Blood Count (CBC) Test (without differential) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$61.11
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.
$223.00
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.
$5.71 with Partnership Health Plan vs $199.41 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $5.71 | ↓ -91% |
| BCBS - Anthem | Medicare|All Other Plans | $6.10 | ↓ -90% |
| Humana | Commercial|All Plans | $6.47 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $6.47 | ↓ -89% |
| Aetna | Medicare|All Plans | $6.47 | ↓ -89% |
| Blue Shield CA | Medicare|PPO | $6.47 | ↓ -89% |
| Kaiser | Medicare|All Plans | $6.47 | ↓ -89% |
| Blue Shield CA | Medicare|HMO | $6.47 | ↓ -89% |
| Humana | Medicare|All Plans | $6.47 | ↓ -89% |
| Molina | Medicare|All Plans | $6.47 | ↓ -89% |
| United | Medicare|All Plans | $6.47 | ↓ -89% |
| BCBS - Anthem | Medicare|Imperial | $6.66 | ↓ -89% |
| BrightHealth | Commercial|All Plans | $7.12 | ↓ -88% |
| United | Commercial|All Other Plans | $7.76 | ↓ -87% |
| United | Commercial|HMO | $7.76 | ↓ -87% |
| United | Commercial|Options PPO | $7.76 | ↓ -87% |
| United | Commercial|Non-Options PPO | $7.76 | ↓ -87% |
| BlueShield | Medicare|Trauma | $8.09 | ↓ -87% |
| United | Medicaid|< 21 | $8.19 | ↓ -87% |
| United | Medicaid|> 21 | $8.19 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $9.01 | ↓ -85% |
| Prison Healthcare | Medicaid|All Plans | $9.71 | ↓ -84% |
| Molina | Medicaid|All Plans | $10.73 | ↓ -82% |
| Cigna | Commercial|LocalPlus | $14.34 | ↓ -77% |
| BCBS - Anthem | Medicaid|All Plans | $15.69 | ↓ -74% |
| Health Net | Medicaid|All Plans | $18.76 | ↓ -69% |
| California Health & Wellness | Medicaid|All Plans | $18.76 | ↓ -69% |
| Cigna | Commercial|All Other Plans | $19.13 | ↓ -69% |
| Aetna | Commercial|HMO | $24.39 | ↓ -60% |
| Aetna | Commercial|All Other Plans | $24.39 | ↓ -60% |
| Aetna | Commercial|PPO | $24.39 | ↓ -60% |
| WCMG | Commercial|All Plans | $24.53 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $69.13 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $78.05 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $89.20 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $91.43 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $93.66 | ↑ +53% |
| BCBS - Anthem | Commercial|Connection EPO | $113.97 | ↑ +86% |
| Kaiser | Commercial|All Plans | $120.42 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $122.65 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $131.57 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $138.26 | ↑ +126% |
| BCBS - Anthem | Commercial|All Other Plans | $142.42 | ↑ +133% |
| Blue Shield CA | Commercial|PPO | $147.18 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $167.25 | ↑ +174% |
| First Health | Commercial|All Plans | $167.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $178.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $185.09 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $199.41 | ↑ +226% |
Visitor-reported prices
Comments
Blood Count (CBC) Test (without differential) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $80.16 | $6.47 – $20.19 |
| Banner Lassen Medical Center | Susanville | $11.92 | $1.29 – $19.40 |
| Petaluma Valley Hospital | Petaluma | $128.01 | $6.34 – $52.81 |
| Arroyo Grande Hospital | Santa Maria | $94.59 | $6.47 – $17.64 |
| Mark Twain Medical Center | San Andreas | $73.26 | $6.47 – $15.86 |
| French Hospital | San Luis Obispo | $86.64 | $4.86 – $19.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $158.79 | $6.47 – $40.00 |
| Bakersfield Memorial Hospital | Bakersfield | $157.08 | $6.47 – $39.50 |