Biopsy skin incisional single lesion at Mercy San Juan Medical Center

6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$134.54

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$491.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$54.01 with WCMG vs $9,068.00 with Blue Shield CA — 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 →

Payer
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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
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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 $54.01 ↓ -60%
Hill Physicians Commercial|All Plans $56.70 ↓ -58%
United Medicaid|> 21 $108.71 ↓ -19%
United Medicaid|< 21 $108.71 ↓ -19%
Hill Physicians Medicaid|All Plans $119.58 ↓ -11%
Western Health Advantage Commercial|All Plans $171.85 ↑ +28%
Kaiser Medicaid|All Plans $201.31 ↑ +50%
California Health & Wellness Medicaid|All Plans $248.95 ↑ +85%
Health Net Medicaid|All Plans $248.95 ↑ +85%
Molina Medicaid|All Plans $255.47 ↑ +90%
BCBS - Anthem Medicaid|All Plans $258.19 ↑ +92%
Kaiser Commercial|All Plans $265.14 ↑ +97%
Healthsmart Commercial|All Plans $368.25 ↑ +174%
First Health Commercial|All Plans $368.25 ↑ +174%
Sutter Health Commercial|All Plans $392.80 ↑ +192%
MultiPlan Commercial|All Plans $407.53 ↑ +203%
BCBS - Anthem Medicare|All Other Plans $463.02 ↑ +244%
Blue Shield CA Medicare|PPO $491.00 ↑ +265%
Humana Medicare|All Plans $491.00 ↑ +265%
Humana Commercial|All Plans $491.00 ↑ +265%
Aetna Medicare|All Plans $491.00 ↑ +265%
Molina Medicare|All Plans $491.00 ↑ +265%
United Commercial|All Other Plans $491.00 ↑ +265%
United Medicare|All Plans $491.00 ↑ +265%
United Commercial|HMO $491.00 ↑ +265%
United Commercial|Options PPO $491.00 ↑ +265%
United Commercial|Non-Options PPO $491.00 ↑ +265%
Partnership Health Plan Medicaid|All Plans $491.00 ↑ +265%
BCBS - Anthem Medicare|Imperial $505.73 ↑ +276%
BrightHealth Commercial|All Plans $540.10 ↑ +301%
BlueShield Medicare|Trauma $613.75 ↑ +356%
Blue Shield CA Medicare|HMO $804.40 ↑ +498%
Kaiser Medicare|All Plans $804.40 ↑ +498%
Prison Healthcare Medicaid|All Plans $1,206.60 ↑ +797%
Health Net Commercial|EPPO $3,200.00 ↑ +2278%
BCBS - Anthem Commercial|Connection EPO $4,277.00 ↑ +3079%
Blue Shield CA Commercial|ACO Trio $4,430.00 ↑ +3193%
Aetna Commercial|PPO $5,178.00 ↑ +3749%
Aetna Commercial|All Other Plans $5,178.00 ↑ +3749%
Aetna Commercial|HMO $5,178.00 ↑ +3749%
BCBS - Anthem Commercial|All Other Plans $5,346.00 ↑ +3874%
Blue Shield CA Commercial|ACO Trio CalPers $5,645.00 ↑ +4096%
Blue Shield CA Commercial|Exchange $5,727.00 ↑ +4157%
Health Net Commercial|FFS $5,805.00 ↑ +4215%
BCBS - Anthem Commercial|MCS $7,484.00 ↑ +5463%
Blue Shield CA Commercial|PPO Tandem $7,528.00 ↑ +5495%
Blue Shield CA Commercial|HMO $8,370.00 ↑ +6121%
Blue Shield CA Commercial|CalPers $8,811.00 ↑ +6449%
Blue Shield CA Commercial|PPO $9,068.00 ↑ +6640%

Visitor-reported prices

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Biopsy skin incisional single lesion at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $552.37 $164.46 – $1,458.18
Petaluma Valley Hospital Petaluma $1,176.57 $995.98 – $2,695.00
Mark Twain Medical Center San Andreas $114.56 $42.17 – $159.74
Mercy Hospitals – Bakersfield Bakersfield $148.40 $108.71 – $400.00
Bakersfield Memorial Hospital Bakersfield $153.41 $108.71 – $400.00
Queen of The Valley Medical Center Napa $1,308.15 $1,049.38 – $7,483.00
Providence St Joseph Hospital Eureka Eureka $1,315.80 $950.57 – $8,018.00
Healdsburg Hospital Healdsburg $808.35 $995.78 – $3,982.87

All California hospitals for this procedure →