Antinuclear antibodies at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1.10
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.
$4.00
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.
$0.44 with WCMG vs $35.71 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 | $0.44 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $1.24 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $1.40 | ↑ +27% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1.60 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $1.64 | ↑ +49% |
| Blue Shield CA | Commercial|Exchange | $1.68 | ↑ +53% |
| Kaiser | Commercial|All Plans | $2.16 | ↑ +96% |
| Blue Shield CA | Commercial|PPO Tandem | $2.20 | ↑ +100% |
| Blue Shield CA | Commercial|HMO | $2.36 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $2.48 | ↑ +125% |
| Blue Shield CA | Commercial|PPO | $2.64 | ↑ +140% |
| First Health | Commercial|All Plans | $3.00 | ↑ +173% |
| Healthsmart | Commercial|All Plans | $3.00 | ↑ +173% |
| Sutter Health | Commercial|All Plans | $3.20 | ↑ +191% |
| BCBS - Anthem | Commercial|Connection EPO | $3.20 | ↑ +191% |
| MultiPlan | Commercial|All Plans | $3.32 | ↑ +202% |
| BCBS - Anthem | Medicare|All Other Plans | $3.78 | ↑ +244% |
| BCBS - Anthem | Commercial|All Other Plans | $4.00 | ↑ +264% |
| BCBS - Anthem | Medicaid|All Plans | $4.00 | ↑ +264% |
| BCBS - Anthem | Commercial|MCS | $4.00 | ↑ +264% |
| Blue Shield CA | Medicare|HMO | $4.00 | ↑ +264% |
| Blue Shield CA | Medicare|PPO | $4.00 | ↑ +264% |
| Partnership Health Plan | Medicaid|All Plans | $4.00 | ↑ +264% |
| Hill Physicians | Commercial|All Plans | $4.00 | ↑ +264% |
| Humana | Medicare|All Plans | $4.00 | ↑ +264% |
| Aetna | Commercial|All Other Plans | $4.00 | ↑ +264% |
| Aetna | Commercial|PPO | $4.00 | ↑ +264% |
| Aetna | Medicare|All Plans | $4.00 | ↑ +264% |
| Aetna | Commercial|HMO | $4.00 | ↑ +264% |
| Molina | Medicaid|All Plans | $4.00 | ↑ +264% |
| Molina | Medicare|All Plans | $4.00 | ↑ +264% |
| United | Commercial|All Other Plans | $4.00 | ↑ +264% |
| United | Medicare|All Plans | $4.00 | ↑ +264% |
| United | Commercial|HMO | $4.00 | ↑ +264% |
| United | Commercial|Options PPO | $4.00 | ↑ +264% |
| United | Commercial|Non-Options PPO | $4.00 | ↑ +264% |
| United | Medicaid|< 21 | $4.00 | ↑ +264% |
| United | Medicaid|> 21 | $4.00 | ↑ +264% |
| Health Net | Medicaid|All Plans | $4.00 | ↑ +264% |
| Kaiser | Medicare|All Plans | $4.00 | ↑ +264% |
| California Health & Wellness | Medicaid|All Plans | $4.00 | ↑ +264% |
| Humana | Commercial|All Plans | $4.00 | ↑ +264% |
| Hill Physicians | Medicaid|All Plans | $4.00 | ↑ +264% |
| BCBS - Anthem | Medicare|Imperial | $4.12 | ↑ +275% |
| BrightHealth | Commercial|All Plans | $4.40 | ↑ +300% |
| BlueShield | Medicare|Trauma | $5.00 | ↑ +355% |
| Prison Healthcare | Medicaid|All Plans | $6.00 | ↑ +445% |
| Cigna | Commercial|LocalPlus | $26.78 | ↑ +2335% |
| Cigna | Commercial|All Other Plans | $35.71 | ↑ +3146% |
Visitor-reported prices
Comments
Antinuclear antibodies at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6.57 | $1.08 – $32.08 |
| Petaluma Valley Hospital | Petaluma | $10.20 | $11.85 – $98.65 |
| Arroyo Grande Hospital | Santa Maria | $41.07 | $2.00 – $31.16 |
| Mark Twain Medical Center | San Andreas | $11.99 | $2.17 – $4.00 |
| French Hospital | San Luis Obispo | $37.61 | $1.08 – $36.63 |
| Mercy Hospitals – Bakersfield | Bakersfield | $20.41 | $2.00 – $34.75 |
| Bakersfield Memorial Hospital | Bakersfield | $20.19 | $2.00 – $34.75 |
| Queen of The Valley Medical Center | Napa | $10.20 | $12.09 – $124.67 |