Bone marrow biopsyneedle/trocar 38221 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

$1,482.89

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.

$5,412.00

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.

$70.42 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 →

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
Hill Physicians Commercial|All Plans $70.42 ↓ -95%
United Medicaid|> 21 $224.72 ↓ -85%
United Medicaid|< 21 $224.72 ↓ -85%
Hill Physicians Medicaid|All Plans $271.66 ↓ -82%
Molina Medicaid|All Plans $368.16 ↓ -75%
BCBS - Anthem Medicaid|All Plans $372.08 ↓ -75%
Health Net Medicaid|All Plans $565.54 ↓ -62%
California Health & Wellness Medicaid|All Plans $565.54 ↓ -62%
WCMG Commercial|All Plans $573.32 ↓ -61%
Partnership Health Plan Medicaid|All Plans $842.07 ↓ -43%
Blue Shield CA Commercial|ACO Trio $1,022.00 ↓ -31%
Blue Shield CA Commercial|ACO Trio CalPers $1,303.00 ↓ -12%
Blue Shield CA Commercial|Exchange $1,322.00 ↓ -11%
Blue Shield CA Commercial|PPO Tandem $1,737.00 ↑ +17%
Western Health Advantage Commercial|All Plans $1,824.20 ↑ +23%
Blue Shield CA Commercial|HMO $1,932.00 ↑ +30%
BCBS - Anthem Medicare|All Other Plans $2,007.80 ↑ +35%
Blue Shield CA Commercial|CalPers $2,033.00 ↑ +37%
Blue Shield CA Commercial|PPO $2,093.00 ↑ +41%
Humana Commercial|All Plans $2,129.16 ↑ +44%
Humana Medicare|All Plans $2,129.16 ↑ +44%
Molina Medicare|All Plans $2,129.16 ↑ +44%
Blue Shield CA Medicare|HMO $2,129.16 ↑ +44%
United Medicare|All Plans $2,129.16 ↑ +44%
Kaiser Medicare|All Plans $2,129.16 ↑ +44%
Aetna Medicare|All Plans $2,129.16 ↑ +44%
Blue Shield CA Medicare|PPO $2,129.16 ↑ +44%
Kaiser Medicaid|All Plans $2,136.92 ↑ +44%
BCBS - Anthem Medicare|Imperial $2,193.03 ↑ +48%
BrightHealth Commercial|All Plans $2,342.08 ↑ +58%
BlueShield Medicare|Trauma $2,661.45 ↑ +79%
Kaiser Commercial|All Plans $2,814.48 ↑ +90%
Prison Healthcare Medicaid|All Plans $3,193.74 ↑ +115%
First Health Commercial|All Plans $3,909.00 ↑ +164%
Healthsmart Commercial|All Plans $3,909.00 ↑ +164%
Sutter Health Commercial|All Plans $4,169.60 ↑ +181%
BCBS - Anthem Commercial|Connection EPO $4,277.00 ↑ +188%
MultiPlan Commercial|All Plans $4,325.96 ↑ +192%
Aetna Commercial|PPO $5,178.00 ↑ +249%
Aetna Commercial|All Other Plans $5,178.00 ↑ +249%
Aetna Commercial|HMO $5,178.00 ↑ +249%
United Commercial|HMO $5,212.00 ↑ +251%
United Commercial|All Other Plans $5,212.00 ↑ +251%
United Commercial|Options PPO $5,212.00 ↑ +251%
United Commercial|Non-Options PPO $5,212.00 ↑ +251%
BCBS - Anthem Commercial|All Other Plans $5,346.00 ↑ +261%
Health Net Commercial|EPPO $5,780.00 ↑ +290%
BCBS - Anthem Commercial|MCS $7,484.00 ↑ +405%
Health Net Commercial|FFS $10,485.00 ↑ +607%

Visitor-reported prices

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Bone marrow biopsyneedle/trocar 38221 at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $1,011.78 $276.41 – $3,763.88
Banner Lassen Medical Center Susanville $943.78 $323.12 – $1,168.85
Arroyo Grande Hospital Santa Maria $765.70 $224.72 – $1,723.00
Mark Twain Medical Center San Andreas $2,293.04 $224.72 – $2,044.28
French Hospital San Luis Obispo $1,843.97 $224.72 – $1,723.00
Mercy Hospitals – Bakersfield Bakersfield $1,186.83 $224.72 – $1,623.00
Bakersfield Memorial Hospital Bakersfield $1,174.04 $224.72 – $1,623.00
Queen of The Valley Medical Center Napa $2,782.05 $1,727.00 – $9,858.00

All California hospitals for this procedure →