Borrelia antibody at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$25.24
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.
$92.10
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.
$10.14 with WCMG vs $92.10 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $10.14 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $11.89 | ↓ -53% |
| BCBS - Anthem | Medicare|All Other Plans | $12.62 | ↓ -50% |
| Hill Physicians | Commercial|All Plans | $13.38 | ↓ -47% |
| Aetna | Medicare|All Plans | $13.38 | ↓ -47% |
| Blue Shield CA | Medicare|PPO | $13.38 | ↓ -47% |
| Kaiser | Medicare|All Plans | $13.38 | ↓ -47% |
| Molina | Medicare|All Plans | $13.38 | ↓ -47% |
| Blue Shield CA | Medicare|HMO | $13.38 | ↓ -47% |
| Humana | Medicare|All Plans | $13.38 | ↓ -47% |
| Humana | Commercial|All Plans | $13.38 | ↓ -47% |
| United | Medicare|All Plans | $13.38 | ↓ -47% |
| BCBS - Anthem | Medicare|Imperial | $13.78 | ↓ -45% |
| BrightHealth | Commercial|All Plans | $14.72 | ↓ -42% |
| United | Commercial|HMO | $16.06 | ↓ -36% |
| United | Commercial|Options PPO | $16.06 | ↓ -36% |
| United | Commercial|Non-Options PPO | $16.06 | ↓ -36% |
| United | Commercial|All Other Plans | $16.06 | ↓ -36% |
| BlueShield | Medicare|Trauma | $16.73 | ↓ -34% |
| United | Medicaid|< 21 | $17.06 | ↓ -32% |
| United | Medicaid|> 21 | $17.06 | ↓ -32% |
| Hill Physicians | Medicaid|All Plans | $18.77 | ↓ -26% |
| Prison Healthcare | Medicaid|All Plans | $20.07 | ↓ -20% |
| Molina | Medicaid|All Plans | $22.35 | ↓ -11% |
| Blue Shield CA | Commercial|ACO Trio | $28.56 | ↑ +13% |
| Cigna | Commercial|LocalPlus | $29.64 | ↑ +17% |
| Western Health Advantage | Commercial|All Plans | $32.24 | ↑ +28% |
| BCBS - Anthem | Medicaid|All Plans | $33.42 | ↑ +32% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $36.84 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $37.77 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $38.69 | ↑ +53% |
| California Health & Wellness | Medicaid|All Plans | $39.07 | ↑ +55% |
| Health Net | Medicaid|All Plans | $39.07 | ↑ +55% |
| Cigna | Commercial|All Other Plans | $39.52 | ↑ +57% |
| Kaiser | Commercial|All Plans | $49.74 | ↑ +97% |
| Aetna | Commercial|All Other Plans | $50.42 | ↑ +100% |
| Aetna | Commercial|PPO | $50.42 | ↑ +100% |
| Aetna | Commercial|HMO | $50.42 | ↑ +100% |
| Blue Shield CA | Commercial|PPO Tandem | $50.66 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $54.34 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $57.11 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $60.79 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $69.08 | ↑ +174% |
| First Health | Commercial|All Plans | $69.08 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $73.68 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $73.68 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $76.45 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $92.10 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $92.10 | ↑ +265% |
Visitor-reported prices
Comments
Borrelia antibody at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sierra Nevada Memorial Hospital | Grass Valley | $50.20 | $13.38 – $90.26 |
| Mercy General Hospital | Sacramento | $20.08 | $11.89 – $73.68 |
| Mercy Hospital of Folsom | Folsom | $35.83 | $10.14 – $75.53 |
| Woodland Memorial Hospital | Woodland | $25.24 | $10.14 – $92.10 |
| Methodist Hospital of Sacramento | Sacramento | $26.53 | $11.89 – $76.45 |
| Petaluma Valley Hospital | Petaluma | not published | $13.11 – $107.66 |
| Queen of The Valley Medical Center | Napa | not published | $13.38 – $136.06 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $13.38 – $154.29 |