Alt/sgpt at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$31.24
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.
$114.00
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.
$2.93 with WCMG vs $26.60 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 | $2.93 | ↓ -91% |
| Partnership Health Plan | Medicaid|All Plans | $4.58 | ↓ -85% |
| BCBS - Anthem | Medicare|All Other Plans | $5.00 | ↓ -84% |
| Hill Physicians | Commercial|All Plans | $5.30 | ↓ -83% |
| Aetna | Medicare|All Plans | $5.30 | ↓ -83% |
| Blue Shield CA | Medicare|PPO | $5.30 | ↓ -83% |
| Blue Shield CA | Medicare|HMO | $5.30 | ↓ -83% |
| Kaiser | Medicare|All Plans | $5.30 | ↓ -83% |
| Molina | Medicare|All Plans | $5.30 | ↓ -83% |
| Humana | Medicare|All Plans | $5.30 | ↓ -83% |
| Humana | Commercial|All Plans | $5.30 | ↓ -83% |
| United | Medicare|All Plans | $5.30 | ↓ -83% |
| BCBS - Anthem | Medicare|Imperial | $5.46 | ↓ -83% |
| BrightHealth | Commercial|All Plans | $5.83 | ↓ -81% |
| United | Commercial|Options PPO | $6.36 | ↓ -80% |
| United | Commercial|Non-Options PPO | $6.36 | ↓ -80% |
| United | Commercial|All Other Plans | $6.36 | ↓ -80% |
| United | Commercial|HMO | $6.36 | ↓ -80% |
| United | Medicaid|> 21 | $6.57 | ↓ -79% |
| United | Medicaid|< 21 | $6.57 | ↓ -79% |
| BlueShield | Medicare|Trauma | $6.63 | ↓ -79% |
| Hill Physicians | Medicaid|All Plans | $7.23 | ↓ -77% |
| Prison Healthcare | Medicaid|All Plans | $7.95 | ↓ -75% |
| Blue Shield CA | Commercial|ACO Trio | $8.25 | ↓ -74% |
| Molina | Medicaid|All Plans | $8.61 | ↓ -72% |
| Western Health Advantage | Commercial|All Plans | $9.31 | ↓ -70% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10.64 | ↓ -66% |
| Kaiser | Medicaid|All Plans | $10.91 | ↓ -65% |
| Blue Shield CA | Commercial|Exchange | $11.18 | ↓ -64% |
| BCBS - Anthem | Medicaid|All Plans | $11.55 | ↓ -63% |
| Cigna | Commercial|LocalPlus | $11.75 | ↓ -62% |
| Kaiser | Commercial|All Plans | $14.37 | ↓ -54% |
| Blue Shield CA | Commercial|PPO Tandem | $14.63 | ↓ -53% |
| California Health & Wellness | Medicaid|All Plans | $15.05 | ↓ -52% |
| Health Net | Medicaid|All Plans | $15.05 | ↓ -52% |
| Cigna | Commercial|All Other Plans | $15.67 | ↓ -50% |
| Blue Shield CA | Commercial|HMO | $15.70 | ↓ -50% |
| Blue Shield CA | Commercial|CalPers | $16.50 | ↓ -47% |
| Blue Shield CA | Commercial|PPO | $17.56 | ↓ -44% |
| Aetna | Commercial|PPO | $19.94 | ↓ -36% |
| Aetna | Commercial|HMO | $19.94 | ↓ -36% |
| Aetna | Commercial|All Other Plans | $19.94 | ↓ -36% |
| First Health | Commercial|All Plans | $19.95 | ↓ -36% |
| Healthsmart | Commercial|All Plans | $19.95 | ↓ -36% |
| BCBS - Anthem | Commercial|Connection EPO | $21.28 | ↓ -32% |
| Sutter Health | Commercial|All Plans | $21.28 | ↓ -32% |
| MultiPlan | Commercial|All Plans | $22.08 | ↓ -29% |
| BCBS - Anthem | Commercial|All Other Plans | $26.60 | ↓ -15% |
| BCBS - Anthem | Commercial|MCS | $26.60 | ↓ -15% |
Visitor-reported prices
Comments
Alt/sgpt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $139.29 | $5.30 – $16.54 |
| Banner Lassen Medical Center | Susanville | $31.30 | $1.06 – $8.73 |
| Petaluma Valley Hospital | Petaluma | $194.31 | $5.19 – $42.70 |
| Arroyo Grande Hospital | Santa Maria | $167.35 | $3.54 – $13.68 |
| Mark Twain Medical Center | San Andreas | $56.61 | $5.30 – $12.99 |
| French Hospital | San Luis Obispo | $153.28 | $1.91 – $16.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $82.74 | $5.30 – $15.83 |
| Bakersfield Memorial Hospital | Bakersfield | $81.85 | $5.30 – $15.25 |