twain Medical Center | San Andreas | $55.28 | $4.06 – $11.76 |
| French Hospital | San Luis Obispo | $145.04 | $1.89 – $23.58 |
| Mercy Hospitals – Bakersfield | Bakersfield | $16.33 | $1.77 – $22.37 |
| Bakersfield Memorial Hospital | Bakersfield | $16.15 | $1.77 – $22.37 |