Amniocentesisdiagnostic 59000 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$414.57
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.
$1,513.00
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.
$65.71 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 | $65.71 | ↓ -84% |
| United | Medicaid|< 21 | $65.71 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $72.28 | ↓ -83% |
| Hill Physicians | Commercial|All Plans | $77.84 | ↓ -81% |
| Molina | Medicaid|All Plans | $107.65 | ↓ -74% |
| Health Net | Medicaid|All Plans | $150.48 | ↓ -64% |
| California Health & Wellness | Medicaid|All Plans | $150.48 | ↓ -64% |
| WCMG | Commercial|All Plans | $166.43 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $353.18 | ↓ -15% |
| Western Health Advantage | Commercial|All Plans | $529.55 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $620.33 | ↑ +50% |
| Kaiser | Commercial|All Plans | $817.02 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $1,079.02 | ↑ +160% |
| Healthsmart | Commercial|All Plans | $1,134.75 | ↑ +174% |
| First Health | Commercial|All Plans | $1,134.75 | ↑ +174% |
| Molina | Medicare|All Plans | $1,144.24 | ↑ +176% |
| Aetna | Medicare|All Plans | $1,144.24 | ↑ +176% |
| Humana | Commercial|All Plans | $1,144.24 | ↑ +176% |
| Blue Shield CA | Medicare|HMO | $1,144.24 | ↑ +176% |
| Blue Shield CA | Medicare|PPO | $1,144.24 | ↑ +176% |
| Kaiser | Medicare|All Plans | $1,144.24 | ↑ +176% |
| Humana | Medicare|All Plans | $1,144.24 | ↑ +176% |
| United | Medicare|All Plans | $1,144.24 | ↑ +176% |
| BCBS - Anthem | Medicare|Imperial | $1,178.57 | ↑ +184% |
| Sutter Health | Commercial|All Plans | $1,210.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,255.79 | ↑ +203% |
| BrightHealth | Commercial|All Plans | $1,258.66 | ↑ +204% |
| BlueShield | Medicare|Trauma | $1,430.30 | ↑ +245% |
| United | Commercial|Non-Options PPO | $1,513.00 | ↑ +265% |
| United | Commercial|Options PPO | $1,513.00 | ↑ +265% |
| United | Commercial|All Other Plans | $1,513.00 | ↑ +265% |
| United | Commercial|HMO | $1,513.00 | ↑ +265% |
| Prison Healthcare | Medicaid|All Plans | $1,716.36 | ↑ +314% |
| BCBS - Anthem | Medicaid|All Plans | $1,745.00 | ↑ +321% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +698% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +840% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +917% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +932% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +932% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +1149% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +1149% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +1149% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +1190% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +1257% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +1409% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +1488% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +1534% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +1605% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1705% |
Visitor-reported prices
Comments
Amniocentesisdiagnostic 59000 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $360.48 | $99.41 – $1,646.00 |
| Banner Lassen Medical Center | Susanville | $433.26 | $94.48 – $805.10 |
| Arroyo Grande Hospital | Santa Maria | $1,151.32 | $65.71 – $2,556.82 |
| Mark Twain Medical Center | San Andreas | $1,965.37 | $65.71 – $1,266.16 |
| French Hospital | San Luis Obispo | $1,022.73 | $65.71 – $2,399.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $499.74 | $65.71 – $1,106.36 |
| Bakersfield Memorial Hospital | Bakersfield | $494.35 | $65.71 – $1,106.36 |
| Queen of The Valley Medical Center | Napa | $1,280.61 | $1,307.76 – $6,200.00 |