Bx/exc lymph node/open/deep cervic 38510 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

$3,246.36

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.

$11,848.00

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.

$165.76 with United vs $12,770.00 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
United Medicaid|< 21 $165.76 ↓ -95%
United Medicaid|> 21 $165.76 ↓ -95%
Molina Medicaid|All Plans $271.57 ↓ -92%
Hill Physicians Medicaid|All Plans $287.43 ↓ -91%
BCBS - Anthem Medicaid|All Plans $393.68 ↓ -88%
Hill Physicians Commercial|All Plans $421.74 ↓ -87%
California Health & Wellness Medicaid|All Plans $598.38 ↓ -82%
Health Net Medicaid|All Plans $598.38 ↓ -82%
Partnership Health Plan Medicaid|All Plans $890.96 ↓ -73%
WCMG Commercial|All Plans $1,303.28 ↓ -60%
Western Health Advantage Commercial|All Plans $4,146.80 ↑ +28%
Blue Shield CA Commercial|ACO Trio $4,430.00 ↑ +36%
BCBS - Anthem Medicare|All Other Plans $4,745.23 ↑ +46%
Kaiser Medicaid|All Plans $4,857.68 ↑ +50%
United Medicare|All Plans $5,032.06 ↑ +55%
Humana Medicare|All Plans $5,032.06 ↑ +55%
Aetna Medicare|All Plans $5,032.06 ↑ +55%
Molina Medicare|All Plans $5,032.06 ↑ +55%
Humana Commercial|All Plans $5,032.06 ↑ +55%
Kaiser Medicare|All Plans $5,032.06 ↑ +55%
Blue Shield CA Medicare|HMO $5,032.06 ↑ +55%
Blue Shield CA Medicare|PPO $5,032.06 ↑ +55%
BCBS - Anthem Medicare|Imperial $5,183.02 ↑ +60%
BrightHealth Commercial|All Plans $5,535.27 ↑ +71%
Blue Shield CA Commercial|ACO Trio CalPers $5,645.00 ↑ +74%
Blue Shield CA Commercial|Exchange $5,727.00 ↑ +76%
BlueShield Medicare|Trauma $6,290.08 ↑ +94%
Kaiser Commercial|All Plans $6,397.92 ↑ +97%
BCBS - Anthem Commercial|Connection EPO $7,209.00 ↑ +122%
Aetna Commercial|PPO $7,251.00 ↑ +123%
Aetna Commercial|All Other Plans $7,251.00 ↑ +123%
Aetna Commercial|HMO $7,251.00 ↑ +123%
Blue Shield CA Commercial|PPO Tandem $7,528.00 ↑ +132%
Prison Healthcare Medicaid|All Plans $7,548.09 ↑ +133%
Blue Shield CA Commercial|HMO $8,370.00 ↑ +158%
Blue Shield CA Commercial|CalPers $8,811.00 ↑ +171%
Healthsmart Commercial|All Plans $8,886.00 ↑ +174%
First Health Commercial|All Plans $8,886.00 ↑ +174%
BCBS - Anthem Commercial|All Other Plans $9,011.00 ↑ +178%
Blue Shield CA Commercial|PPO $9,068.00 ↑ +179%
Sutter Health Commercial|All Plans $9,478.40 ↑ +192%
MultiPlan Commercial|All Plans $9,833.84 ↑ +203%
United Commercial|All Other Plans $11,848.00 ↑ +265%
United Commercial|HMO $11,848.00 ↑ +265%
United Commercial|Options PPO $11,848.00 ↑ +265%
United Commercial|Non-Options PPO $11,848.00 ↑ +265%
BCBS - Anthem Commercial|MCS $12,615.00 ↑ +289%
Health Net Commercial|FFS $12,770.00 ↑ +293%

Visitor-reported prices

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Bx/exc lymph node/open/deep cervic 38510 at other California hospitals

Hospital City Cash price Negotiated range
Sierra Nevada Memorial Hospital Grass Valley $6,740.56 $165.76 – $12,120.64
Mercy General Hospital Sacramento $2,582.87 $165.76 – $9,478.40
Mercy Hospital of Folsom Folsom $4,608.88 $165.76 – $9,715.36
Woodland Memorial Hospital Woodland $3,246.36 $165.76 – $11,848.00
Methodist Hospital of Sacramento Sacramento $3,412.23 $165.76 – $9,833.84
St. John's Camarillo Hospital Camarillo not published $203.88 – $8,628.88
Petaluma Valley Hospital Petaluma not published $2,570.00 – $6,619.00
Arroyo Grande Hospital Santa Maria not published $165.76 – $4,865.48

All California hospitals for this procedure →