Blood typing patient serum at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$14.53
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.
$53.00
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.
$5.83 with WCMG vs $117.09 with Prison Healthcare — 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 | $5.83 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $6.84 | ↓ -53% |
| United | Medicaid|> 21 | $9.81 | ↓ -32% |
| United | Medicaid|< 21 | $9.81 | ↓ -32% |
| Hill Physicians | Medicaid|All Plans | $10.79 | ↓ -26% |
| Molina | Medicaid|All Plans | $12.86 | ↓ -11% |
| BCBS - Anthem | Medicaid|All Plans | $13.00 | ↓ -11% |
| Hill Physicians | Commercial|All Plans | $16.34 | ↑ +12% |
| Blue Shield CA | Commercial|ACO Trio | $16.43 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $18.55 | ↑ +28% |
| United | Commercial|All Other Plans | $19.61 | ↑ +35% |
| United | Commercial|HMO | $19.61 | ↑ +35% |
| United | Commercial|Options PPO | $19.61 | ↑ +35% |
| United | Commercial|Non-Options PPO | $19.61 | ↑ +35% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $21.20 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $21.73 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $22.26 | ↑ +53% |
| Health Net | Medicaid|All Plans | $22.46 | ↑ +55% |
| California Health & Wellness | Medicaid|All Plans | $22.46 | ↑ +55% |
| Kaiser | Commercial|All Plans | $28.62 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $29.15 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $31.27 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $32.86 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $34.98 | ↑ +141% |
| Aetna | Commercial|PPO | $35.84 | ↑ +147% |
| Aetna | Commercial|HMO | $35.84 | ↑ +147% |
| Aetna | Commercial|All Other Plans | $35.84 | ↑ +147% |
| Cigna | Commercial|LocalPlus | $36.18 | ↑ +149% |
| First Health | Commercial|All Plans | $39.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $39.75 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $42.40 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $42.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $43.99 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $48.25 | ↑ +232% |
| BCBS - Anthem | Medicare|All Other Plans | $49.98 | ↑ +244% |
| BCBS - Anthem | Commercial|All Other Plans | $53.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $53.00 | ↑ +265% |
| Humana | Commercial|All Plans | $53.00 | ↑ +265% |
| United | Medicare|All Plans | $53.00 | ↑ +265% |
| Molina | Medicare|All Plans | $53.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $53.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $53.00 | ↑ +265% |
| Humana | Medicare|All Plans | $53.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $54.59 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $58.30 | ↑ +301% |
| BlueShield | Medicare|Trauma | $66.25 | ↑ +356% |
| Blue Shield CA | Medicare|HMO | $78.06 | ↑ +437% |
| Kaiser | Medicare|All Plans | $78.06 | ↑ +437% |
| Prison Healthcare | Medicaid|All Plans | $117.09 | ↑ +706% |
Visitor-reported prices
Comments
Blood typing patient serum at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $71.28 | $3.27 – $99.91 |
| Mark Twain Medical Center | San Andreas | $35.30 | $9.81 – $51.94 |
| St. Joseph's Medical Center Stockton | Stockton | $15.59 | $9.81 – $53.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $28.89 | $9.37 – $53.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $21.18 | $23.18 – $140.37 |
| Sequoia Hospital | Redwood City | $34.40 | $9.81 – $272.65 |
| St. Mary Medical Center | Long Beach | $38.70 | $6.84 – $88.00 |
| Providence Saint Joseph Medical Center | Burbank | $96.25 | $19.94 – $140.37 |