Bone marrow biopsyneedle/trocar 38221 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,482.89
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.
$5,412.00
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.
$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 →
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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 | $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
Comments
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 |