Bone marrow interpretation at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$191.53
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.
$699.00
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.
$35.25 with Partnership Health Plan vs $1,610.23 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $35.25 | ↓ -82% |
| Hill Physicians | Commercial|All Plans | $47.87 | ↓ -75% |
| United | Medicaid|> 21 | $50.56 | ↓ -74% |
| United | Medicaid|< 21 | $50.56 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $55.62 | ↓ -71% |
| Molina | Medicaid|All Plans | $66.27 | ↓ -65% |
| WCMG | Commercial|All Plans | $76.89 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $96.06 | ↓ -50% |
| Cigna | Commercial|LocalPlus | $107.29 | ↓ -44% |
| Health Net | Medicaid|All Plans | $115.78 | ↓ -40% |
| California Health & Wellness | Medicaid|All Plans | $115.78 | ↓ -40% |
| Aetna | Commercial|HMO | $127.62 | ↓ -33% |
| Aetna | Commercial|PPO | $127.62 | ↓ -33% |
| Aetna | Commercial|All Other Plans | $127.62 | ↓ -33% |
| Cigna | Commercial|All Other Plans | $143.06 | ↓ -25% |
| Blue Shield CA | Commercial|ACO Trio | $216.69 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $244.65 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $279.60 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $286.59 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $293.58 | ↑ +53% |
| Kaiser | Commercial|All Plans | $377.46 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $384.45 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $412.41 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $433.38 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $461.34 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $524.25 | ↑ +174% |
| First Health | Commercial|All Plans | $524.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $559.20 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $559.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $580.17 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $659.16 | ↑ +244% |
| United | Medicare|All Plans | $699.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $699.00 | ↑ +265% |
| United | Commercial|All Other Plans | $699.00 | ↑ +265% |
| Molina | Medicare|All Plans | $699.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $699.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $699.00 | ↑ +265% |
| Humana | Commercial|All Plans | $699.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $699.00 | ↑ +265% |
| United | Commercial|Options PPO | $699.00 | ↑ +265% |
| United | Commercial|HMO | $699.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $699.00 | ↑ +265% |
| Humana | Medicare|All Plans | $699.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $719.97 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $768.90 | ↑ +301% |
| BlueShield | Medicare|Trauma | $873.75 | ↑ +356% |
| Blue Shield CA | Medicare|HMO | $1,073.49 | ↑ +460% |
| Kaiser | Medicare|All Plans | $1,073.49 | ↑ +460% |
| Prison Healthcare | Medicaid|All Plans | $1,610.23 | ↑ +741% |
Visitor-reported prices
Comments
Bone marrow interpretation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $351.28 | $66.30 – $1,604.00 |
| Petaluma Valley Hospital | Petaluma | $1,276.02 | $236.33 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $1,097.82 | $50.56 – $1,615.95 |
| Mark Twain Medical Center | San Andreas | $432.90 | $50.56 – $637.00 |
| French Hospital | San Luis Obispo | $1,005.48 | $50.56 – $1,551.34 |
| Mercy Hospitals – Bakersfield | Bakersfield | $260.82 | $49.53 – $611.00 |
| Bakersfield Memorial Hospital | Bakersfield | $258.01 | $49.53 – $611.00 |
| Queen of The Valley Medical Center | Napa | $1,684.02 | $301.42 – $1,256.40 |