Assay of fluoride at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$29.60
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.
$108.00
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.
$11.88 with WCMG vs $108.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $11.88 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $16.48 | ↓ -44% |
| BCBS - Anthem | Medicare|All Other Plans | $17.48 | ↓ -41% |
| Hill Physicians | Commercial|All Plans | $18.54 | ↓ -37% |
| Aetna | Medicare|All Plans | $18.54 | ↓ -37% |
| Blue Shield CA | Medicare|PPO | $18.54 | ↓ -37% |
| Kaiser | Medicare|All Plans | $18.54 | ↓ -37% |
| Molina | Medicare|All Plans | $18.54 | ↓ -37% |
| Blue Shield CA | Medicare|HMO | $18.54 | ↓ -37% |
| Humana | Medicare|All Plans | $18.54 | ↓ -37% |
| Humana | Commercial|All Plans | $18.54 | ↓ -37% |
| United | Medicare|All Plans | $18.54 | ↓ -37% |
| BCBS - Anthem | Medicare|Imperial | $19.10 | ↓ -35% |
| BrightHealth | Commercial|All Plans | $20.39 | ↓ -31% |
| United | Commercial|HMO | $22.25 | ↓ -25% |
| United | Commercial|Options PPO | $22.25 | ↓ -25% |
| United | Commercial|Non-Options PPO | $22.25 | ↓ -25% |
| United | Commercial|All Other Plans | $22.25 | ↓ -25% |
| BlueShield | Medicare|Trauma | $23.17 | ↓ -22% |
| United | Medicaid|< 21 | $23.64 | ↓ -20% |
| United | Medicaid|> 21 | $23.64 | ↓ -20% |
| Hill Physicians | Medicaid|All Plans | $26.00 | ↓ -12% |
| Prison Healthcare | Medicaid|All Plans | $27.81 | ↓ -6% |
| Molina | Medicaid|All Plans | $30.98 | ↑ +5% |
| Blue Shield CA | Commercial|ACO Trio | $33.48 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $37.80 | ↑ +28% |
| Cigna | Commercial|LocalPlus | $41.05 | ↑ +39% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $43.20 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $44.28 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $45.36 | ↑ +53% |
| BCBS - Anthem | Medicaid|All Plans | $47.50 | ↑ +60% |
| California Health & Wellness | Medicaid|All Plans | $54.14 | ↑ +83% |
| Health Net | Medicaid|All Plans | $54.14 | ↑ +83% |
| Cigna | Commercial|All Other Plans | $54.74 | ↑ +85% |
| Kaiser | Commercial|All Plans | $58.32 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $59.40 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $63.72 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $66.96 | ↑ +126% |
| Aetna | Commercial|HMO | $69.84 | ↑ +136% |
| Aetna | Commercial|PPO | $69.84 | ↑ +136% |
| Aetna | Commercial|All Other Plans | $69.84 | ↑ +136% |
| Blue Shield CA | Commercial|PPO | $71.28 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $81.00 | ↑ +174% |
| First Health | Commercial|All Plans | $81.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $86.40 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $86.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $89.64 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $108.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $108.00 | ↑ +265% |
Visitor-reported prices
Comments
Assay of fluoride at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $46.23 | $18.54 – $105.84 |
| French Hospital | San Luis Obispo | $42.34 | $18.54 – $105.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $39.70 | $18.54 – $85.60 |
| Bakersfield Memorial Hospital | Bakersfield | $39.27 | $18.54 – $84.53 |
| St. Joseph's Behavioral Health Center | Stockton | $61.10 | $10.70 – $85.60 |
| St. Joseph's Medical Center Stockton | Stockton | $31.46 | $15.76 – $87.74 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $83.25 | $16.48 – $104.86 |
| Mercy Medical Center Merced | Merced | $55.11 | $18.54 – $100.58 |