Apl(pml-rara) quant - sendout at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$76.72
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.
$280.00
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.
$10.35 with WCMG vs $612.17 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 | $10.35 | ↓ -87% |
| Western Health Advantage | Commercial|All Plans | $32.92 | ↓ -57% |
| Kaiser | Medicaid|All Plans | $38.56 | ↓ -50% |
| Kaiser | Commercial|All Plans | $50.78 | ↓ -34% |
| First Health | Commercial|All Plans | $70.53 | ↓ -8% |
| Healthsmart | Commercial|All Plans | $70.53 | ↓ -8% |
| BCBS - Anthem | Commercial|Connection EPO | $75.23 | ↓ -2% |
| Sutter Health | Commercial|All Plans | $75.23 | ↓ -2% |
| MultiPlan | Commercial|All Plans | $78.05 | ↑ +2% |
| BCBS - Anthem | Medicare|All Other Plans | $88.68 | ↑ +16% |
| United | Commercial|HMO | $94.03 | ↑ +23% |
| United | Commercial|Options PPO | $94.03 | ↑ +23% |
| United | Commercial|Non-Options PPO | $94.03 | ↑ +23% |
| United | Medicaid|< 21 | $94.03 | ↑ +23% |
| United | Medicaid|> 21 | $94.03 | ↑ +23% |
| Health Net | Medicaid|All Plans | $94.03 | ↑ +23% |
| Kaiser | Medicare|All Plans | $94.03 | ↑ +23% |
| BCBS - Anthem | Commercial|All Other Plans | $94.03 | ↑ +23% |
| BCBS - Anthem | Medicaid|All Plans | $94.03 | ↑ +23% |
| BCBS - Anthem | Commercial|MCS | $94.03 | ↑ +23% |
| Blue Shield CA | Medicare|HMO | $94.03 | ↑ +23% |
| Humana | Commercial|All Plans | $94.03 | ↑ +23% |
| Partnership Health Plan | Medicaid|All Plans | $94.03 | ↑ +23% |
| Blue Shield CA | Medicare|PPO | $94.03 | ↑ +23% |
| Humana | Medicare|All Plans | $94.03 | ↑ +23% |
| Aetna | Commercial|All Other Plans | $94.03 | ↑ +23% |
| Aetna | Commercial|PPO | $94.03 | ↑ +23% |
| Aetna | Medicare|All Plans | $94.03 | ↑ +23% |
| Aetna | Commercial|HMO | $94.03 | ↑ +23% |
| Molina | Medicaid|All Plans | $94.03 | ↑ +23% |
| Molina | Medicare|All Plans | $94.03 | ↑ +23% |
| United | Commercial|All Other Plans | $94.03 | ↑ +23% |
| United | Medicare|All Plans | $94.03 | ↑ +23% |
| California Health & Wellness | Medicaid|All Plans | $94.03 | ↑ +23% |
| Hill Physicians | Commercial|All Plans | $94.03 | ↑ +23% |
| Hill Physicians | Medicaid|All Plans | $94.03 | ↑ +23% |
| BCBS - Anthem | Medicare|Imperial | $96.86 | ↑ +26% |
| BrightHealth | Commercial|All Plans | $103.44 | ↑ +35% |
| BlueShield | Medicare|Trauma | $117.54 | ↑ +53% |
| Prison Healthcare | Medicaid|All Plans | $141.05 | ↑ +84% |
| Cigna | Commercial|LocalPlus | $459.09 | ↑ +498% |
| Cigna | Commercial|All Other Plans | $612.17 | ↑ +698% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $139.96 | $94.03 – $534.15 |
| French Hospital | San Luis Obispo | $128.19 | $75.60 – $627.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $121.32 | $94.03 – $595.73 |
| Bakersfield Memorial Hospital | Bakersfield | $120.01 | $94.03 – $595.73 |
| St. Joseph's Behavioral Health Center | Stockton | $186.72 | $22.30 – $178.36 |
| St. Joseph's Medical Center Stockton | Stockton | $96.14 | $46.82 – $222.95 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $254.41 | $94.03 – $320.46 |
| Mercy Medical Center Merced | Merced | $168.41 | $94.03 – $209.58 |