Amniocentesis therapeutic at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$466.35
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.
$1,702.00
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.
$111.88 with United vs $7,484.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $111.88 | ↓ -76% |
| United | Medicaid|> 21 | $111.88 | ↓ -76% |
| Hill Physicians | Medicaid|All Plans | $123.07 | ↓ -74% |
| Hill Physicians | Commercial|All Plans | $170.49 | ↓ -63% |
| WCMG | Commercial|All Plans | $187.22 | ↓ -60% |
| California Health & Wellness | Medicaid|All Plans | $256.21 | ↓ -45% |
| Health Net | Medicaid|All Plans | $256.21 | ↓ -45% |
| Molina | Medicaid|All Plans | $262.92 | ↓ -44% |
| BCBS - Anthem | Medicaid|All Plans | $265.72 | ↓ -43% |
| BCBS - Anthem | Medicare|All Other Plans | $376.95 | ↓ -19% |
| Molina | Medicare|All Plans | $399.74 | ↓ -14% |
| Humana | Medicare|All Plans | $399.74 | ↓ -14% |
| Humana | Commercial|All Plans | $399.74 | ↓ -14% |
| Aetna | Medicare|All Plans | $399.74 | ↓ -14% |
| Kaiser | Medicare|All Plans | $399.74 | ↓ -14% |
| Blue Shield CA | Medicare|PPO | $399.74 | ↓ -14% |
| United | Medicare|All Plans | $399.74 | ↓ -14% |
| Blue Shield CA | Medicare|HMO | $399.74 | ↓ -14% |
| BCBS - Anthem | Medicare|Imperial | $411.73 | ↓ -12% |
| BrightHealth | Commercial|All Plans | $439.71 | ↓ -6% |
| BlueShield | Medicare|Trauma | $499.68 | ↑ +7% |
| Western Health Advantage | Commercial|All Plans | $595.70 | ↑ +28% |
| Prison Healthcare | Medicaid|All Plans | $599.61 | ↑ +29% |
| Partnership Health Plan | Medicaid|All Plans | $601.36 | ↑ +29% |
| Kaiser | Medicaid|All Plans | $697.82 | ↑ +50% |
| Kaiser | Commercial|All Plans | $919.08 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,276.50 | ↑ +174% |
| First Health | Commercial|All Plans | $1,276.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,361.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,412.66 | ↑ +203% |
| United | Commercial|All Other Plans | $1,702.00 | ↑ +265% |
| United | Commercial|Options PPO | $1,702.00 | ↑ +265% |
| United | Commercial|HMO | $1,702.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $1,702.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +586% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +610% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +804% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +817% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +818% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +1010% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +1010% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +1010% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +1046% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +1106% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +1145% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +1241% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +1312% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +1353% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1505% |
Visitor-reported prices
Comments
Amniocentesis therapeutic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $956.30 | $60.84 – $1,777.04 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $918.04 | $190.20 – $1,156.40 |
| Mercy Medical Center Redding | Redding | $496.36 | $222.36 – $959.42 |
| Mercy General Hospital | Sacramento | $371.04 | $111.88 – $1,361.60 |
| Mercy Hospital of Folsom | Folsom | $662.08 | $111.88 – $1,395.64 |
| Woodland Memorial Hospital | Woodland | $466.35 | $111.88 – $1,702.00 |
| Methodist Hospital of Sacramento | Sacramento | $490.18 | $111.88 – $1,412.66 |
| St. Elizabeth Community Hospital | Red Bluff | $705.48 | $199.99 – $1,183.84 |