C-reactive protein, quantitative at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$27.95
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.
?
What you pay up front if you don't use insurance.
$102.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.45 with Partnership Health Plan vs $102.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $9.45 | ↓ -66% |
| BCBS - Anthem | Medicare|All Other Plans | $10.03 | ↓ -64% |
| Blue Shield CA | Medicare|PPO | $10.64 | ↓ -62% |
| Blue Shield CA | Medicare|HMO | $10.64 | ↓ -62% |
| Humana | Commercial|All Plans | $10.64 | ↓ -62% |
| Humana | Medicare|All Plans | $10.64 | ↓ -62% |
| Aetna | Medicare|All Plans | $10.64 | ↓ -62% |
| Molina | Medicare|All Plans | $10.64 | ↓ -62% |
| United | Medicare|All Plans | $10.64 | ↓ -62% |
| Kaiser | Medicare|All Plans | $10.64 | ↓ -62% |
| Hill Physicians | Commercial|All Plans | $10.64 | ↓ -62% |
| BCBS - Anthem | Medicare|Imperial | $10.96 | ↓ -61% |
| WCMG | Commercial|All Plans | $11.22 | ↓ -60% |
| BrightHealth | Commercial|All Plans | $11.70 | ↓ -58% |
| United | Commercial|All Other Plans | $12.77 | ↓ -54% |
| United | Commercial|Non-Options PPO | $12.77 | ↓ -54% |
| United | Commercial|HMO | $12.77 | ↓ -54% |
| United | Commercial|Options PPO | $12.77 | ↓ -54% |
| BlueShield | Medicare|Trauma | $13.30 | ↓ -52% |
| United | Medicaid|< 21 | $13.56 | ↓ -51% |
| United | Medicaid|> 21 | $13.56 | ↓ -51% |
| Hill Physicians | Medicaid|All Plans | $14.92 | ↓ -47% |
| Prison Healthcare | Medicaid|All Plans | $15.96 | ↓ -43% |
| Molina | Medicaid|All Plans | $17.77 | ↓ -36% |
| Cigna | Commercial|LocalPlus | $23.58 | ↓ -16% |
| BCBS - Anthem | Medicaid|All Plans | $26.73 | ↓ -4% |
| California Health & Wellness | Medicaid|All Plans | $31.05 | ↑ +11% |
| Health Net | Medicaid|All Plans | $31.05 | ↑ +11% |
| Cigna | Commercial|All Other Plans | $31.44 | ↑ +12% |
| Blue Shield CA | Commercial|ACO Trio | $31.62 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $35.70 | ↑ +28% |
| Aetna | Commercial|PPO | $40.10 | ↑ +43% |
| Aetna | Commercial|All Other Plans | $40.10 | ↑ +43% |
| Aetna | Commercial|HMO | $40.10 | ↑ +43% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $40.80 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $41.82 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $42.84 | ↑ +53% |
| Kaiser | Commercial|All Plans | $55.08 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $56.10 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $60.18 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $63.24 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $67.32 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $76.50 | ↑ +174% |
| First Health | Commercial|All Plans | $76.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $81.60 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $81.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $84.66 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $102.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $102.00 | ↑ +265% |
Visitor-reported prices
Comments
C-reactive protein, quantitative at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $19.11 | $2.13 – $29.10 |
| Petaluma Valley Hospital | Petaluma | $36.21 | $10.43 – $132.23 |
| Arroyo Grande Hospital | Santa Maria | $59.28 | $10.64 – $135.73 |
| French Hospital | San Luis Obispo | $54.30 | $10.64 – $135.73 |
| Mercy Hospitals – Bakersfield | Bakersfield | $68.27 | $10.64 – $62.40 |
| Bakersfield Memorial Hospital | Bakersfield | $67.53 | $10.64 – $61.62 |
| Queen of The Valley Medical Center | Napa | $36.21 | $10.64 – $167.10 |
| Providence St Joseph Hospital Eureka | Eureka | $36.21 | $10.64 – $189.49 |