Biopsy bone trocar/needle superficial at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$987.77
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.
$3,605.00
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.
$87.25 with Hill Physicians vs $10,485.00 with Health Net — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $87.25 | ↓ -91% |
| United | Medicaid|> 21 | $97.84 | ↓ -90% |
| United | Medicaid|< 21 | $97.84 | ↓ -90% |
| Molina | Medicaid|All Plans | $160.29 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $169.65 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $232.37 | ↓ -76% |
| California Health & Wellness | Medicaid|All Plans | $353.19 | ↓ -64% |
| Health Net | Medicaid|All Plans | $353.19 | ↓ -64% |
| WCMG | Commercial|All Plans | $380.71 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $525.88 | ↓ -47% |
| Western Health Advantage | Commercial|All Plans | $1,211.35 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $1,419.01 | ↑ +44% |
| Kaiser | Commercial|All Plans | $1,868.94 | ↑ +89% |
| BCBS - Anthem | Medicare|All Other Plans | $2,007.80 | ↑ +103% |
| Blue Shield CA | Medicare|PPO | $2,129.16 | ↑ +116% |
| Blue Shield CA | Medicare|HMO | $2,129.16 | ↑ +116% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +116% |
| Aetna | Medicare|All Plans | $2,129.16 | ↑ +116% |
| Molina | Medicare|All Plans | $2,129.16 | ↑ +116% |
| United | Medicare|All Plans | $2,129.16 | ↑ +116% |
| Humana | Commercial|All Plans | $2,129.16 | ↑ +116% |
| Humana | Medicare|All Plans | $2,129.16 | ↑ +116% |
| BCBS - Anthem | Medicare|Imperial | $2,193.03 | ↑ +122% |
| BrightHealth | Commercial|All Plans | $2,342.08 | ↑ +137% |
| Healthsmart | Commercial|All Plans | $2,595.75 | ↑ +163% |
| First Health | Commercial|All Plans | $2,595.75 | ↑ +163% |
| BlueShield | Medicare|Trauma | $2,661.45 | ↑ +169% |
| Sutter Health | Commercial|All Plans | $2,768.80 | ↑ +180% |
| MultiPlan | Commercial|All Plans | $2,872.63 | ↑ +191% |
| Prison Healthcare | Medicaid|All Plans | $3,193.74 | ↑ +223% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +235% |
| United | Commercial|All Other Plans | $3,461.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $3,461.00 | ↑ +250% |
| United | Commercial|Options PPO | $3,461.00 | ↑ +250% |
| United | Commercial|HMO | $3,461.00 | ↑ +250% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +327% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +333% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +333% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +424% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +424% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +424% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +441% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +469% |
| Health Net | Commercial|EPPO | $5,780.00 | ↑ +485% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +533% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +567% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +586% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +658% |
| Health Net | Commercial|FFS | $10,485.00 | ↑ +961% |
Visitor-reported prices
Comments
Biopsy bone trocar/needle superficial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $833.52 | $120.34 – $3,763.88 |
| Arroyo Grande Hospital | Santa Maria | $1,698.31 | $97.84 – $3,305.54 |
| French Hospital | San Luis Obispo | $1,851.03 | $97.84 – $2,916.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,743.70 | $97.84 – $3,608.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,724.90 | $97.84 – $2,058.68 |
| Queen of The Valley Medical Center | Napa | $1,972.17 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,381.01 | $2,124.23 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,097.51 | $97.84 – $1,813.00 |