Bx/exc lymph node/open/deep cervic 38510 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,246.36
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.
$11,848.00
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.
$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 →
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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 |
|---|---|---|---|
| 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
Comments
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 |